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Related Experiment Video

Updated: Jun 7, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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[Cementless total hip arthroplasty: a review].

Peter Diehl1, Maximilian Haenle, Philipp Bergschmidt

  • 1Orthopädische Klinik und Poliklinik, Universität Rostock, Rostock, Deutschland. dr.peter.diehl@googlemail.com

Biomedizinische Technik. Biomedical Engineering
|October 21, 2010
PubMed
Summary

Cementless total hip replacement (THR) offers predictable results and long-term stability through biologic fixation and bony ingrowth. This approach provides excellent outcomes, even in older patients, with advantages over cemented THR.

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Area of Science:

  • Orthopedic surgery
  • Biomaterials science
  • Biomechanics

Context:

  • Total hip replacement (THR) aims to restore hip function and biomechanics.
  • Advances in surgical techniques and biomaterials enable predictable THR outcomes.
  • Debate persists regarding optimal implant and fixation choices for THR.

Purpose:

  • To evaluate the biomechanical properties and fixation methods in total hip replacement.
  • To compare cementless versus cemented fixation for hip implants.
  • To assess the long-term stability and integration of cementless hip stems.

Summary:

  • Cementless hip implants achieve primary stability through press-fit fixation for rotational and axial stability.
  • Secondary fixation relies on biologic integration via bony ingrowth for long-term implant stability.

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  • Current research indicates excellent results with cementless fixation, even in patients with reduced bone quality.

    • Impact:

    • Cementless fixation offers advantages including biological integration and reduced surgery time.
    • Eliminates tissue damage from cement polymerization and reduces intraoperative embolisms.
    • Both cementless sockets and stems demonstrate favorable long-term results compared to cemented THR.