Cemented Femoral Fixation: Back to the Future

Cemented femoral fixation is a versatile technique that provides long-lasting and, perhaps, superior survivorship in all patients, regardless of age. It allows for large and subtle adjustments to leg length and offset and accommodates a wide variety of femoral morphologies. It results in less technical failures as compared with cementless fixation. Cemented femoral fixation is potentially less expensive than cementless fixation and allows for the local delivery of antimicrobials. For the aforementioned reasons, cemented femoral fixation maintains a dominant role in many European countries and may be ideal for emerging markets. Cemented femoral fixation is very much back to the future.