aDivision of Orthopaedic Surgery, Scripps Clinic andResearch Foundation, La Jolla, Ca, USA
bThe Center for Hip and KneeSurgery, Mooresville, IN, USA
Abstract:
Total hip arthroplasty is a well-established procedure in the treatment of end-stage degenerative arthritis of thehip. Long-term follow-up studies have indicated varied results in cemented arthroplasty and has prompted further research into additional methods of fixation other than cement as well as the improvement of cementing techniques. More recent long-term follow-up studies of cemented arthroplasty have demonstrated that superb results can be achieved and maintained, but require precision in both the preparation of bone, cementing techniques, and positioning of the implant.This article outlines the precise technology necessary to achieve long-term stability in cemented total hip arthroplasty in both the acetabulum and femur. No attempt has been made to discriminate specific shapes and types of materials of the individual implants.