Re: Cemented Vs. Uncemented

[Guest guest]

Glen,

I recently had a RTHR at Central DuPage. Who are your OS choices? I had a world reknown Dr. Paprosky in Winfield, IL. Contact me at my mail if you want further info:

mac480@....

Cemented Vs. Uncemented

I'm 57 and considering my 1st. THR. I have contacted one doc who does cemented and one who does uncemented replacements. I live in the south Chgo. suburbs and have spoken to several people who have had both. All are happy with what they have. Printed info leans towards uncemented because less problems may pop up in future. I'd appreciate a "lay person" imput. Uncemented doc sez healing time is less than with cemented. Uncemented doc. sez loosening of cement is possible and requires another surgery to fix. Any comments?

[Guest guest]

Cemented THR are used in situations of poor bone integrity, older

patients (70 and beyond) and situations where proper fit may be in

question. The cement tht is used is a polymer that dries fully in

about 10 minutes after application and is as solid as it will get.

This allows usually for full weigth bearing, although some MDs still

limit full weight due to their own preferences.

Non-cemented THR is reliant on a good fit after implantation and some

MDs are extra cautious, limiting WB until they feel there is good

ingrowth. Once your bone grows to the implant, the fit is more solid

than with cement.

Whichever way your MD chooses, it is their decision whether your bone

quality is right for one versus the other. You should not be

selecting which technique you feel you should have because you don't

know what your bone queality is.

Alisa

Site Moderator

[Guest guest]

I was 40, in 1997, when I got my first cemented THR due to AVN. I

wanted to be up and about as soon as possible. My doc said cemented

was the way to go. I had the second cemented THR, right side, in

1998. Have cemented TSR in 2000 and 2001. All are doing fine.

Sue

-- In Joint Replacement , " Bodyphysics "

<bodyphysics@y...> wrote:

> Cemented THR are used in situations of poor bone integrity, older

> patients (70 and beyond) and situations where proper fit may be in

> question. The cement tht is used is a polymer that dries fully in

> about 10 minutes after application and is as solid as it will get.

> This allows usually for full weigth bearing, although some MDs

still

> limit full weight due to their own preferences.

>

> Non-cemented THR is reliant on a good fit after implantation and

some

> MDs are extra cautious, limiting WB until they feel there is good

> ingrowth. Once your bone grows to the implant, the fit is more

solid

> than with cement.

>

> Whichever way your MD chooses, it is their decision whether your

bone

> quality is right for one versus the other. You should not be

> selecting which technique you feel you should have because you

don't

> know what your bone queality is.

>

> Alisa

> Site Moderator

[Guest guest]

Your end result will be stronger w/ the uncemented, but takes longer to

fully heal ...ie for the bone to grow into the prosthetic stem

component which goes into the center of your femur. Some surgeons

don't want you to put full weight on the uncemented prosthesis for a

while, others have no weight bearing restrictions. I would go w/ the

surgeon with whom you feel most comfortable.

Marilyn

glen_a_1632 wrote:

I'm 57 and considering my 1st. THR. I have contacted one doc who does

cemented and one who does uncemented replacements. I live in the

south Chgo. suburbs and have spoken to several people who have had

both. All are happy with what they have. Printed info leans towards

uncemented because less problems may pop up in future. I'd appreciate

a "lay person" imput. Uncemented doc sez healing time is less than

with cemented. Uncemented doc. sez loosening of cement is possible

and requires another surgery to fix. Any comments?