Related Experiment Video
Updated: May 23, 2026
09:31
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Fixation Strategies in Total Hip Arthroplasty
1Emeritus Professor of Orthopaedic Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Surgical Technology International
|April 17, 2012
Summary
Modern cementless hip arthroplasty offers excellent long-term survival and functionality. Advances in implant design and biocompatibility ensure durable bone integration for most patients.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
- Medical Engineering
Background:
- Cementless arthroplasty has evolved significantly, from press-fit to advanced porous and hydroxyapatite (HA)-coated implants.
- Success hinges on primary implant stability, design, surface structure, and biocompatibility for osseointegration.
Purpose of the Study:
- To review the advancements and current state of cementless arthroplasty.
- To highlight key factors contributing to successful long-term outcomes.
Main Methods:
- Literature review of cementless arthroplasty evolution.
- Analysis of factors influencing implant fixation and osseointegration.
Main Results:
- Cementless hip arthroplasty demonstrates excellent survival rates exceeding 20 years.
- Quantitative studies confirm robust implant stability and bone quality.
Conclusions:
- Modern cementless hip arthroplasty is a viable option for a wide range of patients.
- Optimal patient-specific considerations and anatomical reconstruction enhance long-term function and survival.
