Total hip replacement in the middle-aged patient. Contemporary cementing for fixation of the femoral component.
Important advances have been made in the preparation and use of cement and the design of femoral components. Additionally, we have a greater understanding of the biologic basis of osteolysis, previously considered a manifestation of 'cement disease.' The results now emerging as an outcome of modern cementing techniques and component designs represent a major step forward and raise serious doubts about the justification for cementless fixation of the femoral component, given the present state of the art.
Harris
W H
WH
Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston.
D000328:Adult; D000367:Age Factors; D001843:Bone Cements; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D010014:Osteolysis / Q000209:etiology / Q000503:physiopathology; D011474:Prosthesis Design; D011475:Prosthesis Failure; D013997:Time Factors
D001843:Bone Cements