- Total cemented fixation reached a peak of 92-93% during 1998-2000.
- Increasing use of uncemented fixation in THA is a worldwide phenomenon
- McLaughlin JR et al reported revision for aseptic loosening as the endpoint was 99% at 26 yrs
- Streit MR et al : Survivorship for femoral revision for aseptic loosening as the end point was 93% at 22 years
- 25Year Survivorship of 2000 Consecutive Primary Charnley THR
- Troelsen A, et al: Age older than 75 years in three registries), cemented fixation was associated with a lower risk of revision than was uncemented fixation
- Younger patients data favoured uncemmented fixation
- Type of fixation makes little difference but skill and patient selection makes the difference
