Summary
In total hip arthroplasty (THA), the surgeon should use a well-proven antibiotic-containing cement, like Palacos or Simplex. In addition to antibiotics in the cement, systemic antibiotic prophylaxis should be administered 4 times on the operating day to prevent septic implant loosening. Studies based on data in the Norwegian Arthroplasty Register indicate that the type of cement may be a more important predictor for prosthesis outcome than commonly used prosthesis brands.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Engesæter LB, Lie SA, Espehaug B, Furnes O, Vollset SE, Havelin LI. Antibiotic prophylaxis in total hip arthroplasty: effects of antibiotic prophylaxis systemically and in bone cement on the revision rate of 22,170 primary hip replacements followed 0–14 years in the Norwegian Arthroplasty Register. Acta Orthop Scand. 2003; 74:644–651
Espehaug B, Engesæer LB, Vollset SE, Havelin LI, Langeland N. Antibiotic prophylaxis in total hip arthroplasty. Review of 10,905 primary cemented total hip replacements reported to the Norwegian Arthroplasty Register, 1987–1995. J Bone Joint Surg (Br) 1997; 79B:590–595
Espehaug B, Furnes O, Havelin LI, Engesæter LB, Vollset SE. The type of cement and failure of total hip replacements. J Bone Joint Surg (Br) 2002; 84-B:832–838
Furnes O, Lie SA, Havelin LI, Vollset SE, Engesæter LB. Exeter and Charnley arthroplasties with Boneloc or high viscosity cement. Comparison of 1127 arthroplasties followed for 5 years in the Norwegian Arthroplasty Register. Acta Orthop Scand 1997; 68:515–520
Havelin LI, Espehaug B, Vollset SE, Engesaeter LB. The effect of cement type on early revision of Charnley total hip prostheses. A review of 8,579 primary arthroplasties from the Norwegian Arthroplasty Register. J Bone Joint Surg (Am) 1995; 77A:1543–1550.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2005 Springer Medizin Verlag Heidelberg
About this chapter
Cite this chapter
Furnes, O.N., Havelin, L.I., Espehaug, B. (2005). Which Cement Should We Choose for Primary THA?. In: The Well-Cemented Total Hip Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-28924-0_11
Download citation
DOI: https://doi.org/10.1007/3-540-28924-0_11
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-24197-3
Online ISBN: 978-3-540-28924-1
eBook Packages: MedicineMedicine (R0)