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J R Soc Med. 1981 October; 74(10): 719–724.
PMCID: PMC1439254

Uncemented total hip replacement.


During the last 20 years almost 3000 uncemented total hip replacements have been used in the treatment of osteoarthritis and rheumatoid arthritis. The development of an axially located prosthesis is outlined, and the causes of failure indicated. Uncemented prostheses have the advantage of a relatively low mortality and morbidity and the rate of infection in particular is low. Interface pain, with or without frank prosthetic loosening, is the commonest cause of failure, but revisional surgery is relatively easy, and usually successful. Loss of function without significant pain may occur after many years from distal migration of the femoral component. The development of an uncemented metal-on-plastic joint has produced better short-term results than the metal-on-metal articulation, probably because of its lower frictional coefficient and the use of a wider range of pelvic and femoral components.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Jones JM. Revisional total hip replacement for failed ring arthroplasty. J Bone Joint Surg Am. 1979 Oct;61(7):1029–1034. [PubMed]
  • Ring PA. Five to fourteen year interim results of uncemented total hip arthroplasty. Clin Orthop Relat Res. 1978 Nov-Dec;(137):87–95. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press