ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021
Mid-term results of short-stem total hip arthroplasty in patients with Crowe type I and II developmental dysplasia of the hip.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Total Hip Arthroplasty with the Conservative Cementless MINIMA Size 1 Stem in Patients with a Small Femoral Canal: 3-6 Years of Follow-Up.Journal of clinical medicine · 2026Article
- Factors Associated With Complications in 176 Crowe IV Hips Treated With Total Hip Arthroplasty.Orthopaedic surgery · 2025Article
- Mid-term results of total hip arthroplasty with anatomical ultra-short cementless stem in patients with developmental dysplasia of the hip Crowe type II.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Ultrasonographic screening for developmental dysplasia of the hip: the Graf method revisited.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Review
- The risk of DDH between breech and cephalic-delivered neonates using Graf ultrasonography.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Insufficient lateral stem contact is an influencing factor for significant subsidence in cementless short stem total hip arthroplasty.World journal of orthopedics · 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
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to evaluate the clinical and radiographic mid-term results of short-stem THA in patients with DDH.
methodsWe reviewed 32 cases that underwent Metha stem between November 2010 and February 2015. WOMAC scores, Oxford Hip Scores (OHS) and Harris Hip Scores (HHS) were recorded to evaluate the clinical results. The appearance of bone trabeculae development and stress shielding was analyzed.
resultsThe mean age of patients was 50.3 years (33-67) with the mean follow-up of 77 months (60-106). According to Crowe classification, 13 cases were graded as Crowe I and 19 cases as Crowe II. According to Dorr classification, 17 cases were graded as Dorr A and 15 cases as Dorr B. The postoperative WOMAC scores decreased, and OHS and HHS increased significantly compared with preoperative (p < 0.001). The caput-column-diaphysis angles decreased significantly (p < 0.001) and limb length discrepancy decreased significantly (p = 0.013) after surgery. The radiographic change around the stem showed bone trabeculae development at zones 1 (93.9%), 2 (93.9%), 3 (25%), 5 (6.3%), 6 (96.9%) and 7 (90.6%). There was grade 1 stress shielding in 30 cases (93.9%). There was no stem subsidence greater than 2 mm in all hips, no sciatic nerve injury or no dislocation. Neither acetabulum nor femoral stem was defined as definite loosening, and none of the implants was revised.
conclusionsThe short stem showed promising mid-term clinical results in patients with DDH. The radiographic results demonstrated that the short stem provided physiological proximal load transfer with less stress shielding, being a useful alternative for femoral reconstruction.
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