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Cementless Total Hip Arthroplasty

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Hip Arthroplasty

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Abstract

Total hip arthroplasty (THA) has proven to be a panacea for end-stage diseases of the hip joint. Cementless THA was developed to avoid the problems associated with “cement disease” in cemented THA. Uncemented hip prosthesis utilizes the biological ingrowth of bone to a surface coating on the prosthesis. Initial fixation is accomplished by introducing a prosthesis slightly bigger than the prepared bone-bed, developing compression hoop stresses, and achieving a “press-fit.” Uncemented THA has shown excellent to good functional and radiological outcomes over the past 20 years with high satisfaction rates and a lower rate of complications in younger patients. The technique is simple, reproducible, and quick and also eliminates the risk of the bone cement implantation syndrome. The prerequisites are good bone stock and a relatively younger population. Cementless THA also offers the benefits of modularity and intraoperative component repositioning as well as the use of offset and constrained liners. Uncemented fixation is definitely here to stay, and more and more surgeons are switching over to using the uncemented prosthesis in THA.

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  1. ORTHOPEDICS & JOINT REPLACEMENT, Amrita Institute of Medical Sciences, Amrita Vishwavidyapeetham, Amrita School of Medicine, Faridabad, Delhi NCR, India

    Mrinal Sharma

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  1. Head of Orthopedics and Joint Replacement, Amrita Institute of Medical Sciences Amrita Vishwavidyapeetham, Faridabad, India

    Mrinal Sharma

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Sharma, M. (2023). Cementless Total Hip Arthroplasty. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_6

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