On the choice of thickness of the cement mantle in cemented hip arthroplasty

Recommendations for the optimal thickness of the cement mantle in cemented hip arthroplasty are outlined based on the results obtained with the finite element method. The investigations show that distal femur cement thickness higher than 2 mm positively affects mechanical behaviour of the cement mantle and can be useful in reducing stress-strain levels in the distal part of the femur what leads to prevention of development of a stress-shielding effect. The results of the study can contribute to the success of long-term implants.