SynthesisInternational orthopaedics2018
Periprosthetic bone remodelling of short-stem total hip arthroplasty: a systematic review.
Synthesis in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 79 citations in OpenAlex.
- Clinically relevant differences in stress shielding between two short-stemmed femoral prostheses.Archives of orthopaedic and trauma surgery · 2025Trial
- Stem length in primary cementless total hip arthroplasty: Does it make a difference in bone remodeling?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Trial
- Mechano-immunomodulatory biomaterials: From immune mechanosensing to translational design.Bioactive materials · 2026Review
- Comparative study of fitmore and CLS stems in total hip arthroplasty: midterm clinical and radiographic outcomes.Musculoskeletal surgery · 2025Article
- Predicting Proximal Femoral Remodeling After Short-Stem Hip Arthroplasty: A Biomechanical Modeling Approach.Journal of clinical medicine · 2025Article
- Mid- to long-term periprosthetic bone density changes after cementless short stem hip arthroplasty in elderly: A clinical and radiological analysis.Journal of orthopaedics · 2024Article
- The medullary cavity morphology of the proximal femur influences the fixation pattern of the rectangular tapered short stem in total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Total Hip Replacement with a Fully Hydroxyapatite-Coated Shortened Stem: Five- to Thirteen-Year Follow-Up Results.Journal of clinical medicine · 2024Article
- Comparative Study for Postoperative Initial Fixation Patterns of Two Different Types of Cementless Short Stem Using Three-Dimensional Templating Software.Clinics in orthopedic surgery · 2024Article
- Bone mineral density around cementless short stems after reverse shoulder arthroplasty: changes over time and its relationship to stem positioning.JSES international · 2024Article
- The influence of stem alignment on the bone mineral density around the Polarstem following total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Sexual activity after short-stem total hip arthroplasty. Does stem size matter?Archives of orthopaedic and trauma surgery · 2023Article
- Biomechanical Properties of Bionic Collum Femoris Preserving Hip Prosthesis: A Finite Element Analysis.Orthopaedic surgery · 2023Article
- Bionic reconstruction of tension trabeculae in short-stem hip arthroplasty: a finite element analysis.BMC musculoskeletal disorders · 2023Article
- Preserved periprosthetic bone stock at 5 years post-operatively with uncemented short hip stem in both collared and collarless version.Archives of orthopaedic and trauma surgery · 2022Article
- Clinical and radiographic outcomes after total hip arthroplasty with the NANOS neck preserving hip stem: a 10 to 16-year follow-up study.BMC musculoskeletal disorders · 2022Article
- Do radiological findings around the Fitmore stem change over time? : radiolucency around the short hip stem disappears within a few years: a retrospective study.Bone & joint open · 2022Article
- Mid-term results of short versus conventional cementless femoral stems in patients with bilateral osteonecrosis of the femoral head.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Future of total hip arthroplasty with the Metha short stem in modern surgeries.Scientific reports · 2021Article
- Calcar-guided short-stem total hip arthroplasty: Will it be the future standard? Review and perspectives.World journal of orthopedics · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeShort-stem hip arthroplasty (SHA) was designed to preserve bone stock and provide an improved load transfer. To gain more evidence regarding the load transfer, this review analysed the periprosthetic bone remodelling of SHA in comparison to standard hip arthroplasty (THA).
methodsPubMed and ScienceDirect were screened to extract dual-energy X-ray absorptiometry (DXA) studies evaluating the periprosthetic bone remodelling of SHA and two proven THA designs. From the studies included, the postoperative change in periprosthetic bone mineral density (BMD) after one year and the trend over two years was determined.
resultsFifteen studies with four SHAs (CFP, Metha, Nanos, Fitmore) and two THAs (CLS and Bicontact) designs were included. All SHA and THA stems revealed an initial decrease at the calcar and major trochanter (Gruen 1 and 7) with the Metha, Nanos and Fitmore showing a smaller and more balanced remodelling compared to THA. The pattern after one year and the trend over two years argue for a methaphyseal anchorage of the Metha and Nanos, whereas the Fitmore and CFP seem to anchor metha-diaphyseal. Clearly different pattern of bone remodelling were observed between all four SHAs.
conclusionsPeriprosthetic bone remodelling is also present in SHA, with the main bone reduction observed proximally. However, certain SHA stems show a more balanced remodelling compared to THA, arguing for a favourable load transfer. Also, the femoral length where bone remodelling occurs is clearly shorter in SHA. As distinctively different pattern between the SHA designs were observed, they should not be judged as a single implant group.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.