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Cementless versus cemented total hip arthroplasty. A scientific controversy?
1Department of Orthopaedic Biomechanics, Centre for Hip Surgery, Wigan, Lancashire, United Kingdom.
The Orthopedic Clinics of North America
|October 1, 1993
Summary
The debate between cementless and cemented total hip arthroplasty remains unresolved scientifically. Key factors like acrylic cement, component design, and wear influence outcomes.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- The choice between cemented and cementless total hip arthroplasty (THA) is a long-standing debate in orthopedics.
- Current scientific evidence is insufficient to definitively declare one method superior for all patients.
Purpose of the Study:
- To critically review and present various aspects of the cementless versus cemented THA controversy.
- To highlight key areas of discussion including materials, design, and functional performance.
Main Methods:
- Literature review and synthesis of existing studies on cemented and cementless THA.
- Analysis of specific components: acrylic cement, socket design, and stem design.
- Evaluation of functional aspects and wear characteristics.
Main Results:
- The scientific basis for resolving the cementless versus cemented THA controversy is currently lacking.
- Specific discussion points reveal complexities in component design and material properties.
- Wear and functional performance data remain areas requiring further investigation.
Conclusions:
- Further research is needed to definitively resolve the cementless versus cemented THA debate.
- A comprehensive understanding of acrylic cement, component design, and wear is crucial for future advancements.