A best evidence analysis for complications , wear , osteolysis , migration and clinical scores showed no superiority for either cemented or cementless socket in the RCTs .
A best evidence analysis for non RCT studies revealed better osteolysis , migration properties and aseptic loosening survival for cementless sockets ; however , wear and overall survival favoured the cemented sockets .
Purpose Total hip arthroplasty has been a very succesful orthopaedic procedure .
The optimal fixation method of the acetabular component however , has not yet been defined .
Methods We performed a systematic review using the Medline and Embase data bases to find evidence for the superiority of cemented or cementless acetabular components  on short- and long-term clinical and radiological parameters .
Total hip arthroplasty. A comparison between cemented and press-fit noncemented fixation.
This study compares cemented ( Charnley ) with noncemented ( Honart Patel-Garches ) total hip arthroplasty . 150 patients with osteoarthritis , rheumatoid arthritis , and miscellaneous conditions were r and omized into either group with 75 in each . Patients were evaluated over 5 postoperative years with examinations at 6 months , at 1 year , and then annually . Each examination involved clinical assessment , objective gait analysis , and radiographic examination . The Charnley group improved faster than the HP-Garches group during the first 2 years . At the last evaluation the results were excellent or good in 79 % in the Charnley group and 70 % in the HP-Garches group . In the HP-Garches group midthigh pain occurred in 64 % . Five patients with Charnley prostheses ( 6.7 % ) and 14 patients with HP-Garches prostheses ( 18.7 % had revision surgery to correct mechanical loosening . St and ard radiography revealed radiolucent zones in both groups , but this could not be related to the clinical outcome despite radiolucency being present in all noncemented replacements on the femoral side . Objective gait analysis confirmed inferior clinical results at 6 months in the HP-Garches group . There was no significant difference between the groups at the most recent evaluation . Our findings are not consistent with earlier optimistic expectations on press-fit noncemented total hip arthroplasties
A best evidence analysis for complications , wear , osteolysis , migration and clinical scores showed no superiority for either cemented or cementless socket in the RCTs .
A best evidence analysis for non RCT studies revealed better osteolysis , migration properties and aseptic loosening survival for cementless sockets ; however , wear and overall survival favoured the cemented sockets .
Purpose Total hip arthroplasty has been a very succesful orthopaedic procedure .
The optimal fixation method of the acetabular component however , has not yet been defined .
Methods We performed a systematic review using the Medline and Embase data bases to find evidence for the superiority of cemented or cementless acetabular components  on short- and long-term clinical and radiological parameters .