Cemented Femoral Revision

  • Eustathios KenanidisEmail author
  • Eleftherios Tsiridis
  • Mohammad Shahid
  • Andrew R. J. Manktelow


Primary revision of the femoral component of a THA with use of cement without bone graft reconstruction is less frequently used because it has been associated with early mechanical failure due to aseptic loosening [1, 2]. Indeed the initial reports of cemented femoral revision showed disappointing long-term survival results [3–7]. The results, in fact, depend on multiple parameters as the number of prior revisions, cementing technique quality, residual bone stock, etc. [1]. More recent studies however using newer cementing techniques and proper patient selection demonstrated improvement of the results [8–10].


  1. 1.
    Bardou-Jacquet J, Souillac V, Mouton A, Chauveaux D. Primary aseptic revision of the femoral component of a cemented total hip arthroplasty using a cemented technique without bone graft. Orthop Traumatol Surg Res. 2009;95(4):243–8.CrossRefPubMedGoogle Scholar
  2. 2.
    Haydon CM, Mehin R, Burnett S, Rorabeck CH, Bourne RB, McCalden RW, MacDonald SJ. Revision total hip arthroplasty with use of a cemented femoral component. Results at a mean of ten years. J Bone Joint Surg Am. 2004;86-A(6):1179–85.CrossRefPubMedGoogle Scholar
  3. 3.
    Amstutz HC, Ma SM, Jinnah RH, Mai L. Revision of aseptic loose total hip arthroplasties. Clin Orthop. 1982;170:21–33.Google Scholar
  4. 4.
    Pellicci PM, Wilson PD Jr, Sledge CB, Salvati EA, Ranawat CS, Poss R, Callaghan JJ. Long-term results of revision total hip replacement. A follow- up report. J Bone Joint Surg Am. 1985;67:513–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Kavanagh BF, Ilstrup DM, Fitzgerald RH Jr. Revision total hip arthroplasty. J Bone Joint Surg Am. 1985;67:517–26.CrossRefPubMedGoogle Scholar
  6. 6.
    Hunter GA, Welsh RP, Cameron HU, Bailey WH. The results of revision of total hip arthroplasty. J Bone Joint Surg Br. 1979;61:419–21.CrossRefPubMedGoogle Scholar
  7. 7.
    Engelbrecht DJ, Weber FA, Sweet MB, Jakim I. Long-term results of revision total hip arthroplasty. J Bone Joint Surg Br. 1990;72:41–5.CrossRefPubMedGoogle Scholar
  8. 8.
    Rubash HE, Harris WH. Revision of nonseptic, loose, cemented femoral com- ponents using modern cementing techniques. J Arthroplast. 1988;3:241–8.CrossRefGoogle Scholar
  9. 9.
    Hultmark P, Kärrholm J, Strömberg C, et al. Cemented first-time revisions of the femoral component: prospective 7 to 13 years’ follow-up using second-generation and third-generation technique. J Arthroplast. 2000;15:551–61.CrossRefGoogle Scholar
  10. 10.
    Stromberg CN, Herberts P. Cemented revision total hip arthroplasties in patients younger than 55 years old. A multicenter evaluation of second- generation cementing technique. J Arthroplast. 1996;11:489–99.CrossRefGoogle Scholar
  11. 11.
    Ito H, Tanino H, Yamanaka Y, et al. Cemented calcar replacement femoral compo- nent in revision hybrid total hip arthroplasty. J Arthroplast. 2011;26:236–43.CrossRefGoogle Scholar
  12. 12.
    Garcia-Cimbrelo E, Munuera L, Diez-Vazquez V. Long-term results of aseptic cemented Charnley revisions. J Arthroplast. 1995;10:121–31.CrossRefGoogle Scholar
  13. 13.
    Herberts P, Ahnfelt L, Malchau H, Stromberg C, Andersson GB. Multicenter clinical trials and their value in assessing total joint arthroplasty. Clin Orthop. 1989;249:48–55.Google Scholar
  14. 14.
    Retpen JB, Jensen JS. Risk factors for recurrent aseptic loosening of the femoral component after cemented revision. J Arthroplasty. 1993;8:471–8.CrossRefPubMedGoogle Scholar
  15. 15.
    Eisler T, Svensson O, Iyer V, Wejkner B, Schmalholz A, Larsson H, Elmstedt E. Revision total hip arthroplasty using third-generation cementing technique. J Arthroplast. 2000;15:974–81.CrossRefGoogle Scholar
  16. 16.
    Davis CM 3rd, Berry DJ, Harmsen WS. Cemented revision of failed uncemented femoral components of total hip arthroplasty. J Bone Joint Surg Am. 2003;85-A(7):1264–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Solomon LB, Costi K, Kosuge D, Cordier T, McGee MA, Howie DW. Revision total hip arthroplasty using cemented collarless double-taper femoral components at a meanfollow-up of 13 years (8 to 20): an update. Bone Joint J. 2015;97-B(8):1038–45.CrossRefPubMedGoogle Scholar
  18. 18.
    Barrack RL, Paprosky W, Butler RA, et al. Patients’ perception of pain after total hip arthroplasty. J Arthroplast. 2000;15:590–6.CrossRefGoogle Scholar
  19. 19.
    Trumm BN, Callaghan JJ, George CA, et al. Minimum 20-year follow-up results of revision total hip arthroplasty with improved cementing technique. J Arthroplast. 2014;29:236–41.CrossRefGoogle Scholar
  20. 20.
    Howie DW, Wimhurst JA, McGee MA, Carbone TA, Badaruddin BS. Revision total hip replacement using cemented collarless double-taper femoral components. J Bone Joint Surg (Br). 2007;89-B:879–86.CrossRefGoogle Scholar
  21. 21.
    Katz RP, Callaghan JJ, Sullivan PM, Johnston RC. Long-term results of revision total hip arthroplasty with improved cementing technique. J Bone Joint Surg (Br). 1997;79:322–6.CrossRefGoogle Scholar
  22. 22.
    Gramkow J, Jensen TH, Varmarken JE, Retpen JB. Long-term results after cemented revision of the femoral component in total hip arthroplasty. J Arthroplast. 2001;16:777–83.CrossRefGoogle Scholar
  23. 23.
    Callaghan JJ, Salvati EA, Pellicci PM, Wilson PD Jr, Ranawat CS. Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to five-year follow-up. J Bone Joint Surg Am. 1985;67(7):1074–85.CrossRefPubMedGoogle Scholar
  24. 24.
    Estok DM 2nd, Harris WH. Long-term results of cemented femoral revision surgery using second-generation techniques. An average 11.7-year follow-up evaluation. Clin Orthop Relat Res. 1994;299:190–202.Google Scholar
  25. 25.
    Raut VV, Siney PD, Wroblewski BM. Outcome of revision for mechanical stem failure using the cemented Charnley’s stem. A study of 399 cases. J Arthroplast. 1996;11:405–10.CrossRefGoogle Scholar
  26. 26.
    Raut VV, Siney PD, Wroblewski BM. Revision for aseptic stem loosening using the cemented Charnley prosthesis. A review of 351 hips. J Bone Joint Surg Br. 1995;77(1):23–7.CrossRefPubMedGoogle Scholar
  27. 27.
    Hamilton WG, Cashen DV, Ho H, Hopper RH Jr, Engh C. Extensively porous-coated stems for femoral revision: a choice for all seasons. J Arthroplasty. 2007;22(4 Suppl 1):106–10.CrossRefPubMedGoogle Scholar
  28. 28.
    Lamberton TD, Kenny PJ, Whitehouse SL, Timperley AJ, Gie GA. Femoral impaction grafting in revision total hip arthroplasty: a follow-up of 540 hips. J Arthroplasty. 2011;26(8):1154–60.CrossRefPubMedGoogle Scholar
  29. 29.
    Donaldson AJ, Thomson HE, Harper NJ, Kenny NW. Bone cement implantation syndrome. Br J Anaesth. 2009;102(1):12–22CrossRefPubMedGoogle Scholar
  30. 30.
    Herrenbruck T, Erickson EW, Damron TA, Heiner J. Adverse clinical events during cemented long-stem femoral arthroplasty, Clin Orthop Relat Res, 2002, vol. 395 (pg. 154-63)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eustathios Kenanidis
    • 1
    Email author
  • Eleftherios Tsiridis
    • 2
    • 3
  • Mohammad Shahid
    • 4
  • Andrew R. J. Manktelow
    • 5
  1. 1.Academic Orthopaedic UnitAristotle University Medical SchoolThessalonikiGreece
  2. 2.Papageorgiou General HospitalPavlos MelasGreece
  3. 3.Aristotle University Medical SchoolThessalonikiGreece
  4. 4.Worcestershire Acute Hospitals NHS TrustWorcesterUK
  5. 5.Nottingham University Hospitals NHS TrustNottinghamUK

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