Area of Focus: General Orthopaedics and Trauma

Describes how to perform hemiarthroplasty in unstable fractures patterns and how to deal with technical challenges, such as posteromedial bony deficiency, lack of metaphyseal anatomical landmarks, and greater trochanter fracture. Provides rationale, indications, and contraindications of hemiarthroplasty and details the entire technique, from surgical approach to proximal femur preparation, cementing technique, and component insertion. Highlights tips that could facilitate a hemiarthroplasty procedure as well as calcar reconstruction, proper stem alignment, restoration of the center of rotation, and greater trochanter fixation.