The principles of proximal fixation of cementless endoprostheses is es
tablished already. This theory was the subject of the present multi-ce
nter study of 22 clinics. Between 1984 and 1992 all 1830 patients with
an uncemented CLS press-fit stem had a clinical and radiological foll
ow-up examination and computer documentation. The evaluation of the cl
inical results are based on the Merle d'Aubigne score. In 91% we found
a good or excellent result. For the remainder of patients (9%) with a
score less than 14 each case has been especially analised. The incide
nce of femor component loosening was less than 1% within the average f
ollow-up time of 2,5 years. The medium-term results with the uncemente
d CLS press-fit stem confirmed the idea of proximal load induction on
the femur.