Revision total hip arthroplasty generally represents a challenge even for the experienced surgeon. We are facing with the compromised bone and soft-tissue situation that frequently may affect the long-term results of the revision.
The results achieved after the replacement of total hip arthroplasty by another cemented implant under specific conditions in aseptic and septic failure of THAs may be successful. Preoperative bone loss and cement technique at the time of revision surgery can affect the long-term durability of a cemented revision following loosening.
Very important is ability of cemented revisions forming a lasting microinterlock with the endosteal surface of bone (DeLee and Charnley 1976; Krbec et al. 1992).