Achieving optimal cementless fixation in total hip arthroplasty

Achieving optimal cementless fixation of the components is essential to the long-term success of total hip arthroplasty. Optimal fixation provides patients with predictable and durable results. The recent emphasis on minimally invasive surgery has focused attention on short-term goals, such as rapid rehabilitation and early discharge from the hospital. The ultimate goal of total hip arthroplasty, however, is long-term pain relief and function. Minimally invasive surgery should not compromise long-term outcomes for short-term achievements. Gentle, safe, and adequate exposure is required for proper component placement and for obtaining optimal initial fixation.