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Kaplan Joint Center, Department of Orthopaedics, Newton-Wellesley Hospital, Newton, Massachusetts, USA
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in the use of cemented fixation, and a 15.4% decrease in the use of cementless fixation. The reason for this trend can be attributed to the early failures of cementless implants. Examples include the Freeman-Samuelson knee 4 and the Miller
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Introduction and brief history of cementless stems Cementless total hip arthroplasty (THA), described in the 1950s by McKee and Watson-Farrar, had fair to good reported clinical results. 1 Initial fixation was obtained by press-fitting an
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Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
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a unipolar or a bipolar hemiarthroplasty. 5 Traditionally, cemented implantation is mostly preferred in elderly patients. However, later studies showing promising results using cementless fixation have been reported. In this work, we aimed to
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main reasons why insurance companies are reluctant to provide coverage for this procedure, despite the increasing evidence of its advantages. Outcome New generation implants with cementless fixation of both components and a single centre of
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, 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 ). Fixation types were divided into four different groups: cementless, cemented, hybrid (cementless acetabulum and cemented femur resurfacing THA), and reverse hybrid (cementless femur
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Xpert Orthopedics, Amsterdam, The Netherlands
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Introduction The latest (fourth) generation of shoulder arthroplasty includes ‘canal-sparing’ stemless designs that rely solely on metaphyseal cementless fixation, which is facilitated using either a coating which promotes ingrowth, or
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acetabular reconstruction in 73% of the patients. In all, 60% of the acetabular components were cementless. The femoral stem was cemented in 58% of the cases. Demographics The mean age of the 354 patients treated in the studies was 71.6 years (55 to
IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, Milan, Italy
Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via Magliotto 2, Savona, Italy
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IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, Milan, Italy
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Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via Magliotto 2, Savona, Italy
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combinations of the following keywords: ‘femoral classification’ in combination with ‘bone loss’, ‘defect’, ‘revision’, ‘total hip arthroplasty’, ‘cementless,’ and ‘cemented.’ All peer-reviewed journals were considered and all articles reporting
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became popular in the early 2000s. 23 Later, large diameter MoM bearings combined with cementless stems were used. A decade later, adverse reactions to metal debris (ARMD) came into focus. Metal debris, caused by increased wear of the bearing surface
Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via
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Department of Orthopaedics and Traumatology, IRCCS Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy
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Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
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Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
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issues that for us deserve further clarifications. First, contrary to the CLS Brevius ( 2 ), the GTS stem should not be considered as a modification of the CLS Spotorno (where CLS stands for cementless) but as a new stem that is based upon the
