Fig. 1

Two types of cementing technique for femoral and tibial stem fixation. With the hybrid technique, the cement was applied around the implant immediately distal to the modular junction of the stem and the component while the distal stem was press-fitted into the diaphysis without cement (a, b). With the modified hybrid cementing technique, in addition to the hybrid technique, the cement was also used at the tip of femoral and tibial stems (c, d)