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 replacement with cemented, uncemented, and hybrid prostheses. A comparison of clinical and radiographic results at two to four years.
One hundred and thirty-one patients who had 144 cemented or uncemented hip prostheses  were followed prospect ively for two to four years . A cemented or a hybrid prosthesis ( consisting of a cemented femoral component and an uncemented acetabular component ) was used in men older than seventy years , in women older than sixty years , and in younger patients in whom adequate initial fixation could not be obtained without cement . Uncemented , porous-surfaced implants were used in all other patients . The over-all clinical results were similar for the three groups . For the fifty-two hips that had a cemented prosthesis , the mean total Harris hip rating was 91 points and the score for pain , 42 points ; for the twenty-seven hips that had a hybrid prosthesis , 90 and 43 points ; and for the sixty-five hips that had an implant allowing ingrowth of bone in both the acetabulum and the femur , 95 and 43 points . Two prosthetic stems that were design ed to allow ingrowth of bone had aseptic loosening ; one was revised . Pain in the thigh , usually slight and not disabling , occurred at one year in 24 per cent of the patients in whom a femoral component allowing ingrowth had been used ; the prevalence of pain then declined . The incidences of migration of the components and of radiolucent lines were greater in the acetabula that had a cemented component than in those that had a cup allowing ingrowth of bone
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 .