Cement fixation of the femoral component in older patients.

Journal Article (Journal Article;Review)

Polymethylmethacrylate cement fixation of the femoral component in total hip arthroplasty is still a reasonable option in a select group of patients. Cement fixation is indicated in sedentary patients older than 75 years, certain older patients with rheumatoid arthritis, and patients with femoral neck fractures or conversion surgery. Hips with severe osteopenia or a "stove-pipe" femur (Dorr type C) may also be considered for cement fixation. The cemented femoral component should be fabricated of a cobalt-chromium alloy with a modern geometry and offset. Third-generation cementing techniques should be used to obtain a grade A or B cement mantle. Antibiotic cement may be used in patients at higher risk for infection. The 10-year results of cemented femoral components in these patient populations are excellent.

Full Text

Duke Authors

Cited Authors

  • Lachiewicz, PF

Published Date

  • 2008

Published In

Volume / Issue

  • 57 /

Start / End Page

  • 261 - 265

PubMed ID

  • 18399589

International Standard Serial Number (ISSN)

  • 0065-6895

Language

  • eng

Conference Location

  • United States