Total Hip Replacements: Failure rate of Cemented vs Uncemented

MedicalResearch.com Interview with:
Keijo T Mäkelä Associate professor
Department of Orthopaedics and Traumatology
Turku University Hospital, Rauhankatu
Turku, FI-20100, Finland

MedicalResearch.com: What are the main findings of the study?

Answer:
• 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.
MedicalResearch.com:  Were any of the findings unexpected?

Answer: Our main finding was quite surprising.

MedicalResearch.com: 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.

MedicalResearch.com:  What recommendations do you have for future research as a result of this study?

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

Citation:

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