Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018
The learning curve in short-stem THA: influence of the surgeon's experience on intraoperative adjustments due to intraoperative radiography.
Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of surgical trainee involvement in total hip arthroplasty: a systematic review of surgical efficacy, patient safety, and outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Bone-Sparing Hip Arthroplasty in Young and Active Patients: A Narrative Review.Journal of clinical medicine · 2026Review
- Comparative study on the performance and early clinical outcomes of senior and junior orthopaedic surgeons in traditional versus robot-assisted total hip arthroplasty.Journal of robotic surgery · 2026Article
- [Short-stem THA-complications and therapy options].Orthopadie (Heidelberg, Germany) · 2025Article
- Same same but different: Introduction of a classification system in calcar-guided short-stem total hip arthroplasty.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2025Article
- Effect of Stem Design and Positioning on the Leg Axis after Total Hip Arthroplasty: A Secondary Analysis.Journal of clinical medicine · 2024Article
- Short-stem total hip arthroplasty is equivalent to a standard-length stem procedure in an unselected population at mid-term follow-up.International orthopaedics · 2024Article
- Retrospective clinical and X-ray-based outcome analysis of a short-stem hip arthroplasty taking into account the operative learning curve over 7 years in the 3-year control course.Archives of orthopaedic and trauma surgery · 2023Article
- Subsidence analysis of a cementless short stem THA using EBRA-FCA - A seven-year prospective multicentre study.Journal of orthopaedics · 2023Article
- Learning Curve for Short-Stem Total HIP Arthroplasty through an Anterolateral Approach.Medicina (Kaunas, Lithuania) · 2023Article
- Survivorship, complications and patient-reported outcomes in calcar-guided short-stem THA: prospective mid-term multicenter data of the first 879 hips.Archives of orthopaedic and trauma surgery · 2023Article
- Femoral antetorsion after calcar-guided short-stem total hip arthroplasty: A cadaver study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022Article
- Primary outcomes of a femoral neck-preserving stem: a multicentre clinical-radiological analysis at 5-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Defining 'undersizing' in short-stem total hip arthroplasty: the importance of sufficient contact with the lateral femoral cortex.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2022Article
- Calcar-guided short-stem total hip arthroplasty: Will it be the future standard? Review and perspectives.World journal of orthopedics · 2021Review
- Hip implants can restore anatomical and medialized rotation centres in most cases : a 3D templating study comparing four implantation strategies.Bone & joint open · 2021Article
- Primary stability of calcar-guided short-stem total hip arthroplasty in the treatment of osteonecrosis of the femoral head: migration analysis using EBRA-FCA.Archives of orthopaedic and trauma surgery · 2020Article
- Prospective Short-Term and Return-to-Sports Results of a Novel Uncemented Short-Stem Hip Prosthesis with Metaphyseal Anchorage.Journal of clinical medicine · 2020Article
- A new method for intraoperative assessment of leg length, sizing and placement of the components in total hip replacement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Cementless short-stem total hip arthroplasty in the elderly patient - is it a safe option?: a prospective multicentre observational study.BMC geriatrics · 2019Observational
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionShort-stem THA has become increasingly popular over the last decade. However, implantation technique differs from conventional THA and thus possibly involves a distinct learning curve. The purpose of this study was to evaluate the value of intraoperative radiography and the influence of the surgeon's experience on intraoperative adjustments in short-stem THA.
methodsA total of 287 consecutive short-stem THAs, operated by a total of 24 senior consultants, consultants and residents in training, were prospectively included. Intraoperative radiography was performed after trial reduction. Preoperative planning and intraoperative outcome with regard to positioning, sizing of components as well as resulting offset and leg length were compared. Frequency, reason and type of intraoperative adjustments were documented in relation to the surgeon's experience. Operation time was assessed.
resultsOne hundred and fifty-six (54.4%) procedures were carried out by one of three senior consultants, and a total of nine consultants and 12 residents in training performed 105 (36.6%) and 26 (9.0%) operations, respectively. In 121 cases (42.2%), intraoperative adjustments were made following intraoperative radiography. Intraoperative adjustments of one or more components were made by senior consultants in 51 cases (32.7%), by consultants in 53 cases (50.5%) and by residents in 17 cases (65.4%), respectively. The most common cause was undersizing of the stem. Operation time varied markedly between groups of surgeons. DISCUSSION: Short-stem THA involves a learning curve. Intraoperative radiography is decisive for prevention of malpositioning and undersizing of components, as well as loss of offset and leg length discrepancies. Hence, it should be considered mandatory, especially for less experienced surgeons.
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