Cement-in-cement technique of the femoral component in aseptic total hip arthroplasty revision: A systematic review of the contemporary literature.

Malahias, Michael-Alexander; Mancino, Fabio; Agarwal, Amil; Roumeliotis, Leonidas; Gu, Alex; Gkiatas, Ioannis; Togninalli, Danilo; Nikolaou, Vasileios S et al. · J Orthop · 2021

systematic_review · Level I

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Abstract

Clinical outcomes of cemented femoral stems revisions using the cement-in-cement technique in aseptic conditions after total hip arthroplasty have been widely described. The US National Library of Medicine (PubMed/MEDLINE), EMBASE, and the Cochrane Database of Systematic Reviews were queried. Twelve articles were included (620 revision THA). Revision rate for complications related to the femoral side was 1.4% at mid-term follow-up (5.4 years). Periprosthetic femoral fracture rate was 1.1%, aseptic loosening of the femoral component 0.3%. Cement-in-cement revision technique of the femoral component is associated with a high mid-term success rates (98.6%) and is potentially less challenging than other revision techniques.

Anatomy