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 .
Matched-pair analysis of cemented and cementless acetabular reconstruction in primary total hip arthroplasty.
In a matched-pair study of primary total hip arthroplasty , 45 all-polyethylene cemented acetabular components were compared with 45 cementless , hemispheric , titanium acetabular components .  At 9 to 12 years , 1 of the cemented acetabular components was revised for aseptic loosening , and 14 ( 31 % ) were radiographically loose . Nine ( 20 % ) cemented acetabular components had pelvic osteolysis . In the cementless acetabular component group , 2 well-fixed components were revised . No components were radiographically loose , and 3 ( 7 % ) had pelvic osteolysis . Thirty-eight ( 97 % ) of the patients in each group were satisfied with the surgery . The clinical results of the cemented and cementless components were excellent . The cementless components had less loosening ( P < .001 ) than the cemented components
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 .