We have reviewed 202 consecutive primary hip replacements using a Freeman c
emented femoral component after a mean period of follow-up of 64 months (23
to 113). There was only one revision for aseptic loosening. Retention of t
he femoral neck may act to reduce the torsional and shear forces at the imp
lant-cement interface and may provide a seal against the migration of polye
thylene-laden joint fluid in the potential joint space, The cemented Freema
n femoral component with retention of the femoral neck was successful for u
p to nine years.