Cemented femoral revision: technique and outcome

Long-term pain relief and improved function in patients with failed or infected hip replacement, or, occasionally for patients with impending surgical failure, are the goals of total hip revision arthroplasty. Cement techniques for femoral and reconstructions in patients needing total hip revision are discussed in this article. Advantages of cemented technique include the ability to incorporate antibiotics into the cement during reimplantation following periprosthetic infection. Cemented technique is also preferable over cementless techniques when there is extensive diaphyseal bone loss, which precludes predictable biologic fixation. Cement-within-cement technique is indicated for well-fixed cemented femoral components that require revision for instability, improved acetabular exposure, equalization of leg lengths, or damage to a monoblock femoral head.