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Dr. Sandeep Gupta Hip Surgeon Chandigarh
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Cemented vs Uncemented
Hip Implant — What's Better?

Both cemented and uncemented hip implants are excellent — the right choice depends on your age, bone density, and activity level. Dr. Sandeep Gupta explains the differences.

Discuss with Dr. Gupta

Cemented Implant

Bone cement (acrylic cement / PMMA) is used to fix the implant to the bone. The cement sets within minutes, giving immediate strong fixation.

Pros:

✓ Immediate fixation — full weight-bearing from Day 1
✓ Works well in osteoporotic (soft) bone
✓ Lower early failure rate in elderly patients
✓ Slightly lower cost

Cons:

✗ Cement can degrade over 20+ years
✗ Harder to revise (cement removal required)
✗ Rare risk of cement embolism (very low)

Best for: Patients over 70, osteoporosis, lower activity demands

Uncemented (Press-Fit) Implant

The implant has a porous or textured surface that allows natural bone to grow into it over 6–12 weeks (osseointegration). No cement is used.

Pros:

✓ Biological fixation — bone grows into implant
✓ Longer-lasting when bone integrates well
✓ Easier revision — implant removed without cement removal
✓ Better for younger patients

Cons:

✗ Thigh pain in early weeks (normal, subsides)
✗ Requires good bone quality for integration
✗ Slightly higher early failure in osteoporotic bone

Best for: Patients under 65, good bone density, active lifestyle

Dr. Gupta's Approach: Hybrid Fixation

In many patients, Dr. Sandeep Gupta uses a hybrid approach — an uncemented acetabular cup (which integrates well with the socket's cancellous bone) combined with a cemented femoral stem (especially in older patients or those with soft femoral bone). This gives the best of both worlds: biological fixation on the socket side and immediate stability on the stem side.

Which Fixation is Right for You?

Dr. Gupta will assess your bone density and activity level and recommend the best fixation method for your hip replacement.

Call +91 98159 33514