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

  • Hip Arthroplasty
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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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References

  1. Aldinger PR, Jung AW, Breusch SJ, Ewerbeck V, Parsch D (2009) Survival of the cementless Spotorno stem in the second decade. Clin Orthop Relat Res 467(9):2297–2304

    Article  PubMed  Google Scholar 

  2. Aldinger PR, Jung AW, Pritsch M, Breusch S, Thomsen M, Ewerbeck V et al (2009) Uncemented grit-blasted straight tapered titanium stems in patients younger than fifty-five years of age. Fifteen to twenty-year results. J Bone Jt Surg Am 91(6):1432–1439

    Article  Google Scholar 

  3. Aldinger PR, Thomsen M, Lukoschek M, Mau H, Ewerbeck V, Breusch SJ (2004) Long-term fate of uncemented, threaded acetabular components with smooth surface treatment: minimum 10 year follow-up of two different designs. Arch Orthop Trauma Surg 124(7):469–475

    Article  PubMed  Google Scholar 

  4. Anseth SD, Pulido PA, Adelson WS, Patil S, Sandwell JC, Colwell CW Jr (2010) Fifteen-year to twenty-year results of cementless Harris-Galante porous femoral and Harris-Galante porous I and II acetabular components. J Arthroplasty 25(5):687–691

    Article  PubMed  Google Scholar 

  5. Atwood SA, Van Citters DW, Patten EW, Furmanski J, Ries MD, Pruitt LA (2011) Tradeoffs amongst fatigue, wear, and oxidation resistance of cross-linked ultra-high molecular weight polyethylene. J Mech Behav Biomed Mater 4(7):1033–1045

    Article  PubMed  CAS  Google Scholar 

  6. Baker PN, McMurty IA, Chuter G, Port A, Anderson J (2010) THA with the ABG I prosthesis at 15 years. Clin Orthop Relat Res 468:1855–1861

    Article  PubMed  CAS  Google Scholar 

  7. Belmont PJ Jr, Powers CC, Beykirch SE, Hopper RH Jr, Engh CA Jr, Engh CA (2008) Results of the anatomic medullary locking total hip arthroplasty at a minimum of twenty years. A concise follow-up of previous reports. J Bone Jt Surg Am 90(7):1524–1530

    Article  Google Scholar 

  8. Berli BJ, Ping G, Dick W, Morscher EW (2007) Nonmodular flexible press-fit cup in primary total hip arthroplasty: 15 year followup. Clin Orthop Relat Res 461:114–121

    PubMed  Google Scholar 

  9. Berry DJ, Halasy M (2002) Uncemented acetabular components for arthritis after acetabular fracture. Clin Orthop Relat Res (405):164–167

  10. Biedermann R, Tonin A, Krismer M, Rachbauer F, Eibl G, Stockl B (2005) Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular component. J Bone Jt Surg Br 87(6):762–769

    Article  CAS  Google Scholar 

  11. Bjerkholt H, Hovik O, Reikeras O (2010) Direct comparison of polyethylene wear in cemented and uncemented acetabular cups. J Orthop Traumatol 11(3):155–158

    Article  PubMed  Google Scholar 

  12. Bjorgul K, Novicoff WM, Andersen ST, Brevig K, Thu F, Wiig M et al (2010) No differences in outcomes between cemented and uncemented acetabular components after 12–14 years: results from a randomized controlled trial comparing Duraloc with Charnley cups. J Orthop Traumatol 11(1):37–45

    Article  PubMed  Google Scholar 

  13. Breusch SJ, Malchau H (2005) The well cemented total hip arthroplasty. Springer, Heidelberg

    Google Scholar 

  14. Buckwalter AE, Callaghan JJ, Liu SS, Pedersen DR, Goetz DD, Sullivan PM et al (2006) Results of Charnley total hip arthroplasty with use of improved femoral cementing techniques a concise follow-up, at a minimum of twenty-five years, of a previous report. J Bone Jt Surg Am 88(7):1481–1485

    Article  Google Scholar 

  15. Callaghan JJ, Dysart SH, Savory CG (1988) The uncemented porous-coated anatomic total hip prosthesis. Two-year results of a prospective consecutive series. J Bone Jt Surg Am 70(3):337–346

    CAS  Google Scholar 

  16. Callaghan JJ, Liu SS, Firestone DE, Yehyawi TM, Goetz DD, Sullivan J et al (2008) Total hip arthroplasty with cement and use of a collared matte-finish femoral component: nineteen to twenty-year follow-up. J Bone Jt Surg Am 90(2):299–306

    Article  Google Scholar 

  17. Callanan MC, Jarrett B, Bragdon CR, Zurakowski D, Rubash HE, Freiberg AA et al (2011) The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital. Clin Orthop Relat Res 469(2):319–329

    Article  PubMed  Google Scholar 

  18. Campbell AC, Rorabeck CH, Bourne RB, Chess D, Nott L (1992) Thigh pain after cementless hip arthroplasty. Annoyance or ill omen. J Bone Jt Surg Br 74(1):63–66

    CAS  Google Scholar 

  19. Chawda M, Hucker P, Whitehouse SL, Crawford RW, English H, Donnelly WJ (2009) Comparison of cemented vs uncemented acetabular component positioning using an imageless navigation system. J Arthroplasty 24(8):1170–1173

    Article  PubMed  Google Scholar 

  20. Chen FS, Di Cesare PE, Kale AA, Lee JF, Frankel VH, Stuchin SA et al (1998) Results of cemented metal-backed acetabular components: a 10 year-average follow-up study. J Arthroplasty 13(8):867–873

    Article  PubMed  CAS  Google Scholar 

  21. Chen PC, Mead EH, Pinto JG, Colwell CW Jr. (1995) Polyethylene wear debris in modular acetabular prostheses. Clin Orthop Relat Res (317):44–56

  22. Chmell MJ, Scott RD, Thomas WH, Sledge CB (1997) Total hip arthroplasty with cement for juvenile rheumatoid arthritis. Results at a minimum of ten years in patients less than thirty years old. J Bone Jt Surg Am 79(1):44–52

    CAS  Google Scholar 

  23. Chougle A, Hemmady MV, Hodgkinson JP (2005) Severity of hip dysplasia and loosening of the socket in cemented total hip replacement. A long-term follow-up. J Bone Jt Surg Br 87(1):16–20

    CAS  Google Scholar 

  24. Clohisy JC, Harris WH (2001) Matched-pair analysis of cemented and cementless acetabular reconstruction in primary total hip arthroplasty. J Arthroplasty 16(6):697–705

    Article  PubMed  CAS  Google Scholar 

  25. Cogan A, Nizard R, Sedel L (2011) Occurrence of noise in alumina-on-alumina total hip arthroplasty. A survey on 284 consecutive hips. Orthop Traumatol Surg Res 97:206–210

    Google Scholar 

  26. Collis DK (1984) Cemented total hip replacement in patients who are less than fifty years old. J Bone Jt Surg Am 66(3):353–359

    CAS  Google Scholar 

  27. Conroy JL, Whitehouse SL, Graves SE, Pratt NL, Ryan P, Crawford RW (2008) Risk factors for revision for early dislocation in total hip arthroplasty. J Arthroplasty 23(6):867–872

    Article  PubMed  Google Scholar 

  28. Corten K, Au K, Bourne RB (2009) Acetabular options: notes from the other side. Orthopedics 32(9):664

    Google Scholar 

  29. Corten K, Bourne RB, Charron KD, Au K, Rorabeck CH (2011) What works best, a cemented or cementless primary total hip arthroplasty?: minimum 17 year followup of a randomized controlled trial. Clin Orthop Relat Res 469(1):209–217

    Article  PubMed  Google Scholar 

  30. Della Valle CJ, Berger RA, Shott S, Rosenberg AG, Jacobs JJ, Quigley L, Galante JO (2004) Primary total hip arthroplasty with a porous-coated acetabular component. A concise follow-up of a previous report. J Bone Jt Surg Am 86-A(6):1217–1222

  31. Digas G, Kärrholm J, Thanner J, Malchau H, Herberts P (2004) The Otto Aufranc Award. Highly cross-linked polyethylene in total hip arthroplasty: randomized evaluation of penetration rate in cemented and uncemented sockets using radiostereometric analysis. Clin Orthop Relat Res (429):6–16

  32. Dodge BM, Fitzrandolph R, Collins DN (1991) Noncemented porous-coated anatomic total hip arthroplasty. Clin Orthop Relat Res (269):16–24

  33. Dorr LD, Takei GK, Conaty JP (1983) Total hip arthroplastis in patients less than forty-five years old. J Bone Jt Surg Am 65:474–479

    CAS  Google Scholar 

  34. Duffy GP, Prpa B, Rowland CM, Berry DJ (2004) Primary uncemented Harris-Galante acetabular components in patients 50 years old or younger: results at 10–12 years. Clin Orthop Relat Res (427):157–61

  35. Eskelinen A, Remes V, Helenius I, Pulkkinen P, Nevalainen J, Paavolainen P (2006) Uncemented total hip arthroplasty for primary osteoarthritis in young patients: a mid-to long-term follow-up study from the Finnish Arthroplasty Register. Acta Orthop 77(1):57–70

    Article  PubMed  Google Scholar 

  36. Espehaug B, Havelin LI, Engesaeter LB, Vollset SE (1999) The effect of hospital type and operating volume on the survival of hip replacements. A review of 39,505 primary total replacements reported to the Norwegian Arthroplasty Register, 1988–1996. Acta Orthop Scand 70(1):12–18

    Article  PubMed  CAS  Google Scholar 

  37. Fehring TK, Smith SE, Braun ER, Mobley C, Wang PL, Griffin WL (1999) Motion at the modular acetabular shell and liner interface. A comparative study. Clin Orthop Relat Res (367):306–314

  38. Fevang BT, Lie SA, Havelin LI, Engesaeter LB, Furnes O (2010) Improved results of primary total hip replacement. Acta Orthop 81(6):649–659

    Article  PubMed  Google Scholar 

  39. Flivik G, Sanfridsson J, Onnerfalt R, Kesteris U, Ryd L (2005) Migration of the acetabular component: effect of cement pressurization and significance of early radiolucency: a randomized 5 year using radiostereometry. Acta Orthop 76(2):159–168

    Article  PubMed  Google Scholar 

  40. Fowler JL, Gie GA, Lee AJ (1988) Experience with the Exeter total hip replacement since 1970. Orthop Clin North Am 19:477–481

    PubMed  CAS  Google Scholar 

  41. Furmanski J, Kraay MJ, Rimnac CM (2011) Crack initiation in retrieved cross-linked highly cross-linked ultrahigh-molecular-weight polyethylene acetabular liners an investigation of 9 cases. J Arthroplasty 26(5):796–801

    Article  PubMed  Google Scholar 

  42. Gaffey JL, Callaghan JJ, Pedersen DR, Goetz DD, Sullivan PM, Johnston RC (2004) Cementless acetabular fixation at fifteen years. A comparison with the same surgeon’s results following acetabular fixation with cement. J Bone Jt Surg Am 86-A(2):257–261

    Google Scholar 

  43. Garcia-Cimbrelo E, Cruz-Pardos A, Madero R, Ortega-Andreu M (2003) Total hip arthroplasty with use of the cementless Zweymuller Alloclassic system. A ten to thirteen-year follow-up study. J Bone Jt Surg Am 85-A(2):296–303

    Google Scholar 

  44. Garvin KL, Bowen MK, Salvati EA, Ranawat CS (1991) Long-term results of total hip arthroplasty in congenital dislocation and dysplasia of the hip. A follow-up note. J Bone Jt Surg Am 73(9):1348–1354

    CAS  Google Scholar 

  45. Glyn-Jones S, Isaac S, Hauptfleisch J, Lardy-Smith P, Murray DW, Gill HS (2008) Does highly cross-linked polyethylene wear less than conventional polyethylene in total hip arthroplasty? A double-blind, randomized, and controlled trial using roentgen stereophotogrammetric analysis. J Arthroplasty 23(3):337–343

    Article  PubMed  Google Scholar 

  46. Godlee F (2011) Goodbye PubMed, hello raw data. BMJ 342:d212

    Article  Google Scholar 

  47. Grant P, Grogaard B, Nordsletten L (2004) Ultralok uncemented femoral prostheses: 12–15 year follow-up evaluation. J Arthroplasty 19(3):274–280

    Article  PubMed  Google Scholar 

  48. Grubl A, Chiari C, Gruber M, Kaider A, Gottsauner-Wolf F (2002) Cementless total hip arthroplasty with a tapered, rectangular titanium stem and a threaded cup: a minimum ten-year follow-up. J Bone Jt Surg Am 84-A(3):425–431

    Google Scholar 

  49. Ha YC, Kim SY, Kim HJ, Yoo JJ, Koo KH (2007) Ceramic liner fracture after cementless alumina-on-alumina total hip arthroplasty. Clin Orthop Relat Res 458:106–110

    PubMed  Google Scholar 

  50. Hailer NP, Garellick G, Karrholm J (2010) Uncemented and cemented primary total hip arthroplasty in the Swedish Hip Arthroplasty Register. Acta Orthop 81(1):34–41

    Article  PubMed  Google Scholar 

  51. Hallan G, Dybvik E, Furnes O, Havelin LI (2010) Metal-backed acetabular components with conventional polyethylene: a review of 9,113 primary components with a follow-up of 20 years. J Bone Jt Surg Br 92(2):196–201

    Article  CAS  Google Scholar 

  52. Hallan G, Lie SA, Havelin LI (2006) High wear rates and extensive osteolysis in 3 types of uncemented total hip arthroplasty: a review of the PCA, the Harris Galante and the Profile/Tri-Lock Plus arthroplasties with a minimum of 12 years median follow-up in 96 hips. Acta Orthop 77(4):575–584

    Article  PubMed  Google Scholar 

  53. Hannouche D, Zaoui A, Zadegan F, Sedel L, Nizard R (2011) Thirty years of experience with alumina-on-alumina bearings in total hip arthroplasty. Int Orthop 35(2):207–213

    Article  PubMed  Google Scholar 

  54. Hartofilakidis G, Georgiades G, Babis GC (2009) A comparison of the outcome of cemented all-polyethylene and cementless metal-backed acetabular sockets in primary total hip arthroplasty. J Arthroplasty 24(2):217–225

    Article  PubMed  Google Scholar 

  55. Hasegawa M, Sudo A, Uchida A (2006) Cobalt-chromium head wear following revision hip arthroplasty performed after ceramic fracture—a case report. Acta Orthop 77(5):833–835

    Article  PubMed  Google Scholar 

  56. Havelin LI, Engesaeter LB, Espehaug B, Furnes O, Lie SA, Vollset SE (2000) The Norwegian Arthroplasty Register: 11 years and 73,000 arthroplasties. Acta Orthop Scand 71(4):337–353

    Article  PubMed  CAS  Google Scholar 

  57. Havelin LI, Espehaug B, Engesaeter LB (2002) The performance of two hydroxyapatite-coated acetabular cups compared with Charnley cups. From the Norwegian Arthroplasty Register. J Bone Jt Surg Br 84(6):839–845

    Article  CAS  Google Scholar 

  58. Havelin LI, Espehaug B, Vollset SE, Engesaeter LB (1994) Early failures among 14,009 cemented and 1,326 uncemented prostheses for primary coxarthrosis. The Norwegian Arthroplasty Register, 1987–1992. Acta Orthop Scand 65(1):1–6

    Article  PubMed  CAS  Google Scholar 

  59. Havelin LI, Fenstad AM, Salomonsson R, Mehnert F, Furnes O, Overgaard S et al (2009) The Nordic Arthroplasty Register Association: a unique collaboration between 3 national hip arthroplasty registries with 280,201 THRs. Acta Orthop 80(4):393–401

    Article  PubMed  Google Scholar 

  60. Hearn SL, Bicalho PS, Eng K, Booth RE Jr, Hozack WJ, Rothman RH (1995) Comparison of cemented and cementless total hip arthroplasty in patients with bilateral hip arthroplasties. J Arthroplasty 10(5):603–608

    Article  PubMed  CAS  Google Scholar 

  61. Hernandez JR, Keating EM, Faris PM, Meding JB, Ritter MA (1994) Polyethylene wear in uncemented acetabular components. J Bone Jt Surg Br 76(2):263–266

    CAS  Google Scholar 

  62. Hooper GJ, Rothwell AG, Stringer M, Frampton C (2009) Revision following cemented and uncemented primary total hip replacement: a seven-year analysis from the New Zealand Joint Registry. J Bone Jt Surg Br 91(4):451–458

    Article  CAS  Google Scholar 

  63. Hozack WJ, Rothman RH, Eng K, Mesa J (1996) Primary cementless hip arthroplasty with a titanium plasma sprayed prosthesis. Clin Orthop Relat Res (333):217–225

  64. Huk OL, Bansal M, Betts F, Rimnac CM, Lieberman JR, Huo MH et al (1994) Polyethylene and metal debris generated by non-articulating surfaces of modular acetabular components. J Bone Jt Surg Br 76(4):568–574

    CAS  Google Scholar 

  65. Huo MH, Osier CJ (2008) Is cement still a fixation option for total hip arthroplasty? J Arthroplasty 23(7):51–54

    Article  PubMed  Google Scholar 

  66. Ingram JH, Stone M, Fisher J, Ingham E (2004) The influence of molecular weight, crosslinking and counterface roughness on TNF-alpha production by macrophages in response to ultra high molecular weight polyethylene particles. Biomaterials 25(17):3511–3522

    Article  PubMed  CAS  Google Scholar 

  67. Kadar T, Hallan G, Aamodt A, Indrekvam K, Badawy M, Skredderstuen A et al (2011) Wear and migration of highly cross-linked and conventional cemented polyethylene cups with cobalt chrome or Oxinium femoral heads: a randomized radiostereometric study of 150 patients. J Orthop Res 29(8):1222–1229

    Article  PubMed  CAS  Google Scholar 

  68. Kavanagh BF, Dewitz MA, Ilstrup DM, Stauffer RN, Coventry MB (1989) Charnley total hip arthroplasty with cement. Fifteen-year results. J Bone Jt Surg Am 71(10):1496–1503

    CAS  Google Scholar 

  69. Kawamura H, Dunbar MJ, Murray P, Bourne RB, Rorabeck CH (2001) The porous coated anatomic total hip replacement. A ten to fourteen-year follow-up study of a cementless total hip arthroplasty. J Bone Jt Surg Am 83A(9):1333–1338

    Google Scholar 

  70. Kim YH, Kim JS, Cho SH (1999) Primary total hip arthroplasty with a cementless porous-coated anatomic total hip prosthesis: 10–12 year results of prospective and consecutive series. J Arthroplasty 14(5):538–548

    Article  PubMed  CAS  Google Scholar 

  71. Kim YH, Kook HK, Kim JS (2002) Total hip replacement with a cementless acetabular component and a cemented femoral component in patients younger than fifty years of age. J Bone Jt Surg Am 84-A(5):770–774

    Google Scholar 

  72. Kim YH, Oh SH, Kim JS, Koo KH (2003) Contemporary total hip arthroplasty with and without cement in patients with osteonecrosis of the femoral head. J Bone Jt Surg Am 85-A(4):675–681

    Google Scholar 

  73. Kobayashi S, Terayama K (1993) Factors influencing survival of the socket after primary low-friction arthroplasty of the hip. Arch Orthop Trauma Surg 112(2):56–60

    Article  PubMed  CAS  Google Scholar 

  74. Kotwal RS, Ganapathi M, John A, Maheson M, Jones SA (2009) Outcome of treatment for dislocation after primary total hip replacement. J Bone Jt Surg Br 91(3):321–326

    Article  CAS  Google Scholar 

  75. Krismer M, Fischer M, Klestil T, Frischhut B (1991) Uncoated polyethylene RM acetabular component versus Muller cemented acetabular component. A 4–8 year follow-up study. Arch Orthop Trauma Surg 110(4):195–199

    Article  PubMed  CAS  Google Scholar 

  76. Kubo T, Inoue S, Maeda T, Arai Y, Hirakawa K, Wu Y et al (2001) Cementless Lord total hip arthroplasty: cup loosening common after minimum 10 year follow-up of 103 hips. Acta Orthop Scand 72(6):585–590

    Article  PubMed  CAS  Google Scholar 

  77. Kurtz SM, Gawel HA, Patel JD (2011) History and systematic review of wear and osteolysis outcomes for first-generation highly crosslinked polyethylene. Clin Orthop Relat Res 469(8):2262–2277

    Article  PubMed  Google Scholar 

  78. Kurtz SM, Ochoa JA, White CV, Srivastav S, Cournoyer J (1998) Backside nonconformity and locking restraints affect liner/shell load transfer mechanisms and relative motion in modular acetabular components for total hip replacement. J Biomech 31(5):431–437

    Article  PubMed  CAS  Google Scholar 

  79. la Valle CJ, Berger RA, Shott S, Rosenberg AG, Jacobs JJ, Quigley L et al (2004) Primary total hip arthroplasty with a porous-coated acetabular component. A concise follow-up of a previous report. J Bone Jt Surg Am 86-A(6):1217–1222

    Google Scholar 

  80. Labek G, Thaler M, Janda W, Agreiter M, Stockl B (2011) Revision rates after total joint replacement: cumulative results from worldwide joint register datasets. J Bone Jt Surg Br 93(3):293–297

    Article  CAS  Google Scholar 

  81. Lachiewicz PF, Heckman DS, Soileau ES, Mangla J, Martell JM (2009) Femoral head size and wear of highly cross-linked polyethylene at 5–8 years. Clin Orthop Relat Res 467(12):3290–3296

    Article  PubMed  Google Scholar 

  82. Laupacis A, Bourne R, Rorabeck C, Feeny D, Tugwell P, Wong C (2002) Comparison of total hip arthroplasty performed with and without cement: a randomized trial. J Bone Jt Surg Am 84A(10):1823–1828

    Google Scholar 

  83. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Jt Surg Am 60(2):217–220

    CAS  Google Scholar 

  84. Lie SA, Hallan G, Furnes O, Havelin LI, Engesaeter LB (2007) Isolated acetabular liner exchange compared with complete acetabular component revision in revision of primary uncemented acetabular components: a study of 1649 revisions from the Norwegian Arthroplasty Register. J Bone Jt Surg Br 89(5):591–594

    Article  CAS  Google Scholar 

  85. Lucht U (2000) The Danish Hip Arthroplasty Register. Acta Orthop Scand 71(5):433–439

    Article  PubMed  CAS  Google Scholar 

  86. MacKenzie JR, Kelley SS, Johnston RC (1996) Total hip replacement for coxarthrosis secondary to congenital dysplasia and dislocation of the hip. Long-term results. J Bone Jt Surg Am 78(1):55–61

    CAS  Google Scholar 

  87. Mai K, Verioti C, Ezzet KA, Copp SN, Walker RH, Colwell CW Jr (2010) Incidence of ‘squeaking’ after ceramic-on-ceramic total hip arthroplasty. Clin Orthop Relat Res 468(2):413–417

    Article  PubMed  Google Scholar 

  88. Makela KT, Eskelinen A, Pulkkinen P, Paavolainen P, Remes V (2008) Total hip arthroplasty for primary osteoarthritis in patients fifty-five years of age or older. An analysis of the Finnish arthroplasty registry. J Bone Jt Surg Am 90(10):2160–2170

    Article  Google Scholar 

  89. Makela KT, Eskelinen A, Pulkkinen P, Virolainen P, Paavolainen P, Remes V (2011) Cemented versus cementless total hip replacements in patients fifty-five years of age or older with rheumatoid arthritis. J Bone Jt Surg Am 93(2):178–186

    Article  Google Scholar 

  90. Mall NA, Nunley RM, Zhu JJ, Maloney WJ, Barrack RL, Clohisy JC (2011) The incidence of acetabular osteolysis in young patients with conventional versus highly crosslinked polyethylene. Clin Orthop Relat Res 469(2):372–381

    Article  PubMed  Google Scholar 

  91. Mallory TH, Lombardi AV Jr, Leith JR, Fujita H, Hartman JF, Capps SG et al (2001) Minimal 10 year results of a tapered cementless femoral component in total hip arthroplasty. J Arthroplasty 16(8 Suppl 1):49–54

    Article  PubMed  CAS  Google Scholar 

  92. McCalden RW, MacDonald SJ, Rorabeck CH, Bourne RB, Chess DG, Charron KD (2009) Wear rate of highly cross-linked polyethylene in total hip arthroplasty. A randomized controlled trial. J Bone Jt Surg Am 91(4):773–782

    Article  Google Scholar 

  93. McCombe P, Williams SA (2004) A comparison of polyethylene wear rates between cemented and cementless cups. A prospective, randomised trial. J Bone Jt Surg Br 86(3):344–349

    Article  CAS  Google Scholar 

  94. McCoy TH, Salvati EA, Ranawat CS, Wilson PD Jr (1988) A fifteen-year follow-up study of one hundred Charnley low-friction arthroplasties. Orthop Clin North Am 19(3):467–476

    PubMed  CAS  Google Scholar 

  95. McCullough CJ, Remedios D, Tytherleigh-Strong G, Hua J, Walker PS (2006) The use of hydroxyapatite-coated CAD-CAM femoral components in adolescents and young adults with inflammatory polyarthropathy: ten-year results. J Bone Jt Surg Br 88(7):860–864

    Article  CAS  Google Scholar 

  96. McLaughlin JR, Lee KR (2008) Total hip arthroplasty with an uncemented tapered femoral component. J Bone Jt Surg Am 90(6):1290–1296

    Article  Google Scholar 

  97. Mesko JW, D’Antonio JA, Capello WN, Bierbaum BE, Naughton M (2011) Ceramic-on-ceramic hip outcome at a 5–10 year interval: has it lived up to its expectations? J Arthroplasty 26(2):172–177

    Article  PubMed  Google Scholar 

  98. Mjoberg B, Brismar J, Hansson LI, Pettersson H, Selvik G, Onnerfalt R (1985) Definition of endoprosthetic loosening. Comparison of arthrography, scintigraphy and roentgen stereophotogrammetry in prosthetic hips. Acta Orthop Scand 56(6):469–473

    Article  PubMed  CAS  Google Scholar 

  99. Moher D, Cook DJ, Eastwood S, Olkin I, Rennie D, Stroup DF (1999) Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Quality of reporting of meta-analyses. Lancet 354(9193):1896–1900

    Article  PubMed  CAS  Google Scholar 

  100. Morshed S, Bozic KJ, Ries MD, Malchau H, Colford JM Jr (2007) Comparison of cemented and uncemented fixation in total hip replacement: a meta-analysis. Acta Orthop 78(3):315–326

    Article  PubMed  Google Scholar 

  101. Mulliken BD, Rorabeck CH, Bourne RB (1996) Uncemented revision total hip arthroplasty: a 4–6 year review. Clin Orthop Relat Res (325):156–162

  102. Mutimer J, Devane PA, Adams K, Horne JG (2010) Highly crosslinked polyethylene reduces wear in total hip arthroplasty at 5 years. Clin Orthop Relat Res 468(12):3228–3233

    Article  PubMed  Google Scholar 

  103. Nashed RS, Becker DA, Gustilo RB (1995) Are cementless acetabular components the cause of excess wear and osteolysis in total hip arthroplasty? Clin Orthop Relat Res (317):19–28

  104. Nercessian O, Martin G, Joshi RP, Su BW, Eftekhar NS (2005) A 15–25 year follow-up study of primary Charnley low-friction arthroplasty. J Arthroplasty 20(2):162–167

    Article  PubMed  Google Scholar 

  105. Canadian Joint Replacement Registry. Hip and knee replacements in Canada 2008–2009 Annual Report. Available at: https://secure.cihi.ca/estore/productFamily.htm?pf=PFC1063&lang=en&media=0 Accessed 3rd August 2011

  106. National Joint Register. National Joint Registry for England and Wales: 4th Annual Report. Available at: http://www.njrcentre.org.uk/NjrCentre/Portals/0/Documents/England/Reports/NJR_AR_4.pdf Accessed 3rd August 2011

  107. Australian Orthopaedic Association. National Joint Replacement Registry Annual Report 2008. Available at: http://www.surfacehippy.info/aoanationalreg08.php Accessed 3rd August 2011

  108. Onsten I, Carlsson AS, Besjakov J (1998) Wear in uncemented porous and cemented polyethylene sockets: a randomised, radiostereometric study. J Bone Jt Surg Br 80(2):345–350

    Article  CAS  Google Scholar 

  109. Paavilainen T, Hoikka V, Paavolainen P (1993) Cementless total hip arthroplasty for congenitally dislocated or dysplastic hips. Technique for replacement with a straight femoral component. Clin Orthop Relat Res (297):71–81

  110. Pakvis D, van Hellemondt G, de Visser E, Jacobs W, Spruit M (2011) Is there evidence for a superior method of socket fixation in hip arthroplasty? A systematic review. Int Orthop 35(8):1109–1118

    Google Scholar 

  111. Petsatodis GE, Papadopoulos PP, Papavasiliou KA, Hatzokos IG, Agathangelidis FG, Christodoulou AG (2010) Primary cementless total hip arthroplasty with an alumina ceramic-on-ceramic bearing: results after a minimum of twenty years of follow-up. J Bone Jt Surg Am 92(3):639–644

    Article  Google Scholar 

  112. Philippot R, Adam P, Reckhaus M, Delangle F, Verdot FX, Curvale G et al (2009) Prevention of dislocation in total hip revision surgery using a dual mobility design. Orthop Traumatol Surg Res 95(6):407–413

    Article  PubMed  CAS  Google Scholar 

  113. Pospischill M, Knahr K (2005) Cementless total hip arthroplasty using a threaded cup and a rectangular tapered stem: follow-up for ten to 17 years. J Bone Jt Surg Br 87-B:1210–1215

    Article  Google Scholar 

  114. Pospula W, Abu Noor T, Roshdy T, Al Mukaimi A (2008) Cemented and cementless total hip replacement. Critical analysis and comparison of clinical and radiological results of 182 cases operated in Al Razi Hospital, Kuwait. Med Princ Pract 17(3):239–243

    Google Scholar 

  115. Powers CC, Ho H, Beykirch SE, Huynh C, Hopper RH Jr, Engh CA Jr et al (2010) A comparison of a second- and a third-generation modular cup design: is new improved? J Arthroplasty 25(4):514–521

    Article  PubMed  Google Scholar 

  116. Ranawat CS, Rawlins BA, Harju VT (1988) Effect of modern cement technique on acetabular fixation total hip arthroplasty. A retrospective study in matched pairs. Orthop Clin North Am 19(3):599–603

    PubMed  CAS  Google Scholar 

  117. Reigstad O, Siewers P, Rokkum M, Espehaug B (2008) Excellent long-term survival of an uncemented press-fit stem and screw cup in young patients: follow-up of 75 hips for 15–18 years. Acta Orthop 79(2):194–202

    Article  PubMed  Google Scholar 

  118. Ries MD (2008) Review of the evolution of the cementless acetabular cup. Orthopedics 31(12 Suppl 2). pii: http://www.orthosupersite.com/view.asp?rID=37178

  119. Riska EB (1993) Ceramic endoprosthesis in total hip arthroplasty. Clin Orthop Relat Res (297):87–94

  120. Ritter MA, Thong AE (2004) The role of cemented sockets in 2004: is there one? J Arthroplasty 19(4 Suppl 1):92–94

    Article  PubMed  Google Scholar 

  121. Rorabeck CH, Bourne RB, Mulliken BD, Nayak N, Laupacis A, Tugwell P, et al (1996) The Nicolas Andry award: comparative results of cemented and cementless total hip arthroplasty. Clin Orthop Relat Res (325):330–344

  122. Rothman RH, Cohn JC (1990) Cemented versus cementless total hip arthroplasty. A critical review. Clin Orthop Relat Res (254):153–169

  123. Saito S, Ishii T, Mori S, Hosaka K, Nemoto N, Tokuhashi Y (2011) Long-term results of bulk femoral head autograft in cementless THA for developmental hip dysplasia. Orthopedics 34(2):88

    PubMed  Google Scholar 

  124. Schmalzried TP, Shepherd EF, Dorey FJ (2000) Wear is a function of use not time. Clin Orthop Relat Res 381:36–46

    Article  PubMed  Google Scholar 

  125. Schroder DT, Kelly NH, Wright TM, Parks ML (2011) Retrieved highly crosslinked UHMWPE acetabular liners have similar wear damage as conventional UHMWPE. Clin Orthop Relat Res 469(2):387–394

    Article  PubMed  Google Scholar 

  126. Sinha RK, Dungy DS, Yeon HB (2004) Primary total hip arthroplasty with a proximally porous-coated femoral stem. J Bone Jt Surg Am 86-A(6):1254–1261

    Google Scholar 

  127. Skutek M, Bourne RB, Rorabeck CH, Burns A, Kearns S, Krishna G (2007) The twenty to twenty-five-year outcomes of the Harris design-2 matte-finished cemented total hip replacement. A concise follow-up of a previous report. J Bone Jt Surg Am 89(4):814–818

    Article  Google Scholar 

  128. Sochart DH, Porter ML (1997) The long-term results of Charnley low-friction arthroplasty in young patients who have congenital dislocation, degenerative osteoarthrosis, or rheumatoid arthritis. J Bone Jt Surg Am 79(11):1599–1617

    CAS  Google Scholar 

  129. Sochart DH, Porter ML (1998) Long-term results of cemented Charnley low-friction arthroplasty in patients aged less than 30 years. J Arthroplasty 13(2):123–131

    Article  PubMed  CAS  Google Scholar 

  130. Stanat SJ, Capozzi JD (2011) Squeaking in Third- and fourth-generation ceramic-on-ceramic total hip arthroplasty meta-analysis and systematic review. J Arthroplasty [Epub ahead of print]

  131. Suckel A, Geiger F, Kinzl L, Wulker N, Garbrecht M (2009) Long-term results for the uncemented Zweymuller/Alloclassic hip endoprosthesis. A 15 year minimum follow-up of 320 hip operations. J Arthroplasty 24(6):846–853

    Article  PubMed  Google Scholar 

  132. Sutherland CJ, Wilde AH, Borden LS, Marks KE (1982) A ten-year follow-up of one hundred consecutive Muller curved-stem total hip replacement arthroplasties. J Bone Jt Surg Am 64:970–982

    CAS  Google Scholar 

  133. Torchia ME, Klassen RA, Bianco AJ (1996) Total hip arthroplasty with cement in patients less than twenty years old. Long-term results. J Bone Jt Surg Am 78(7):995–1003

    CAS  Google Scholar 

  134. Tower SS, Currier JH, Currier BH, Lyford KA, Van Citters DW, Mayor MB (2007) Rim cracking of the cross-linked longevity polyethylene acetabular liner after total hip arthroplasty. J Bone Jt Surg Am 89(10):2212–2217

    Article  Google Scholar 

  135. Udomkiat P, Dorr LD, Wan Z (2002) Cementless hemispheric porous-coated sockets implanted with press-fit technique without screws: average ten-year follow-up. J Bone Jt Surg Am 84-A(7):1195–1200

    Google Scholar 

  136. Utting MR, Raghuvanshi M, Amirfeyz R, Blom AW, Learmonth ID, Bannister GC (2008) The Harris-Galante porous-coated, hemispherical, polyethylene-lined acetabular component in patients under 50 years of age: a 12–16 year review. J Bone Jt Surg Br 90(11):1422–1427

    Article  CAS  Google Scholar 

  137. Veitch SW, Whitehouse SL, Howell JR, Hubble MJ, Gie GA, Timperley AJ (2010) The concentric all-polyethylene Exeter acetabular component in primary total hip replacement. J Bone Jt Surg Br 92(10):1351–1355

    Article  CAS  Google Scholar 

  138. Volkmann R, Schneider MA, Bretschneider C, Weise K (1999) More failures of uncemented acetabular screw-rings than of cemented polyethylene cups in total hip arthroplasties. Int Orthop 23(3):138–139

    Article  PubMed  CAS  Google Scholar 

  139. Wangen H, Lereim P, Holm I, Gunderson R, Reikeras O (2008) Hip arthroplasty in patients younger than 30 years: excellent ten to 16 year follow-up results with a HA-coated stem. Int Orthop 32(2):203–208

    Article  PubMed  CAS  Google Scholar 

  140. Weber M, Berry DJ, Harmsen WS (1998) Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Jt Surg Am 80(9):1295–1305

    CAS  Google Scholar 

  141. Zicat B, Engh CA, Gokcen E (1995) Patterns of osteolysis around total hip components inserted with and without cement. J Bone Jt Surg Am 77(3):432–439

    CAS  Google Scholar 

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Clement, N.D., Biant, L.C. & Breusch, S.J. Total hip arthroplasty: to cement or not to cement the acetabular socket? A critical review of the literature. Arch Orthop Trauma Surg 132, 411–427 (2012). https://doi.org/10.1007/s00402-011-1422-2

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