Research Article| Volume 13, ISSUE 6, P484-488, May 1982

Cementing v. not cementing the Monk endoprosthesis

      This paper is only available as a PDF. To read, Please Download here.


      In a retrospective study, 45 patients who had Monk hard-top endoprostheses inserted with cement because of fresh intracapsular fracture of the femoral neck, were compared with 61 patients with uncemented prostheses. The average age, age-distribution and the preoperative condition of the patients were well matched in the two groups.
      Thirty cemented and 39 uncemented cases were reviewed. The average time to follow-up was 29.9 months in the cemented group and 18.7 months in the uncemented group. A significantly lower mobility score and social performance score was found in the uncemented group when compared with the cemented one. No significant difference in the complaint of pain or in the range of movement of the hips was found between the two groups.
      On X-ray examination, no increased wear of the acetabular cartilage in the cemented group was found, but an increased tendency to loosening of the prosthesis was found in the uncemented group.
      In agreement with other studies it is concluded that the advantages to the patient with an intracapsular fracture of the femoral neck of having a cemented prosthesis outweigh the disadvantages.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Beckenbaugh R.D.
        • Tressler H.A.
        • Johnson E.W.
        Results after hemiarthroplasty of the hip using a cemented femoral prosthesis.
        in: Mayo Clin. Proc.52. 1977: 349
        • Ceder L.
        • Ekelund L.
        • Inerot S.
        • et al.
        Rehabilitation after hip fracture in the elderly.
        Acta Orthop. Scand. 1979; 50: 681
        • Charnley J.
        The bonding of prosthesis to bone by cement.
        J. Bone Joint Surg. 1964; 46B: 518
        • Charnley J.
        Acrylic Cement in Orthopaedic Surgery. Churchill Livingstone, Edinburgh1970
        • Evarts C.M.
        Endoprosthesis as the primary treatment of femoral neck fractures.
        Clin. Orthop. 1973; 92: 69
        • Evarts C.McC.
        • Gingras M.B.
        Cemented versus non-cemented endoprosthesis.
        in: The Hip Society, Proceedings of the Fifth Open Scientific Meeting of The Hip Society. Mosby, St Louis1977: 75
        • Follaci F.M.
        • Charnley J.
        A comparison of the results of femoral head prosthesis with and without cement.
        Clin. Orthop. 1969; 62: 156
        • Gingras M.B.
        • Clarke J.
        • Evarts C.McC.
        Prosthetic replacement in femoral neck fractures.
        Clin. Orthop. 1980; 152: 148
        • Holm N.J.
        • Vejlsgaard R.
        The in vitro elution of gentamicin sulphate from methylmethacrylate bone cement.
        Acta Orthop. Scand. 1976; 47: 144
        • Hunter G.A.
        Should we abandon primary prosthetic replacement for fresh displaced fractures of the neck of the femur?.
        Clin. Orthop. 1980; 152: 158
        • Mears T.S.
        • Cruess R.L.
        Evaluation of the use of acrylic cement in anchoring medullary stem femoral head prosthesis.
        in: The Hip Society, Proceedings of the First Open Scientific Meeting of The Hip Society. Mosby, St Louis1973: 139
        • Rosendahl S.
        • Christoffersen J.K.
        • Nørgaard M.
        Para-articular ossification following hip replacement.
        Acta Orthop. Scand. 1977; 48: 400
        • Welch R.B.
        • Taylor L.W.
        • Wynne G.F.
        • et al.
        Results with cemented hemiarthroplasty for displaced fractures of the femoral neck.
        in: The Hip Society, Proceedings of the Fifth Open Scientific Meeting of The Hip Society. Mosby, St Louis1977: 87
        • Wrighton J.D.
        • Woodyard J.E.
        Prosthetic replacement for subcapital fractures of the femur: a comparative survey.
        Injury. 1971; 2: 287