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How to Do a Cemented Total Hip Arthroplasty

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Polymethylmethacrylate (PMMA) bone cement is still widely used to anchor artifi cial joints. Charnley introduced the use of bone cement in 1962 to fix both prosthetic components to the bone [1]. Principles of the Charnley prosthesis are well-known: a 22.25 mm diameter for the femoral head, cemented fi xation, and an all-polyethylene cemented cup. He introduced the prosthesis in the early nineteen sixties and, despite the somewhat obsolete cementing techniques, 30-year good results are common [2–6]. With the so-called contemporary cementing techniques, the long-term results will probably be even better [7–11]. Scandinavian hip registers have demonstrated the benefi ts of modern cementing techniques [12–15].

The objectives of total hip arthroplasty (THA) are to relieve pain and increase mobility and function for as long as possible, and a well-cemented THA remains the gold standard. In the nineteen seventies, early complications following cemented THA's were infection and stem loosening. Nowadays, osteolysis, bone defects and loosening, which are produced by polyethylene wear, are the main problems in cemented THA.

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Authors and Affiliations

  1. Hospital La Paz, Universidad Autónoma de Madrid, Paseo de la Castellana 261, Madrid, Madrid 28046, Spain

    Eduardo Garcia-Cimbrelo

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  1. Eduardo Garcia-Cimbrelo
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  1. Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, HA 7 4LP, UK

    George Bentley

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Garcia-Cimbrelo, E. (2009). How to Do a Cemented Total Hip Arthroplasty. In: Bentley, G. (eds) European Instructional Lectures. European Federation of National Associations of Orthopaedics and Traumatology, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00966-2_18

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  • DOI: https://doi.org/10.1007/978-3-642-00966-2_18

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