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

This study aimed to compare the clinical and radiological outcomes of cemented, uncemented, and hybrid total hip arthroplasty (THA) applications.
The 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 in Izmir, Turkey, were included in the study. The outcomes of 23 THAs of 21 patients [7 cemented THAs (cTHAs), 8 uncemented THAs (uTHAs), and 8 hybrid THAs (hybrid THAs)] were assessed. The participants were clinically and radiologically evaluated.
The mean age of the participants was 56.4 years (range: 22–73). The mean follow-up duration was 39 months. The radiological evaluation revealed radiolucent lines around the femoral components of 4 cTHA patients and the acetabular components of 3 cTHA patients. However, none of the participants developed clinical loosening. Seventy-five percent of uTHA patients had excellent Harris hip score results, whereas this rate was 57.1% for cTHA patients and 62.5% for hybrid THA patients.
The assessment of all three methods of THA indicated that the uTHA method had superior outcomes.