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The role of cemented stems in revision total hip arthroplasty
Affiliation:1. Clinical Fellow in Trauma and Orthopaedics, University College Hospital, London, United Kingdom;2. Professor of Orthopaedic and Sports Surgery, University College London, United Kingdom;3. Department of Orthopaedic Surgery, University of Cape Town, South Africa;1. Leni & Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai. 425 West 59th Street 5th floor, Department of Orthopaedics, The Mount Sinai Hospital, New York, NY 10029, USA;2. Sackler School of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel
Abstract:Cemented stems in revision total hip arthroplasty were reported to have unacceptably high rates of mechanical failure in early publications. This led to the development and current popularity of cementless revision stems, which have shown good results. However, there are still circumstances when cemented femoral revision can provide immediate, reliable fixation with comparatively good results, and this technique remains an important part of the arthroplasty surgeon's armamentarium. In this review, we will discuss the role of cemented stems in revision total hip arthroplasty, focusing on cement-in-cement revision, and impaction bone grafting of the femur.
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