Cementless Femoral Fixation in Total Hip Arthroplasty

➤ A number of cementless femoral stems are associated with excellent long-term survivorship. ➤ Cementless designs differ from one another in terms of geometry and the means of obtaining initial fixation. ➤ Strict classification of stem designs is important in order to compare results among series. ➤ Loosening and thigh pain are less prevalent with modern stem designs. ➤ Stress-shielding is present in most cases, even with newer stem designs.