Comparison of Clinical and Radiological Outcomes of Cemented, Uncemented, and Hybrid Total Hip Arthroplasties

Total hip arthroplasty (THA) is one of the most common orthopedic surgeries (1).Pioneered by Sir John Charnley, THA has become a widely accepted surgical practice owing to advances in design and metallurgy, a better understanding of biology, and novel surgical techniques.The initial cemented THA prosthetic applications were associated with problems such as intraoperative hypotension, sudden death, aseptic loosening, and periprosthetic bone loss in young patients (2,3).This has led researchers to seek new designs, and uncemented prosthetics are widely preferred (4).Both cemented and uncemented designs have their own sets of advantages and disadvantages.This study aimed to compare the clinical and radiological outcomes of cemented, uncemented, and hybrid THA applications. MATERIAL AND METHODSThe study was designed as a single-center and retrospective trial.Patients who underwent THA between April 1995 and December 2001 at the Tepecik Training and Research Hospital were included in the study.All the researchers who participated in the study signed the most recent version of the Helsinki Declaration.The informed consent form was obtained from the patients in the study.During the indicated time frame, 53 total hip arthroplasties were performed in the center on 48 patients.Patients followed up for at least 2 years were included in this study.Seven of the surgical patients opted out of follow-up, while 20 patients were excluded from the study due to insufficient follow-up time.Therefore, 23 total hip arthroplasties of 21 patients were evaluated in the study.