Revision total hip replacement with cement.

This article outlines the author's perspectives on the use of cement in revision total hip replacement. The results reported in the literature are briefly described and a follow-up of the author's personal results using cement the second time on the femoral side will be outlined. Specifically, 110 revisions were performed between 1974 and 1989 and only four of those have required revision for aseptic loosening. Three have been noted to be radiologically loose without sufficient symptoms to warrant revision. Specific cement techniques and prosthetic choices are described. Several clinical examples using cement will illustrate its versatility for treating significant femoral anatomical deficiencies.