{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T02:54:17Z","timestamp":1794365657664,"version":"4.9.0"},"reference-count":74,"publisher":"SLACK, Inc.","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2005,8,2]]},"abstract":"<jats:p>abstract<\/jats:p>\n          <jats:p>A woman who is elderly, lightweight, and low demand has traditionally been considered an ideal candidate for a cemented femoral stem, ffetients who are young, heavy, and high demand have been considered higher risk for failure and, therefore, better suited for cementless femoral stems. However, modern cement techniques and implants have improved outcomes in high-risk cohorts, and stress shielding, thigh pain, and osteolysis have emerged as long-term challenges for cementless femoral stems. Recently reported positive bone remodeling around a cemented, triple-tapered, polished, collarless stem behaving according to the taper-slip philosophy of femoral stem fixation may widen the traditional indications for cemented femoral stems. Paradoxically, patiente initially thought to be poor candidates for cemented fixation may benefit most from the long-term bone preservation and positive loading characteristics of this new generation of cemented stem technology.<\/jats:p>","DOI":"10.3928\/0147-7447-20050802-08","type":"journal-article","created":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T16:46:06Z","timestamp":1578329166000},"source":"Crossref","is-referenced-by-count":12,"title":["The Cemented Femoral Stem: Selecting the Ideal Patient"],"prefix":"10.3928","volume":"28","author":[{"given":"Andrew I","family":"Spitzer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"crossref","unstructured":"1 . NlH consensus conference: total hip replacement. NIH Consensus Development Panel on Total Hip Replacement. JAMA. 1995; 273:1950-1956. Review.","DOI":"10.1001\/jama.273.24.1950"},{"key":"e_1_3_1_3_1","doi-asserted-by":"crossref","unstructured":"2. Engh CA Jr Claus AM Hopper RH Jr et al. Long-term results using the anatomic medullary locking hip prosthesis. Clin Orthop. 2001:393:137-146.","DOI":"10.1097\/00003086-200112000-00016"},{"key":"e_1_3_1_4_1","doi-asserted-by":"crossref","unstructured":"3. McAuley JP Moore KD Culpepper WJ 2nd et al. Total hip arthroplasty with porous-coated prostheses fixed without cement in patients who are sixty-five years of age or older. J Bone Joint Surg Am. 1998: 11:1648-1655.","DOI":"10.2106\/00004623-199811000-00012"},{"key":"e_1_3_1_5_1","doi-asserted-by":"crossref","unstructured":"4. McAuiey JP Szuszczewicz ES Young A et al. Total hip arthroplasty in patients 50 years and younger. Clin Orthop. 2004; 418:119125.","DOI":"10.1097\/00003086-200401000-00019"},{"key":"e_1_3_1_6_1","doi-asserted-by":"crossref","unstructured":"5. Mont MA Maar DC Krackow KA et al. Total hip replacement wi\u00fciout cement for non-inflammatory osteoarthrosis in patients who are less than forty-five years old. J Bane Joint Surg Am. 1 993; 5:740-75 1 .","DOI":"10.2106\/00004623-199305000-00015"},{"key":"e_1_3_1_7_1","unstructured":"6. Harris WH. The case for cemented fixation of the femur in every patient. Instr Course Lect. 1994;43:367-371."},{"key":"e_1_3_1_8_1","unstructured":"7. Harris WH. The case for cementing all femoral components in total hip replacement. Can J Surg. 1 995; 38 (Suppl J):S55-S60."},{"key":"e_1_3_1_9_1","doi-asserted-by":"crossref","unstructured":"8. Harris WH. Options for primary femoral fixation in total hip arthroplasty. Cemented stems for all. Clin Orthop. 1997; 344:118123.","DOI":"10.1097\/00003086-199711000-00013"},{"key":"e_1_3_1_10_1","doi-asserted-by":"crossref","unstructured":"9. Klapach AS Callaghan JJ Goetz DD et al. Charnley total hip arthroplasty with use of improved cementing techniques: a minimum twenty-year follow-up study. J Bone Joint Surg Am. 2001; 83:1840-1848.","DOI":"10.2106\/00004623-200112000-00012"},{"key":"e_1_3_1_11_1","doi-asserted-by":"crossref","unstructured":"10. Jasty M. Maloney WJ Bragdon CR et al. The initiation of failure in cemented femoral components of hip arthroplasties. J Bone Joint Surg Br. 1991; 73:551-558.","DOI":"10.1302\/0301-620X.73B4.2071634"},{"key":"e_1_3_1_12_1","doi-asserted-by":"crossref","unstructured":"11. Barrack RL Muiroy RD Jr Harris WH. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review. \/ Bone Joint Surg Br. 1992; 74:385389.","DOI":"10.1302\/0301-620X.74B3.1587883"},{"key":"e_1_3_1_13_1","doi-asserted-by":"crossref","unstructured":"12. Muiroy RD Jr Harris WH. The effect of improved cementing techniques on component loosening in total hip replacement An 11 -year radiographic review. 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Collis D Mohler C. Loosening rates and bone lysis wim rough finished and polished stems. Clin Orthop. 1998; 355:113-122.","DOI":"10.1097\/00003086-199810000-00012"},{"key":"e_1_3_1_30_1","doi-asserted-by":"crossref","unstructured":"29. Dowd JE. Cha CW Trakru S et al. Failure of total hip arthroplasty with a precoated prosthesis. 4- to 11 -year results. Clin Orthop. 1998:355:123-136.","DOI":"10.1097\/00003086-199810000-00013"},{"key":"e_1_3_1_31_1","doi-asserted-by":"crossref","unstructured":"30. Mohler CG Callaghan JJ Collis DK et al. Early loosening of the femoral component at the cement-prosthesis interface after total hip replacement. J Bone Joint Surg Am. 1995; 9:1315-1322.","DOI":"10.2106\/00004623-199509000-00004"},{"key":"e_1_3_1_32_1","doi-asserted-by":"crossref","unstructured":"31. Schmalzried TP Zabiri CA Woo\u00ecson ST. The significance of stem-cement loosening of grit-blasted femoral components. 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Triple taper polished cemented stem in total hip arthroplasty: rationale for the design surgical technique and 7 years of clinical experience. \/ Arthroplasty. 2001; 16(8 Suppl l);37-4t.","DOI":"10.1054\/arth.2001.28374"},{"key":"e_1_3_1_74_1","doi-asserted-by":"crossref","unstructured":"73. Kobayashi S Takaoka K Saito N et al. Factors affecting aseptic failure of fixation after primary Charnley total hip arthroplasty. Multivariate survival analysis. J Bone JointSurgAm. 1997; 11:1618-1627.","DOI":"10.2106\/00004623-199711000-00002"},{"key":"e_1_3_1_75_1","doi-asserted-by":"crossref","unstructured":"74. Chareancholvanich K Bourgeault CA Schmidt AH et al. In vitro stability of cemented and cementless femoral stems with compaction. 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