Our Summary

This research paper is about a method used in hip replacement surgery, which involves attaching a new hip joint to the thigh bone using cement. This technique was first popularized in the 1960s by Sir John Charnley and is still common in Europe today. However, since the 1980s, many American surgeons have preferred using a cementless method, where the new joint is pressed into place instead. This paper looks at the use of the cemented method in the United States and Europe over the past 70 years, particularly its use in patients at a higher risk of fractures around the artificial joint.

FAQs

  1. What is the cement fixation of the femoral stem in total hip arthroplasty?
  2. Why have many American surgeons shifted to the use of cementless, press-fit stems in hip replacement surgeries?
  3. How has the use of cemented stems in total hip arthroplasty evolved in the United States and Europe over the past 70 years?

Doctor’s Tip

A doctor may tell a patient undergoing hip replacement surgery to follow a proper rehabilitation program to help improve strength and flexibility in the hip joint. This may include physical therapy exercises and gradually increasing activity levels under the guidance of a healthcare professional. It is important for patients to follow their doctor’s instructions and attend all follow-up appointments to ensure a successful recovery and long-term success of the hip replacement.

Suitable For

Patients recommended for hip replacement surgery typically include those who have:

  • Severe hip pain that limits daily activities
  • Hip stiffness that restricts movement
  • Chronic hip inflammation that does not improve with medication or other treatments
  • Hip joint damage due to arthritis, injury, or other conditions
  • Failure of previous hip surgeries or treatments

Patients who are generally healthy and have realistic expectations for the surgery and recovery process are typically good candidates for hip replacement. It is important for patients to discuss their individual circumstances and medical history with their healthcare provider to determine if hip replacement is the best treatment option for them.

Timeline

Before hip replacement:

  1. Patient experiences chronic hip pain and limited mobility.
  2. Patient consults with orthopedic surgeon and undergoes thorough physical examination and imaging tests to determine the need for hip replacement surgery.
  3. Patient discusses surgical options with surgeon, including the choice between cemented and cementless hip implants.
  4. Patient undergoes pre-operative preparations, including medical clearance and physical therapy to optimize outcomes.

After hip replacement:

  1. Patient undergoes hip replacement surgery, with the surgeon using cemented fixation for the femoral stem.
  2. Patient stays in the hospital for a few days for monitoring and rehabilitation.
  3. Patient begins physical therapy to regain strength and mobility in the hip joint.
  4. Patient gradually resumes daily activities and experiences a reduction in hip pain.
  5. Patient attends follow-up appointments with the surgeon to monitor the success of the hip replacement and address any concerns.
  6. Patient enjoys improved quality of life with increased mobility and reduced hip pain.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with cement fixation of the femoral stem in a hip replacement surgery?

  2. How long can I expect a cemented femoral stem to last compared to a cementless, press-fit stem?

  3. Are there any specific factors or conditions that make me a better candidate for a cemented femoral stem in my hip replacement surgery?

  4. Will the use of a cemented femoral stem impact my recovery time or rehabilitation process after surgery?

  5. How does the cost of a cemented femoral stem compare to a cementless, press-fit stem and are there any potential insurance coverage issues to consider?

  6. What is the surgeon’s experience and success rate with using cemented femoral stems in hip replacement surgeries?

  7. Are there any long-term studies or data available on the outcomes and longevity of cemented femoral stems in hip replacement surgeries?

  8. Will I require any additional monitoring or follow-up visits if I have a cemented femoral stem implanted during my hip replacement surgery?

  9. How does the use of a cemented femoral stem in a hip replacement surgery affect the risk of post-operative complications such as infection or implant loosening?

  10. Are there any specific lifestyle or activity restrictions I should be aware of if I have a cemented femoral stem in my hip replacement surgery?

Reference

Authors: Morton J, Christensen T, Lajam C, Macaulay W, Schwarzkopf R. Journal: Bull Hosp Jt Dis (2013). 2022 Mar;80(1):11-16. PMID: 35234581