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The Gruen zones is a system of dividing the interface between the femoral component of a hip arthroplasty and the femur bone moving from lateral to medial calcar, when viewing an AP radiograph of the hip, clinically useful to record the appearance of lucent areas when assessing the outcome of the operation.
Gruen, McNeice and. Amstutz (1979) developed the widely-used system in. which the femoral component interface is considered in. seven zones (Fig. 1); these allow the location of cement. fractures and of lucent lines either at the cement-bone or. the cement-prosthesis interface. The Gruen zones are also.