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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 3/2012

01-03-2012 | Hip Arthroplasty

Total hip arthroplasty: to cement or not to cement the acetabular socket? A critical review of the literature

Authors: N. D. Clement, L. C. Biant, S. J. Breusch

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 3/2012

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Abstract

The optimal method for acetabular socket fixation remains controversial. We present a critical analysis of the current evidence from a systemic literature review of comparative studies, long-term case series, prior literature reviews, meta-analysis, and national arthroplasty registry data for cemented and uncemented acetabular components to determine the respective survivorship rates, overall risk of re-operation, dislocation rates, and wear-related complications. Using contemporary techniques, both cemented and uncemented sockets can yield good long-term results, but our evaluation suggests that the overall/all cause re-operation risk is lower for cemented fixation. Until and unless crosslinked polyethylene (PE) liners or alternative bearings can prove to yield superior outcome in the future, the cemented PE cup remains the gold standard, in all age groups, by which every acetabular component should be compared.
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Metadata
Title
Total hip arthroplasty: to cement or not to cement the acetabular socket? A critical review of the literature
Authors
N. D. Clement
L. C. Biant
S. J. Breusch
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 3/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-011-1422-2

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