Cemented Total hip Replacement
Special surgical cement may be used to fill the gap between the prosthesis and remaining natural bone to secure the artificial joint.
Uncemented Total hip replacement
An un-cemented prosthesis has also been developed and is used most often in younger, more active patients with strong bone. The prosthesis may be coated with textured metal or a special bone-like substance, which allows bone to grow into the prosthesis.
A combination of a cemented ball and a noncemented socket or vice versa may be used. This is called as a Hybrid Hip Replacement.
I do not perform Hip Resurfacing procedures due to high risk of complications and implant failure, 8-10 years after surgery. My preferred implants for young patients is an Uncemented/hybrid implant with a Large Ceramic head.
Special Implants are required in complex and difficult situations like severe bony destruction due to injury, in patients needing a repeat surgery due to failure of previous implants etc.