@article{3029625,
    title = "Cement-in-cement technique of the femoral component in aseptic total hip
arthroplasty revision: A systematic review of the contemporary
literature",
    author = "Malahias, Michael-Alexander and Mancino, Fabio and Agarwal, Amil and and Roumeliotis, Leonidas and Gu, Alex and Gkiatas, Ioannis and Togninalli, and Danilo and Nikolaou, Vasileios S. and Alexiades, Michael M.",
    journal = "Indian Journal of Orthopaedics",
    year = "2021",
    volume = "26",
    pages = "14-22",
    publisher = "Elsevier",
    doi = "10.1016/j.jor.2021.06.002",
    keywords = "Cement-in-cement; Femoral revision; THA revision; Aseptic loosening;
Cemented THA",
    abstract = "Background: Clinical outcomes of cemented femoral stems revisions using
the cement-in-cement technique in aseptic conditions after total hip
arthroplasty have been widely described.
Methods: The US National Library of Medicine (PubMed/MEDLINE), EMBASE,
and the Cochrane Database of Systematic Reviews were queried.
Results: Twelve articles were included (620 revision THA). Revision rate
for complications related to the femoral side was 1.4% at mid-term
follow-up (5.4 years). Periprosthetic femoral fracture rate was 1.1%,
aseptic loosening of the femoral component 0.3%.
Conclusions: Cement-in-cement revision technique of the femoral
component is associated with a high mid-term success rates (98.6%) and
is potentially less challenging than other revision techniques."
}