Blythe R, Crawford RW, Feenan R, et al. - A population-level cost-effectiveness analysis was conducted to present fixation technique for hip arthroplasty stem following hip fracture. A Markov model was created for individuals < 75, aged 75-85, and over 85. Researchers calculated expected costs and health outcomes over 5 years from a decision to change from existing practice to a best practice policy in which all patients with fractured neck of femur received the same fixation method based on age and type of arthroplasty. Compared with cemented stem fixation, for all age groups, uncemented stem methods were more costly and provided worse health outcomes for hemiarthroplasty and total hip arthroplasty. For fractured neck of femur, this demonstrates that consideration be given to cemented fixation of the femoral stem for individuals receiving both hemiarthroplasty and total hip arthroplasty. Moreover, best practice guidelines targeted on cost-effectiveness should recommend cemented stem fixation to both save costs and increase patient quality of life.