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. Author manuscript; available in PMC: 2023 Feb 27.
Published in final edited form as: J Bone Joint Surg Am. 2022 Mar 17;104(11):1024–1033. doi: 10.2106/JBJS.21.00853

TABLE II.

Grading System of the Quality of Femoral Stem Cementation According to Barrack et al.62

Grade Cementation

A Uniform cement mantle without any stem-bone contact and excellent interdigitation of cement, which results in a “white out”
B Radiolucency at the cement-bone interface, covering <50% of the implant
C 50% to 99% radiolucency at the cement-bone interface
D 100% radiolucency at the cement-bone interface and absence of cement distal to the tip of the stem