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Updated: Jul 23, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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In-cement technique for revision hip arthroplasty.

J F Quinlan1, K O'Shea, F Doyle

  • 1Our Lady's Hospital, Navan, County Meath, Republic of Ireland. jfquinlan@hotmail.com

The Journal of Bone and Joint Surgery. British Volume
|May 25, 2006
PubMed
Summary

The in-cement technique for revision hip arthroplasty offers strong outcomes by preserving the original cement-bone interface. This method demonstrates no radiological loosening and yields high functional scores in patients.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Revision hip arthroplasty is a complex procedure.
  • Traditional methods involve complete cement mantle removal, potentially compromising biomechanical stability.
  • The in-cement technique offers an alternative by retaining the original cement-bone interface.

Purpose of the Study:

  • To evaluate the clinical and radiological outcomes of the in-cement technique for revision hip arthroplasty.
  • To assess the long-term efficacy and patient-reported functional improvements.

Main Methods:

  • A retrospective review of 54 consecutive revision hip arthroplasties using the in-cement technique.
  • Clinical and radiological follow-up was performed.
  • Functional assessments included Harris hip score, Oxford hip score, UCLA activity profile, and SF-36.

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Last Updated: Jul 23, 2026

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Main Results:

  • No radiological evidence of loosening was observed in the reviewed cases.
  • Functional assessments showed high mean scores: Harris hip score (85.2), Oxford hip score (19.6), UCLA activity profile (5.9), and SF-36 (78.0).
  • Mean follow-up was 29.2 months for 42 patients.

Conclusions:

  • The in-cement technique for revision hip arthroplasty provides consistent and high functional outcomes.
  • This technique is a viable option for appropriately selected patients, offering biomechanical advantages.
  • Further consideration of the in-cement technique in revision hip surgery is warranted.