ArticleInternational orthopaedics2019
Fourteen-year experience with short cemented stems in total hip replacement.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Short-stem-ology: personal 25-year experience with short stems.EFORT open reviews · 2025Review
- Mid-term outcomes after primary total hip arthroplasty with a cemented short stem in an elderly patient cohort.Archives of orthopaedic and trauma surgery · 2024Observational
- The cemented stem in hip arthroplasty - state of the art technique and recommendations.EFORT open reviews · 2024Review
- Outcomes of Exeter cemented total hip arthroplasty in a county hospital: survivorship of eight hundred and ninety four hips with a minimum ten-year follow up.International orthopaedics · 2024Article
- A Review of Conventional and Novel Treatments for Osteoporotic Hip Replacements.Bioengineering (Basel, Switzerland) · 2023Review
- Is it reasonable to shorten the length of cemented stems? A finite element analysis and biomechanical experiment.Frontiers in bioengineering and biotechnology · 2023Article
- A Comparative Study of Hip Arthroplasty and Closed Reduction Proximal Femur Nail in the Treatment of Elderly Patients with Hip Fractures.Frontiers in surgery · 2022Article
- Biomechanics of a cemented short stem: a comparative in vitro study regarding primary stability and maximum fracture load.Archives of orthopaedic and trauma surgery · 2021Article
- Malalignment and distal contact of short tapered stems could be associated with postoperative thigh pain in primary total hip arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- Use of short stems in revision of standard femoral stem: A case report.World journal of orthopedics · 2020Article
- The history of Italian Orthopaedics.International orthopaedics · 2019Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe age of the population requiring total hip replacement (THR) is increasing and this may lead to a return of cemented stems. Advantages of a short cemented femoral device include preservation of metaphyseal bone, easier insertion, and easier cement removal in case of revision. The purpose of this study is to describe the rationale and assess midterm results of unique innovative short cemented double-tapered polished stem applied with contemporary cementing techniques.
methodsOur experience with this short cemented stem includes two different groups of elderly patients. Group 1 (prototype version of the short stem) from January 2005 to January 2008 counts 43 THR. Group 2 (final commercial version of the short stem) from January 2013 to January 2015 counts 54 THR. The average age in groups 1 and 2 was 79 and 75 respectively. Patients underwent clinical follow-up with the Harris Hip Score (HHS) and completed radiographic evaluation.
resultsThirty-one patients of group 1 had died for reasons unrelated to their THR. The surviving 9 hips have a follow-up of 11.2 years. In group 2, eight patients died for reasons unrelated to their THR. Follow-up for the surviving 40 patients is 4.6 years. HHS improved in both groups. In 34/43 hips of group 1 and in 41/54 of group 2 we observed a Barrack grade A cement mantle. Survival with revision of the stem for aseptic loosening as the endpoint was 100%.
conclusionsThis study confirms the effectiveness of a short, polished, collarless, tapered cemented stem implanted with contemporary cementing techniques which appears as successful as the standard sized components.
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