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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 11, 1409-1418.
doi: 10.1302/0301-620X.88B11.17836  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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The design features of cemented femoral hip implants

T. Scheerlinck, MD, Orthopaedic Surgeon, Associate Clinical Professor1; and P.-P. Casteleyn, MD, PhD, Professor, Chairman of Orthopaedic Surgery1

1 Department of Orthopaedic and Trauma Surgery, Academic Hospital of the Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.

Correspondence should be sent to Dr T. Scheerlinck; e-mail: Thierry.Scheerlinck{at}az.vub.ac.be

We undertook a review of the literature relating to the two basic stem designs in use in cemented hip replacement, namely loaded tapers or force-closed femoral stems, and the composite beam or shape-closed designs. The associated stem fixation theory as understood from in vitro studies and finite element modelling were examined with reference to the survivorship results for each of the concepts of fixation.

It is clear that both design principles are capable of producing successful long-term results, providing that their specific requirements of stem metallurgy, shape and surface finish, preparation of the bone and handling of the cement are observed.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General