Cement vs. Cementless Hip Bone Fixation

Dr. Bassam Masri, MD, FRCSC, Orthopaedic Surgeon - Dr Bas Masri discusses hip joint replacement and cement vs. cementless hip bone fixation.

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Dr. Bassam Masri, MD, FRCSC, Orthopaedic Surgeon - Dr Bas Masri discusses hip joint replacement and cement vs. cementless hip bone fixation.
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Video transcript

Featuring Dr. Bassam Masri, MD, FRCSC

Duration: 1 minute, 33 seconds

If a patient is diagnosed with significant osteoarthritis of the hip, with significant pain that is not responding to non-operative treatment, which includes medications, use of a cane, and staying active and fit, then the consideration is that of a  hip replacement.  

There are different ways of doing a hip replacement. The traditional way of fixing a hip replacement was with bone cement, which a lot of people refer to as glue or bone glue.  

That was the very traditional, very early way that it was done back in the ‘60s. It is a treatment that has stood the test of time. However, with time, there can be loosening of the cement or the glue, leading to failure and the need for reoperation.  

For this reason, cementless technology has been introduced, where bone grows into the metal. For the most part, most studies have shown equivalent results in the short to mid-term, up to about ten years. Longer data is starting to become available, and in North America, the trend is towards using more and more cementless fixation.  

And most surgeons in North America can now use cementless fixation in the vast majority of patients. In elderly patients, however, some surgeons continue to choose the use of cement, but the ultimate choice really depends on the surgeon.

Once a decision has been made to perform a hip replacement, the patient should discuss the various treatment options for hip replacement with the surgeon.

Presenter: Dr. Bassam Masri, Orthopaedic Surgeon, Vancouver, BC

Local Practitioners: Orthopaedic Surgeon

This content is for informational purposes only, and is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare professional with any questions you may have regarding a medical condition.