This is not a glue but a material that is used to form a bond between the components and the bone. The components have thousands of tiny pores on the outer surfaces. These pores provide a rough surface into which new bone can grow. This provides direct bone to metal bond without cement. The thigh component is cemented and the cup is uncemented.
Muscles attached to the thigh bone are partially detached and then the hip is dislocated.
The socket in the pelvic bone is prepared for the fitting of the plastic cup. The ball of the thigh bone is removed, and the metal ball and stem are fitted into place. The hip is then relocated and tested for movement and stability. The detached muscles are reattached. The incision is closed, drains put in, and the postoperative dressing applied.