Survival of uncemented cups from a single manufacturer implanted from 1985 to 2013: Finnish Arthroplasty Register data.

Palomäki A1, Lempainen L2, Matilainen M3, Eskelinen A4, Remes V5, Virolainen P2, Mäkelä KT2.

Author information

1 Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland.
2 Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland.
3 Department of Biostatistics, Turku University, Turku, Finland.
4 Coxa Hospital for Joint Replacement, Tampere, Finland.
5 Pihlajalinna Ltd, Helsinki, Finland.



Total hip arthroplasty (THA) with uncemented implants has been a relatively common procedure in Finland during the recent decades. The most common brand of uncemented implants was chosen for further analysis to study the survivorship of this uncemented cup design in comparison to cemented references.


Since 1980, The Finnish Arthroplasty Register has collected information on THAs on a national level. This study was based on information of THAs recorded in the Finnish Arthroplasty Register from 1985 to 2013. If patient had undergone bilateral THA, only the first one was included. Altogether, 49,289 THAs were included.


The overall 10-year implant survivorship of uncemented implants was 84.3% (95% CI 83.5-85.0%) and of cemented implants 90.6% (90.2-90.0%). The 10-year survival of the contemporary uncemented implants was 90.8% (94.0-95.5%) and 88.5% (84.2-91.7%). The most recently introduced uncemented cup designs had good survivorship rates at 5 years; 10-year survival data are not yet available.


We found that modern uncemented cup designs may provide good long-term survivorship rates comparable with the gold standard of cemented cups. However, polyethylene wear, liner problems and periosthetic osteolysis may still occur, also with modern uncemented acetabular components.


Cemented; Total hip arthroplasty; UncementedPMID: 28091739 DOI: 10.1007/s00402-017-2624-z


Lasse Lempainen
ortopedian erikoislääkäri
urheiluortopedian dosentti

Lasse Lempainen (Pihlajalinna)