A cemented hip replacement fixes the stem (and sometimes the cup) in the bone with medical bone cement, which sets within minutes so the implant is stable from the moment it is placed. It is usually preferred for older adults and people with osteoporosis, and for femoral neck fractures. Fixation is not a separate implant with its own price — it is applied to the implant that suits you: total hip 100,000–120,000 EGP, bipolar hemiarthroplasty 80,000–90,000 EGP, confirmed after assessment.
To compare all implant types in one place, read types of hip replacement.
What the implant looks like
- Bone cement is a medical acrylic (PMMA) mixed during surgery and injected into the femoral canal or socket before the component is inserted.
- The cement fills the gap between implant and bone and sets within minutes, giving immediate stability.
- Cemented stems are usually smooth and polished to settle within the cement mantle.
- In a hybrid hip the stem is cemented and the cup is cementless — also a common option.
- Antibiotic can be added to the cement in selected cases.
Indications: who is it for?
- Older adults, especially over about 70–75.
- Osteoporosis or poor bone quality.
- Femoral neck fractures, for a hemiarthroplasty or total hip.
- A wide femoral canal unsuited to cementless stems.
- Some cases of rheumatoid arthritis or steroid-weakened bone.
- Some tumours or cases needing antibiotic-loaded cement.
How does the surgeon choose the right implant for you?
- Age and expected activity: a young active person needs an implant that lasts longer; an older person needs a safer, shorter operation.
- Bone quality: osteoporosis favours cemented fixation; good bone allows cementless fixation.
- The socket: healthy cartilage allows a hemiarthroplasty for fractures; a worn socket needs a total hip.
- Dislocation risk: neurological disease, weak muscles and revisions favour dual mobility.
- A previous implant or bone loss: may require a long stem and special planning.
- General health: heart disease, diabetes and kidney disease affect the right length of operation and type of anaesthesia.
cemented hip replacement vs a cementless hip
| Cemented | Cementless | |
|---|---|---|
| How it becomes stable | Immediately as the cement sets | Gradually as bone grows onto the implant |
| Usually suits | Older adults, osteoporosis, fractures | Younger people with good bone |
| Fracture during surgery | Less | Slightly higher in fragile bone |
| Specific complication | Bone cement implantation syndrome (rare, frail patients) | Failure of ingrowth or thigh pain (uncommon) |
| Future revision | Removing cement makes it harder | Relatively easier |
| Cost | By implant type: total hip 100,000–120,000 EGP, bipolar hemiarthroplasty 80,000–90,000 EGP | By implant type |
Systematic reviews of randomised trials found no major overall difference in function or implant survival between the two methods, but in femoral neck fractures in older adults a large randomised trial found that cemented hemiarthroplasty gave slightly better quality of life and fewer fractures around the implant than uncemented. Fixation is therefore chosen by age and bone quality, not one rule for everyone.
Video: What an artificial hip joint looks like (Arabic)
Surgical steps
- Assessment of bone quality on X-ray to choose the fixation method.
- Usually spinal anaesthesia, with the anaesthetist alerted to monitor blood pressure and oxygen during cementing.
- Approach to the joint and removal of the damaged head.
- Preparation, washing and drying of the femoral canal, with a plug placed at its lower end.
- Mixing and pressurising the cement into the canal, then inserting the stem in the correct position and holding it until set.
- Fixing the cup (cemented, or cementless in a hybrid) and fitting the head.
- Testing stability and leg length, closure, and usually walking from day one with full weight-bearing.
Cost in Egypt
| Implant | Approximate price |
|---|---|
| Total hip (conventional) | 100,000–120,000 EGP |
| Bipolar hemiarthroplasty | 80,000–90,000 EGP |
| Dual mobility (tripolar) hip | 150,000–180,000 EGP |
| Ceramic hip | 195,000–240,000 EGP |
| Revision surgery / long stem | Confirmed after assessment |
The price usually covers the implant, the operation and a short hospital stay, and varies with the implant, the hospital and your general health; the final price is confirmed after examination and X-rays. An implant should not be chosen on price alone — the right one is what suits your age, activity and bone quality. See also: hip replacement cost in Egypt.
Complications and how we reduce them
| Complication | What it is | How we reduce it |
|---|---|---|
| Bone cement implantation syndrome | A temporary drop in blood pressure or oxygen during cementing; rare, in frail older patients | Careful canal preparation and close anaesthetic monitoring |
| Cement loosening | After many years | Modern cementing technique and X-ray follow-up |
| Dislocation | As with any hip | Safe positions |
| Infection and clots | As with any joint surgery | Preventive antibiotics and blood thinners |
| Periprosthetic fracture | Usually after a fall | Fall prevention and osteoporosis treatment |
For all complications of the operation in detail, read hip replacement complications.
Instructions after surgery
- Usually walking with a frame from day one, bearing weight as tolerated, since stability is immediate.
- Safe positions in the early weeks and a high chair.
- Sleep on your back with a pillow between the knees.
- Prescribed blood thinners.
- Daily hip-strengthening exercises.
- Fall prevention and osteoporosis treatment.
- Regular X-ray follow-up.
Details on sleeping, sitting and using the bathroom are in sleeping and sitting after hip replacement, and the recovery stages in hip replacement recovery time.
How long does the implant last?
A large Lancet analysis of worldwide joint registries found that about three quarters of hip replacements are still working after 15–20 years and about 58% after 25 years. Implant survival depends on the patient’s age, activity and weight, the bearing surfaces and fixation, and the precision of component positioning. Keeping a healthy weight, avoiding high-impact sport, treating any infection in the body promptly and attending regular X-ray follow-up all help the implant last as long as possible, and pick up loosening early, before it causes bone loss.
Frequently asked questions about cemented hip replacement
When is a cemented hip replacement used?
Usually for older adults, osteoporosis and femoral neck fractures, because cement gives immediate stability in weak bone.
How much does a cemented hip replacement cost?
Fixation is applied to the implant that suits you: total hip 100,000–120,000 EGP, bipolar hemiarthroplasty 80,000–90,000 EGP, confirmed after assessment.
Which is better, cemented or cementless?
Neither is better for everyone; cement suits older adults and weak bone, cementless suits younger people with good bone.
Can I walk straight after a cemented hip?
Usually yes, with a frame from day one, because the cement sets during surgery and gives immediate stability.
What is a hybrid hip?
A hip with a cemented stem and a cementless cup, combining the advantages of both in selected cases.
To have your hip assessed, book a consultation, call +20 155 240 4488 or message us on WhatsApp at +20 155 554 7181.
Medically reviewed by Prof. Dr. Ibrahim Shaarawi, Professor of Orthopaedic Surgery. This article is general medical education and does not replace an examination or the plan your surgeon sets for you. See our medical disclaimer.
Related hip replacement guides
Cemented hip replacement is one of the types of hip replacement. Read also:
- Hip replacement surgery
- Types of hip replacement
- Bipolar hip hemiarthroplasty
- Dual mobility (tripolar) hip replacement
- Ceramic hip replacement
- Long-stem hip replacement
- Cementless hip replacement
- Hip replacement complications
- Hip replacement cost in Egypt
References
- Abdulkarim A, et al. Cemented versus uncemented fixation in total hip replacement: a systematic review and meta-analysis of randomized controlled trials. Orthop Rev (Pavia). 2013;5(1):e8.
- Fernandez MA, et al. Cemented or uncemented hemiarthroplasty for intracapsular hip fracture. N Engl J Med. 2022;386(6):521-30.
- López-López JA, et al. Choice of implant combinations in total hip replacement: systematic review and network meta-analysis. BMJ. 2017;359:j4651.
- American Academy of Orthopaedic Surgeons (OrthoInfo). Total Hip Replacement.
- Evans JT, et al. How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Lancet. 2019;393(10172):647-54.