Orthopedics · Joint Replacement — Advanced (THR/TKR Complications, Revision, Bearings, Periprosthetic Fractures)

During cementless total hip arthroplasty, the acetabular component is impacted into a reamed socket that is 1 mm undersized relative to the implant. What term describes this fixation principle?

  • A Oseointegration
  • B Friction-fit stabilisation
  • C Press-fit interference
  • D Cement interdigitation
Correct answer: C. Press-fit interference

Explanation

A component inserted into a slightly smaller reamed bed (typically 1 to 2 mm under-ream) creates elastic recoil of the bone against the implant, termed press-fit interference. This provides initial stability upon which secondary biological fixation via osseointegration occurs later. Cement interdigitation applies only to cemented components.

Reference: Campbell's Operative Orthopaedics, 14th ed.

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