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Dr. Swanson
Cemented Hips
Sun Jun 30, 2013 12:00pm

While cement works fine in most cases and was the gold standard in total hip replacement for many years, cementless technology has become so good that it has nearly replaced cemented total hips. The problem with cement is that it will eventually loosen, particularly in young, active adults. Cementless hips do not loosen (in most cases).

However, that does not mean that cementless hips are not without any problems. Occasionally, they fail to achieve bony ingrowth into the porous ingrowth surface, resulting in loosening, pain, and the need for a revision.

In revision situations, cement is rarely used because the inside of the femur is often hardened and smooth, leaving very little "roughness" for the cement to attach to. Therefore, cement for revisions is only occasionally used in the very elderly, low demand patient (with other exceptions such as bone conditions that inhibit the normal ingrowth process).

If you have a painful cementless (or cemented) total hip, the pain is worst with weight-bearing, and it is localized to the groin or thigh area, there is a good possibility that the porous surface on one of the components failed to achieve bony ingrowth. If you are having these symptoms, see a total hip expert (i.e. an orthopedic surgeon who specializes in hip replacements.) Many times, the diagnosis can be tricky to make, so it is best to be evaluated by someone who has seen and treated many similar cases to ensure an accurate diagnosis and proper treatment.

I hope this helps.

  • Re: Use of cement in hip replacementAnonymous, Fri Jun 28 5:32pm
    I too have both hip's replaced neither of them have cement left hip keeps on coming loose, I am 50 years old and on dyalisis which afects my bone growth am now looking into another hip and thinking... more
    • Cemented Hips — Dr. Swanson, Sun Jun 30 12:00pm
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