title: Total hip replacement in the middle-aged patient. Contemporary cementing for fixation of the femoral component.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston.
authors.forename: W H
authors.initials: WH
authors.lastname: Harris
mesh_terms: 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
chemical_list: D001843:Bone Cements