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Biologic fixation and bone ingrowth.

Scott M Sporer1, Wayne G Paprosky

  • 1Orthopaedic Surgery, Rush Medical College, 1725 West Harriston Street, Suite 1063, Chicago, IL 60612, USA. ssporer@hotmail.com

The Orthopedic Clinics of North America
|November 16, 2004
PubMed
Summary
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Total hip arthroplasty offers pain relief and improved quality of life. While bone cement fixation shows excellent long-term results, especially in Europe, alternative biologic fixation methods are being explored.

Area of Science:

  • Orthopaedic Surgery
  • Biomaterials Science
  • Medical Device Technology

Background:

  • Total hip arthroplasty (THA) significantly improves patient quality of life and pain.
  • Advances in surgical techniques and implant biomaterials enhance predictability in THA outcomes.
  • A continuous debate exists regarding the optimal selection of THA implants.

Purpose of the Study:

  • To explore the ongoing debate surrounding the optimal choice of implants in total hip arthroplasty.
  • To discuss the merits and limitations of different fixation methods for femoral and acetabular components.
  • To highlight the established efficacy of bone cement fixation versus emerging biologic fixation strategies.

Main Methods:

  • Review of current literature on total hip arthroplasty implant fixation methods.

Related Experiment Videos

  • Analysis of the historical and current use of acrylic bone cement for component fixation.
  • Examination of the rationale behind the development and adoption of alternative fixation surfaces for biologic fixation.

    • Main Results:

    • Acrylic bone cement fixation has demonstrated excellent long-term results and remains the most frequent technique in Europe.
    • Various implant geometries and fixation methods are available for both femoral and acetabular components.
    • Inherent issues with acrylic bone cement have driven the exploration of alternative surfaces promoting biologic fixation.

    Conclusions:

    • While bone cement fixation in THA is highly successful, particularly in Europe, its inherent problems necessitate alternative solutions.
    • The development of alternative surfaces for biologic fixation represents a significant advancement in addressing the limitations of cemented THA.
    • The choice of implant fixation in THA continues to evolve, balancing proven long-term outcomes with innovative biologic approaches.