ArticleEFORT open reviews2018
Uncemented short stems in primary total hip arthroplasty: The state of the art.
Article in EFORT open reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- A comparative meta-analysis of stress shielding between short-stem and conventional femoral stem in total hip arthroplasty.BMC musculoskeletal disorders · 2026Pooled it
- Do Cementless Short Tapered Stems Reduce the Incidence of Thigh Pain After Hip Arthroplasty? Systematic Review and Meta-Analysis.Journal of Korean medical science · 2022Pooled it
- Clinically relevant differences in stress shielding between two short-stemmed femoral prostheses.Archives of orthopaedic and trauma surgery · 2025Trial
- Ten-year migration analysis of a cementless metaphyseal-anchored short femoral stem in total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Cementless calcar-guided short stems: 24-month clinical outcomes and migration analysis.Scientific reports · 2026Article
- Bone-Sparing Hip Arthroplasty in Young and Active Patients: A Narrative Review.Journal of clinical medicine · 2026Review
- Early-term clinical and radiographic outcomes of a new short cementless stem for primary total hip arthroplasty in young and active patients.Journal of experimental orthopaedics · 2026Article
- Is Collum Femoris Preserving Stem (CFP) an Epiphyseal-Stabilized Prosthesis? A Long-Term Single-Center Series Follow Up of 705 Cases.Orthopaedic surgery · 2025Article
- Subsidence rate and long-term outcome of a calcar-guided short stem: a prospective 10-year follow-up study.Journal of orthopaedic surgery and research · 2025Article
- Short-stem-ology: personal 25-year experience with short stems.EFORT open reviews · 2025Review
- The 3D-Printed Customized Femoral Short Stem Offers Improved Anatomical Parameters Restoration, Fitness and Biomechanical Performance Compared With Traditional Femoral Stem.Orthopaedic surgery · 2025Article
- Long-term follow-up result of short metaphyseal femoral stem in primary total hip arthroplasty: A retrospective study.World journal of orthopedics · 2025Article
- 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
- Analysis of Postoperative Complication and Revision Rates and Mid- to Long-Term Implant Survival in Primary Short-Stem Total Hip Arthroplasty.Journal of clinical medicine · 2024Article
- Long-term outcomes of the mayo conservative hip system in patients aged 30 years or less with osteonecrosis of the femoral head: mean follow-up of more than 10 years.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
- Early- to mid-term outcome of a short, cementless, titanium, flat, tapered stem for primary total hip arthroplasty: an independent series.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2024Article
- Subsidence after calcar-guided short stem total hip arthroplasty: five-year results of a prospective multicentre study.International orthopaedics · 2024Article
- Battle of the titans: Survivorship analysis of the 3 most common types of uncemented femoral stems used across national registries.Journal of orthopaedics · 2023Review
- Biomechanical Properties of Bionic Collum Femoris Preserving Hip Prosthesis: A Finite Element Analysis.Orthopaedic surgery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Over the last two decades, several conservative femoral prostheses have been designed. The goals of conservative stems include: the spearing of the trochanteric bone stock; a more physiological loading in the proximal femur reducing the risk of stress shielding; and to avoid a long stem into the diaphysis preventing impingement with the femoral cortex and thigh pain.All stems designed to be less invasive than conventional uncemented stems are commonly named 'short stems'. However, this term is misleading because it refers to a heterogeneous group of stems deeply different in terms of design, biomechanics and bearing. In the short-term follow-up, all conservative stems provided excellent survivorship. However, variable rates of complications were reported, including stem malalignment, incorrect stem sizing and intra-operative fracture.Radiostereometric analysis (RSA) studies demonstrated that some conservative stems were affected by an early slight migration and rotation within the first months after surgery, followed by a secondary stable fixation. Dual-energy x-ray absorptiometry (DEXA) studies demonstrated an implant-specific pattern of bone remodelling.Although the vast majority of stems demonstrated a good osseointegration, some prostheses transferred loads particularly to the lateral and distal-medial regions, favouring proximal stress shielding and bone atrophy in the great trochanter and calcar regions. Cite this article:
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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.