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Current Concepts Review   |    
Cementless Femoral Fixation in Total Hip Arthroplasty
Harpal S. Khanuja, MD1; Jeffrey J. Vakil, MD2; Maria S. Goddard, MD1; Michael A. Mont, MD1
1 Center for Joint Preservation and Replacement, The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215. E-mail address for H.S. Khanuja: paulkhanuja@gmail.com
2 Orthopaedicare, 2400 Maryland Road, Willow Grove, PA 19090
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from commercial entities (Stryker and Wright Medical Technology).

Investigation performed at the Center for Joint Preservation and Replacement, The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Mar 02;93(5):500-509. doi: 10.2106/JBJS.J.00774
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Abstract

A number of cementless femoral stems are associated with excellent long-term survivorship.

Cementless designs differ from one another in terms of geometry and the means of obtaining initial fixation.

Strict classification of stem designs is important in order to compare results among series.

Loosening and thigh pain are less prevalent with modern stem designs.

Stress-shielding is present in most cases, even with newer stem designs.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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