Short stems reproduce femoral offset better than standard stems in total hip arthroplasty: a case-control study

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Comparison of Specific Femoral Short Stems and Conventional-Length Stems in Primary Cementless Total Hip Arthroplasty.

There are several reported disadvantages with conventional-length femoral stems in cementless total hip arthroplasty (THA). Therefore, various efforts have been made to develop a specific femoral short stem to improve physiologic bone remodeling at the femoral aspect of a cementless THA. However, there are potential disadvantages with specific femoral short stems, such as malalignment, inadvert...

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Modular Femoral Tapered Revision Stems in Total Hip Arthroplasty

Background: Modular component options can assist the surgeon in addressing complex femoral reconstructions in total hip arthroplasty by allowing for customization of version control and proximal to distal sizing. We review the early clinical results of a single modular femoral revision system that offers 3 proximal body types, 5 distal stem geometries, and a wide range of offset, sizing and aux...

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Outcomes of short stems in total hip arthroplasty.

Short-stem total hip arthroplasty has been proposed as a bone-conserving procedure for the younger and more active population undergoing total hip arthroplasty. Although various short stems are currently available, no studies compare the outcomes between these stems. The aim of the current study was to conduct a systematic review of the clinical and radiographic outcomes of the various short st...

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Periprosthetic DXA after total hip arthroplasty with short vs. ultra-short custom-made femoral stems

BACKGROUND AND PURPOSE Dual-energy X-ray absorptiometry (DXA) analysis of the 7 periprosthetic Gruen zones is the most commonly used protocol to evaluate bone remodeling after the implantation of conventional femoral stems. We assessed the value of DXA after cementless primary total hip arthroplasty (THA) by comparing the effect of progressive shortening of the stem of two femoral implants on p...

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Still no single gold standard for using cementless femoral stems routinely in total hip arthroplasty

BACKGROUND There is now a clear trend with increased usage of cementless femoral stems for all ages and most patients. As the number of total hip arthroplasties (THAs) performed annually continues to increase with expanding indications for THA and demands for improved quality of life, so will the prevalence of THA in the elderly and aging populations. This is worrisome as the risk of complicati...

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ژورنال

عنوان ژورنال: International Orthopaedics

سال: 2019

ISSN: 0341-2695,1432-5195

DOI: 10.1007/s00264-019-04355-5