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  • Title: Total hip replacement: the case for noncemented femoral fixation because of age.
    Author: Bourne RB, Rorabeck CH, Laupacis A, Feeny D, Tugwell PS, Wong C, Bullas R.
    Journal: Can J Surg; 1995 Feb; 38 Suppl 1():S61-6. PubMed ID: 7874633.
    Abstract:
    Both noncemented fixation and improved cemented fixation of total hip replacements emerged to counteract the clinical and radiographic failures of early cemented procedures. A randomized clinical trial comparing a second-generation cemented with a second-generation noncemented total hip replacement demonstrated that in the medium term both implants allow excellent, disease-specific, global and functional capacity outcome measures. No significant differences existed between the cemented and noncemented implants in terms of these parameters or revision rate. Cost-to-utility analyses of both types of replacements revealed that total hip replacement is one of the most cost-effective medical interventions. Noncemented total hip replacements seem as efficacious as cemented devices in patients younger than 70 years.
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