[Anchoring principles in hip prosthesis implantation. II: Acetabulum components].
In this review the different anchorage concepts of cemented and cementless acetabular components are presented and clinical long-term results--if available--are discussed. Despite numerous design improvements and modifications the long-term durability of acetabular components remains a major concern with results being clearly inferior than achieved with femoral components. Until valid, prospective long-term success is proven for cementless designs cemented acetabular fixation using modern cementing technique must be regarded as standard treatment. However, successful fixation over 15-20 years very much depends on the quality of operative and cementing technique. Some cementless systems appear easier to use and have been documented to offer reliable mid-term survival rates. In young patients cementless devices have been well established and for some systems promising 10-year results have been published.
Breusch
S J
SJ
Abteilung Orthopädie I, Stiftung Orthopädische Universitätsklinik Heidelberg. steffen.breusch@ok.uni-heidelberg.de
Aldinger
P R
PR
Thomsen
M
M
Lukoschek
M
M
Ewerbeck
V
V
D000077:Acetabulum / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001843:Bone Cements; D006622:Hip Prosthesis; D006801:Humans; D016348:Osseointegration / Q000502:physiology; D011474:Prosthesis Design; D011475:Prosthesis Failure
D001843:Bone Cements