We found moderate to strong evidence that no adverse effects on subsidence and osseous integration of the femoral stem after uncemented THA occur after immediate UWB .
The aim of this systematic review was to find evidence -based support in the literature to allow immediate unrestricted weight bearing after  primary uncemented total hip arthroplasty ( THA ) .
Accelerated rehabilitation programs for THA are becoming increasingly popular to shorten hospital stay and to facilitate rapid restoration of function .
The goals of these rehabilitation programs could be more easily achieved if immediate unrestricted weight bearing ( UWB ) could be allowed after a THA .
So far , however , immediate weight bearing is frequently contraindicated in widely accepted protocol s for uncemented THA due to fear for subsidence and absence of osseous integration of the femoral stem .
Thus , frequently protected weight bearing and restricted activities are still advocated for at least 6 weeks after surgery .
In addition , we analyzed the literature to come to a recommendation on gait pattern and walking aid .
Immediate weight bearing after uncemented total hip arthroplasty with an anteverted stem: A prospective randomized comparison using radiostereometry
Background In uncemented total hip arthroplasty with hydroxyapatite coating , early weight bearing is frequently practice d but there is still not much evidence to support this recommendation . Method In a prospect i ve r and omized study we evaluated the effect of partial and full weight bearing after  cementless total hip arthroplasty ( ABG ; Stryker-Howmedica ) using radiostereometric analysis ( RSA ) . Between February 1996 and February 2000 , 43 consecutive patients ( mean age 53 ( 41–63 ) years , 23 women ) with hip osteoarthrosis received an uncemented and hydroxyapatite-coated prosthesis with an anteverted stem . All patients were operated in a st and ardized way by three experienced surgeons and they were r and omized to partial ( P ) or full ( F ) weight bearing during the first 6 weeks after surgery . The patients in the partial weight bearing group were equipped with a pressuresensitive insole signaling when their load exceeded the prescribed weight limit . Results At 3-month follow-up , the mean proximal (+)/ distal ( - ) migration of the stem was -0.14 mm ( -1.93– 0.11 ) in group P and -0.31 mm ( -4.30–0.16 ) in group F ( p = 0.6 ) . At 1-year follow-up , the mean migration was –0.17 mm ( -2.18–0.21 ) and -0.28 mm ( -4.31–0.11 ) , respectively ( p = 0.9 ) . There was no significant difference in stem rotations either ( p < 0.2 ) . The cup translations , rotations , and femoral head penetration were similar in the two groups ( p < 0.1 ) . There were no re-operations during the first year . Interpretation We did not find any adverse effect of full weight bearing immediately after operation , which justifies use of this regimen after uncemented total hip arthroplasty of the ABG type
We found moderate to strong evidence that no adverse effects on subsidence and osseous integration of the femoral stem after uncemented THA occur after immediate UWB .
The aim of this systematic review was to find evidence -based support in the literature to allow immediate unrestricted weight bearing after  primary uncemented total hip arthroplasty ( THA ) .
Accelerated rehabilitation programs for THA are becoming increasingly popular to shorten hospital stay and to facilitate rapid restoration of function .
The goals of these rehabilitation programs could be more easily achieved if immediate unrestricted weight bearing ( UWB ) could be allowed after a THA .
So far , however , immediate weight bearing is frequently contraindicated in widely accepted protocol s for uncemented THA due to fear for subsidence and absence of osseous integration of the femoral stem .
Thus , frequently protected weight bearing and restricted activities are still advocated for at least 6 weeks after surgery .
In addition , we analyzed the literature to come to a recommendation on gait pattern and walking aid .