Christopher F, et al. - Researchers examined the largest series of proximal femoral replacements (PFRs) to date that underwent PFR for non-neoplastic conditions between 2010 and 2018 in order to determine the re-operation, complication and mortality rates following PFR. Over the eight-year study period, 78 patients underwent 79 PFRs. The most common indication for PFR was periprosthetic fracture (63.3%). They observed 30-day mortality rate of 7.6% (six patients); of these, four patients suffered bone cement implantation syndrome. One-year mortality of 12.7% and reports of complication occurrence in 22.8% were identified. In the armamentarium of a revision arthroplasty surgeon, a cemented PFR seems to be a versatile prosthesis that permits immediate full weight-bearing. However, they suggest appropriately considering as a last resort procedure that poses specific risks that must be explained to patients and family.