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Adult Reconstruction
intermediate
X-Type

THA Fixation Options - Cemented vs Cementless

Hip Arthroplasty

An orthopaedic trainee is preparing for the FRACS Part 2 examination and is asked to discuss the evidence for different fixation methods in total hip arthroplasty. The examiner presents scenarios involving a 55-year-old active male with primary osteoarthritis and a 78-year-old woman with a displaced femoral neck fracture and osteoporotic bone. Regarding THA fixation options:

Mark each as TRUE or FALSE

A

According to AOANJRR data, hybrid THA (cementless cup, cemented stem) has the lowest revision rate a...

B

Cementless stems achieve initial stability through press-fit and biological fixation (bone ongrowth/...

C

Cemented fixation is inferior to cementless in all patient populations; modern cementing techniques ...

D

Third-generation cementing technique includes pulsatile lavage, distal plug, retrograde gun injectio...

E

Reverse hybrid (cemented cup, cementless stem) has fallen out of favour due to higher acetabular rev...

Answer the questions to see explanations

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