Why would an Uncemented Fixation be chosen for a Total Hip Replacement?
Total hip replacement (THR) is one of the most successful and cost-effective of surgical procedures with the primary goals of pain relief and restoration of function. When a client opts to have joint replacement surgery, the orthopaedic surgeon will replace the existing joint surfaces with artificial joint prostheses. These components must adhere to the client’s natural bone. A cemented joint prosthesis uses fast drying bone cement to help fix to the client’s bone. A cementless joint prosthesis is specially textured to allow the bone to grow onto it and adhere to it over time. Studies have shown better short-term clinical outcomes, particularly an improved pain score with a cemented fixation. So what are the advantages of both procedures?
Advantages of cemented:
- Cement allows surgeon to fix prosthesis to osteoporotic bones
- Antibiotic material can be added to the bone cement, helping reduce the risk of infection
- The bone cement dries within 10 minutes of application so the prosthesis remains firmly in place
- Allow for full weight bearing straight after surgery
Advantages of uncemented:
- Cementless components offer a better long term bond between the prosthesis and bones
- Cementless components eliminate worry about the potential breakdown of cement
- For younger people who have joint replacement as they can expect to outlive the implant as the prostheses are durable for at least 20 years
Had a hip replacement and need an expert physio for rehab? Call today on 02039620757 for a free telephone consultation.