Related Experiment Video
Updated: Mar 20, 2026
09:51
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
3.8K
Patient-reported outcomes in cemented and uncemented total hip replacements
Ola Rolfson1,2,3, Gabrielle S Donahue3, Mattias Hallsten1,2
1Swedish Hip Arthroplasty Register, Gothenburg - Sweden.
Summary
Uncemented fixation in total hip replacement (THR) leads to better patient-reported outcomes, including improved quality of life and satisfaction. This finding suggests uncemented methods may offer superior results for hip replacement patients.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
- Clinical Outcomes Research
Background:
- Conflicting data exists on cemented vs. uncemented total hip replacement (THR) implant survival.
- The impact of fixation method on patient-reported outcomes (PROMs) requires further investigation.
Purpose of the Study:
- To analyze if patient-reported outcomes measures (PROMs) differ between cemented and uncemented total hip replacement (THR).
Main Methods:
- Utilized data from the Swedish Hip Arthroplasty Register, including EQ-5D and Visual Analogue Scales (VAS) for pain and satisfaction.
- Included 3,118 patients with uncemented THR and a matched control group of 3,118 patients with cemented THR.
- Analysis focused on 1-year follow-up data for patients with primary osteoarthritis.
Main Results:
- Uncemented fixation showed a significantly larger improvement in EQ-5D index and EQ VAS.
- Patients with uncemented THR reported greater pain relief and superior satisfaction.
- Multivariate regression confirmed these associations, with all p-values < 0.001.
Conclusions:
- Uncemented fixation is associated with better patient-reported outcomes in total hip replacement.
- Potential confounding factors like performance or selection bias may influence observed differences.
