Journal of Orthopaedics · Aug 5, 2025

Significant functional improvements and radiographic stability following fully cemented total hip arthroplasty in elderly patients: A 2-year prospective study

By Marega C, De Mauro D, Lamberti D et al.

PURPOSE: Using fully cemented total hip arthroplasty (THA), involving both a cemented cup and stem, remains uncommon in several countries. This study aimed to evaluate the clinical and radiographic outcomes of fully cemented primary THA in an elderly population. METHODS: This prospective, single-center, longitudinal cohort study enrolled patients in THA. Clinical assessments included the Harris Hip Score (HHS), the Timed Up-and-Go (TUG) test, and the Hip Disability and Osteoarthritis Outcome Score (HOOS). Radiographic evaluation was performed using anteroposterior and lateral X-rays to assess implant positioning and stability. RESULTS: Forty patients completed the 2-year follow-up (FU), with a mean age of 79.0 ± 6.0 years. Clinical outcomes demonstrated significant improvements at 2-year FU: the mean HHS increased from 42 ± 15 preoperatively to 93 ± 9; TUG improved from 24 ± 25 s preoperatively to 8 ± 3 s; and HOOS improved from 35 ± 14 preoperatively to 84 ± 17. No intraoperative complications or implant-related adverse events were reported during the 2-year follow-up. CONCLUSION: This study highlights substantial improvements in functional outcomes, patient satisfaction, and radiographic evidence of good implant stability at 2-year follow-up. These findings support fully cemented THA as a safe and effective treatment option for elderly patients. LEVEL OF EVIDENCE: IV.

doi.org/10.1016/j.jor.2025.07.027 Open access PubMed 40861934 Interventions