Orthonotes
Orthonotes
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v4.1 Fusion X
v4.1 Fusion X
arthroplasty topic hub

Cementless vs Cemented Fixation in Arthroplasty

THA: cementless acetabular components standard; femoral fixation cemented (elderly) vs cementless (younger). TKA: tibial components commonly cemented; cementless options increasing with porous coatings in the young. Cemented: immediate fixation, proven longevity; risks include cement implantation syndrome. Cementless: biologic ingrowth; risk of early micromotion if poor bone stock. Choice individualized by bone quality, age/activity, and surgeon expertise.

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THA: cementless acetabular components standard; femoral fixation cemented (elderly) vs cementless (younger). TKA: tibial components commonly cemented; cementless options increasing with porous coatings in the young. Cemented: immediate fixation, proven longevity; risks include cement implantation syndrome. Cementless: biologic ingrowth; risk of early micromotion if poor bone stock. Choice individualized by bone quality, age/activity, and surgeon expertise.
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