Re-cementing in Revision Total Hip Replacement

  • Sarah L. Whitehouse
  • Matt Wilson
  • Jonathan R. Howell
  • Matthew J. W. Hubble
  • A. John Timperley
Part of the European Instructional Lectures book series (EICL, volume 12)


Removal of well-fixed cement at revision surgery risks bone loss, cortical perforation and fracture, is time-consuming, technically demanding and carries increased risks for the patient. The cement-in-cement technique avoids these problems and when used appropriately has given favourable results at our centre when used on both the femoral and acetabular sides of the articulation. A modified technique has also been used in selected cases of infection and peri-prosthetic fracture. This chapter highlights the results to date and the operative techniques employed.

It is essential to recognise that this technique relies fundamentally on the presence of a well-fixed cement mantle, and it is imperative that the criteria laid out are adhered to in order to achieve success. If there is loosening or lysis on the femoral side extending distal to the lesser trochanter or around more than just the periphery of the acetabular cement mantle, then alternative revision techniques should be employed.


Cement Mantle Acetabular Revision Revision Stem Femoral Revision High Speed Burr 
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Copyright information

© EFORT 2012

Authors and Affiliations

  • Sarah L. Whitehouse
    • 1
  • Matt Wilson
    • 2
  • Jonathan R. Howell
    • 2
  • Matthew J. W. Hubble
    • 2
  • A. John Timperley
    • 2
  1. 1.Orthopaedic Research Unit, Institute of Health and Biomedical InnovationQueensland University of Technology, The Prince Charles HospitalChermsideAustralia
  2. 2.Exeter Hip Unit, Princess Elizabeth Orthopaedic CentreRoyal Devon & Exeter NHS Foundation TrustExeterUK

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