Abstract
The use of cemented femoral stem fixation has declined in North America despite numerous favorable long-term outcomes reported. Cemented stems offer some advantages over cementless fixation and should therefore remain part of every orthopaedic surgeon’s armamentarium. Long-term survival, versatility, low periprosthetic fracture risk, decreased risk of infection, and the cement within cement revision technique are all advantages of cemented fixation. Surgeons should be knowledgeable of different cemented stem designs including both the composite-beam and taper-slip philosophies, and must avoid mixing their principles in order to achieve durable clinical success.
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