Observational studyInternational orthopaedics2020
Femoral bone remodeling after short-stem total hip arthroplasty: a prospective densitometric study.
Observational study in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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.
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Who cites it
20 citing papers in PubMed, 29 citations in OpenAlex.
- Clinically relevant differences in stress shielding between two short-stemmed femoral prostheses.Archives of orthopaedic and trauma surgery · 2025Trial
- Preoperative factors associated with alignment change from planned metaphyseal- to diaphyseal-dominant fixation in calcar-guided short-stem total hip arthroplasty.International orthopaedics · 2026Article
- Robotic-arm assisted total hip arthroplasty using a short metaphyseal filling collared femoral implant through a direct anterior approach: minimum two-year outcomes.Archives of orthopaedic and trauma surgery · 2026Article
- Diabetes, Inflammatory Markers, and Tissue Thickness in Septic and Aseptic Hip Revision Surgeries.Medical science monitor : international medical journal of experimental and clinical research · 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
- Midterm Comparative Analysis of Short Femoral Stem Survivorship in Dorr Type A Femurs.Clinics in orthopedic surgery · 2024Article
- Short stem hip arthroplasty with the optimys prosthesis is a safe and effective option for obese patients: a mid-term follow-up multicenter study.Archives of orthopaedic and trauma surgery · 2024Observational
- Subsidence after calcar-guided short stem total hip arthroplasty: five-year results of a prospective multicentre study.International orthopaedics · 2024Article
- Comparison study of periprosthetic bone remodeling between simultaneous bilateral total hip arthroplasty and unilateral total hip arthroplasty: a matched cohort study.International orthopaedics · 2023Article
- Subsidence analysis of a cementless short stem THA using EBRA-FCA - A seven-year prospective multicentre study.Journal of orthopaedics · 2023Article
- Stress shielding effect after total hip arthroplasty varies between combinations of stem design and stiffness-a comparing biomechanical finite element analysis.International orthopaedics · 2023Article
- Bone Remodelling of the Proximal Femur After Hip Revision with a Metaphyseal-Fixation Femoral Stem Component.Therapeutics and clinical risk management · 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
- Short neck-preserving femoral stem for total hip arthroplasty: medium-term results of a 68-case series.Archives of orthopaedic and trauma surgery · 2022Article
- Comparison of Femoral Bone Mineral Density Changes around 3 Common Designs of Cementless Stems after Total Hip Arthroplasty-A Retrospective Cohort Study.Orthopaedic surgery · 2022Article
- Successful reconstruction of natural femoral anteversion using a short femoral stem in total hip arthroplasty surgery.The Journal of international medical research · 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
- Calcar-guided short-stem total hip arthroplasty: Will it be the future standard? Review and perspectives.World journal of orthopedics · 2021Review
- Comparison of Tri-Lock Bone Preservation Stem and the Conventional Standard Corail Stem in Primary Total Hip Arthroplasty.Orthopaedic surgery · 2021Article
- Recommendations for return to sports after total hip arthroplasty are becoming less restrictive as implants improve.Archives of orthopaedic and trauma surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDue to improved prosthesis designs and surgical techniques, indications for total hip arthroplasty (THA) now include younger and more active patients. Preserving bone stock and soft tissue in these patients is paramount to allow for future revision. Designed for anatomical reconstruction, short femoral stems have the potential to reduce adaptive bone loss and stress shielding. To confirm this, we evaluated bone remodeling around a short femoral stem and the accuracy of hip joint reconstruction.
methodsThis prospective observational study involved 46 patients with short-stem THA for clinical and radiographic analysis. We evaluated bone remodeling by Gruen zone using dual-energy X-ray absorptiometry in 45 patients and assessed the accuracy of hip joint reconstruction using caput-collum-diaphyseal angles. Additionally, we reported functional scores and pain.
resultsPatients were followed for a mean of 24.1 (SD 2.2) months. Bone mineral density increased mainly in the lateral region (Gruen zones 2 and 3) and in the distal-medial region (Gruen zone 5), suggestive of lateral loading. Most caput-collum-diaphyseal angles remained stable after surgery, especially in patients with varus hips. Harris Hip Scores improved significantly, from 57.2 (SD 20.0) pre-operatively to 97.2 (SD 4.0) at 24 months post-operatively (P < 0.0001). Finally, we encountered one peri-operative dislocation but no post-operative complications.
conclusionShort femoral stems successfully limited stress shielding and minimized periprosthetic bone loss without compromising primary stability. We were able to accurately reconstruct anatomical relationships in most patients. Finally, excellent clinical outcomes and low complication rates confirmed the favourable results of short-stem THA.
trial registrationDRKS00017076.
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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.