Apr 29, 2006· Introduction. The effect of changes in the surface finish of femoral stems used for cemented total hip arthroplasty continues to be debated. The vast majority of clinical studies have shown an increased rate of aseptic loosening with precoated or rough stems, designed to bond or have mechanical interlock with the cement [1, 4, 5, 7, 9, 14, 18, 29, 33].
