Matched-pair analysis of cemented and cementless acetabular reconstruction in primary total hip arthroplasty.
In a matched-pair study of primary total hip arthroplasty, 45 all-polyethylene cemented acetabular components were compared with 45 cementless, hemispheric, titanium acetabular components. At 9 to 12 years, 1 of the cemented acetabular components was revised for aseptic loosening, and 14 (31%) were radiographically loose. Nine (20%) cemented acetabular components had pelvic osteolysis. In the cementless acetabular component group, 2 well-fixed components were revised. No components were radiographically loose, and 3 (7%) had pelvic osteolysis. Thirty-eight (97%) of the patients in each group were satisfied with the surgery. The clinical results of the cemented and cementless components were excellent. The cementless components had less loosening (P <.001) than the cemented components.
Clohisy
J C
JC
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Harris
W H
WH
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements; D019544:Equipment Failure Analysis; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D020959:Polyethylene; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011474:Prosthesis Design; D011859:Radiography
D001843:Bone Cements; D020959:Polyethylene