ArticleInternational orthopaedics2020
Short stems reproduce femoral offset better than standard stems in total hip arthroplasty: a case-control study.
Article in International orthopaedics, 2020. 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.
- Leg length and offset in short-stem total hip arthroplasty: is a single offset-implant sufficient to restore the hip rotation centre within a range of 5 mm?Archives of orthopaedic and trauma surgery · 2026Article
- Relating total hip replacement and acetabular cup positioning with outcome: A systematic review.Bioinformation · 2025Article
- Revision of Failed Short Stems in Total Hip Arthroplasty.Journal of clinical medicine · 2024Article
- 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
- Implant positioning in total hip arthroplasty: influence of horizontal and vertical offset on functionality of prosthetic hip joint.International orthopaedics · 2022Article
- A single-surgeon experience in reconstruction of femoro-acetabular offset and implant positioning in direct anterior approach and anterolateral MIS approach with a curved short stem.Archives of orthopaedic and trauma surgery · 2022Article
- Reconstruction of the anatomy of the hip in total hip arthroplasty with two different kinds of stems.BMC musculoskeletal disorders · 2022Article
- Femoroacetabular offset restoration in total hip arthroplasty; Digital templating a short stemWorld journal of orthopedics · 2022Article
- The impact of reducing the femoral stem length in total hip arthroplasty during gait.Archives of orthopaedic and trauma surgery · 2021Article
- Hip implants can restore anatomical and medialized rotation centres in most cases : a 3D templating study comparing four implantation strategies.Bone & joint open · 2021Article
- Bone remodelling and integration of two different types of short stem: a dual-energy X-ray - absorptiometry study.International orthopaedics · 2020Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn total hip arthroplasty (THA), altering the original offset can lead to poor outcome or even complications or revision when the changes are too great. The aim of the present study was to compare femoral offset between short and standard stems. The hypothesis was that the short stems studied provide better control of post-operative femoral offset. PATIENTS AND
methodsWe retrospectively reviewed 100 consecutive THAs using uncemented optimys™ short stems (Mathys, Bettlach, Switzerland), matched to 100 standard stem THAs performed during the same period. The primary endpoint was femoral offset; secondary endpoints were the limb length and cervico-diaphyseal angle.
resultsThe mean femoral offset increased by 6.0 ± 7.2 mm overall (p < 0.0001), 4.7 ± 6.7 mm in the short-stem group (p < 0.0001), and 7.2 ± 7.5 mm in the standard stem group (p < 0.0001), with a significant inter-group difference (p = 0.0152). Limb length showed no significant inter-group difference (p = 0.8425). Cervico-diaphyseal angle was increased by surgery overall, and more by standard than by short stems (p < 0.05).
conclusionMeasurement of femoral offset revealed significant lateralization. It is critical that offset should be maintained in THA. The technique we use increases femoral offset, but the present study showed less increase using short than standard stems. These findings must be borne in mind to achieve good clinical outcome.
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