Before surgery, the surgeon will decide whether to use
cemented or uncemented joints based on your age and how your X-rays look. Or the
surgeon may decide at the time of surgery, when he or she opens up the joint
and can see how the bone looks. One type is not clearly better than the other.
Doctors may be more likely to use uncemented joints in younger people whose
bone is in good condition and likely to make a strong bond with the replacement
component. They may use cemented joints in older people or those whose bone is
weaker and less likely to make a strong bond with the replacement
Cemented joints form an immediate, strong bond to the bone but often
loosen after 10 to 20 years. A cemented bond is strongest immediately after
surgery and gets weaker over time. In contrast, uncemented joints form a bond
that may be weaker at first but may form a strong permanent bond as the bone
fills in the porous coating. After a strong bond has developed between the bone
and the replacement components, uncemented joints are less likely to weaken or
loosen over time. Most loosening that can be seen on an X-ray doesn't cause
symptoms and is not a problem.
If you get little or no joint pain relief from osteoarthritis medications, it may be time to consider joint surgery.
How do you decide? First, ask yourself and your health care provider the most important question: Is there any other treatment for osteoarthritis you could try? Second, is joint surgery necessary? Third, ask an orthopedic surgeon about the best surgery for joint pain relief in your particular situation. The surgeon will recommend a type of joint surgery based on the severity of your...