The Cemented Hip Cup: The Weber Polyethylene-Ceramic and Metasul Cups and the High-Pressure Cementing Technique

  • B. G. Weber


The total hip prosthesis (THP) can be said to fail as soon as it comes loose. With cemented anchorage [1, 2] there are two possible results: either immediate loosening, occurring as a consequence of faulty cementing technique, or immediate stability, as a result of good cementing technique. The subsequent fate of the prosthesis after immediate stability depends on possible factors of interference: (a) premature loosening resulting from infection, (b) late loosening following reaction of the tissues to polyethylene debris on the implant-bone interface as described by Willert [5], and (c) long-term stability lasting 30 years or more in the event of the absence of any significant wear, i. e., when the metal-metal pairing funcitons ideally [4].


Cement Technique Ball Head Subsequent Fate Viscosity Cement Excess Cement 
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    Weber, BG (1988) Pressurized cement fixation in total hip arthroplasty. Clin Orthop 232: 87–95PubMedGoogle Scholar
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    Weber, BG (1993) Total hip joint replacement using a CoCrMo metal-metal sliding pairing. J Jpn Orthop Assoc 67: 391–398Google Scholar
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    Willert, HG (1977) Reactions of the articular capsule to wear products of artificial joint prostheses. J Biomed Mat Res 11: 157–164CrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1995

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  • B. G. Weber

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