Total Hip Replacements: Failure rate of Cemented vs Uncemented Interview with:
Keijo T Mäkelä Associate professor
Department of Orthopaedics and Traumatology
Turku University Hospital, Rauhankatu
Turku, FI-20100, Finland What are the main findings of the study?

• The implant survival of cemented total hip replacement was higher
than that of uncemented total hip replacement in patients aged 65
years and older in our multinational register study with a
comprehensive patient population.
• The proportion of uncemented total hip replacement is rapidly
increasing in Nordic countries. The increased use of uncemented total
hip replacement group is not supported by these data.  Were any of the findings unexpected?

Answer: Our main finding was quite surprising. What should clinicians and patients take away from your report?

Answer: Clinicians and patients should be aware or the increased revision risk
when using uncemented implants in patients 65 years and older.  What recommendations do you have for future research as a result of this study?

Answer: International collaboration databases can produce clinically highly
relevant information.


Mäkelä KT ,Matilainen M ,Pulkkinen P ,Fenstad AM ,Havelin L ,Engesaeter L ,et al. Failure rate of cemented and uncemented total hip replacements: register study of combined Nordic database of four nations. BMJ 2014;348:f7592


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