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Adult Reconstruction
intermediate
X-Type

Cemented vs Uncemented Arthroplasty

Implant Fixation

A 72-year-old woman with osteoarthritis is scheduled for total hip arthroplasty. She has mild osteoporosis (T-score -2.0) and a Dorr Type B femur. Her surgeon discusses the options of cemented versus uncemented femoral fixation. The patient asks about the differences, advantages, and potential complications of each approach. Regarding cemented versus uncemented arthroplasty:

Mark each as TRUE or FALSE

A

Cemented fixation uses polymethylmethacrylate (PMMA) which provides immediate rigid fixation through...

B

Uncemented fixation relies on initial press-fit stability followed by biological bone ingrowth into ...

C

PMMA provides biological fixation through bone ingrowth; cement is endothermic (absorbs heat); uncem...

D

Bone cement implantation syndrome (BCIS) can occur during cemented arthroplasty with hypoxia, hypote...

E

Femoral component selection in THA: uncemented preferred in young active patients (less than 65) wit...

Answer the questions to see explanations

Click T (True) or F (False) for each option