ArticleArchives of orthopaedic and trauma surgery2020
Primary stability of calcar-guided short-stem total hip arthroplasty in the treatment of osteonecrosis of the femoral head: migration analysis using EBRA-FCA.
Article in Archives of orthopaedic and trauma surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- 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
- 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
- Subsidence and Clinical Impact of Obesity in Short-Stem Total Hip Arthroplasty Using a Collarless, Triple-Tapered, Cementless Stem.Journal of clinical medicine · 2024Article
- Calcar-guided short-stem total hip arthroplasty in fractures of the femoral neck: a prospective observational study of 68 hips.Archives of orthopaedic and trauma surgery · 2024Observational
- 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
- An isoelastic monoblock cup versus a modular metal-back cup: a matched-pair analysis of clinical and radiological results using Einzel-Bild-Röntgen-Analyse software.Archives of orthopaedic and trauma surgery · 2024Article
- Subsidence analysis of a cementless short stem THA using EBRA-FCA - A seven-year prospective multicentre study.Journal of orthopaedics · 2023Article
- The short-term outcomes of cementless stem for hip arthroplasty in the elderly patients: comparison with patients < 65 years.BMC musculoskeletal disorders · 2022Article
- Three-year migration analysis of a new metaphyseal anchoring short femoral stem in THA using EBRA-FCA.Scientific reports · 2022Article
- [Short hip stem for THA in avascular necrosis of the femoral head].Orthopadie (Heidelberg, Germany) · 2022Review
- Conversion of failed internal fixation in proximal femur fractures using calcar-guided short-stem total hip arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Article
- Calcar-guided short-stem total hip arthroplasty: Will it be the future standard? Review and perspectives.World journal of orthopedics · 2021Review
- One-stage bilateral versus unilateral short-stem total hip arthroplasty: A matched-pair analysis of 216 hips.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOsteonecrosis of the femoral head (ONFH) is a disabling condition that often results in secondary arthritis necessitating total hip arthroplasty (THA). Short-stem THA has constantly gained popularity. It remains controversial, whether ONFH represents a risk factor for failure after the implantation of short stems with pronounced metaphyseal anchorage. The potential spread of the osteonecrotic area and bone marrow edema into the metaphyseal bone might result in compromised stability. Early implant migration is considered predictive of subsequent aseptic loosening. The purpose of this study was a migration analysis of a modern, calcar-guided short-stem implant in patients with ONFH in a mid-term follow-up. MATERIALS AND
methodsThis retrospective analysis investigated the migration pattern of 45 calcar-guided short stems in patients with ONFH, using Einzel-Bild-Roentgen-Analyse Femoral-Component-Analysis (EBRA-FCA). Influencing factors such as ARCO categories, age, gender, body weight and BMI were analyzed. Complications and adverse events were documented.
resultsAt mid-term [48.1 months (SD 20.7 months)], mean axial migration was 1.56 mm (SD 1.77 mm). Mean migration rate stabilized after 2 years. No influence of ARCO categories, age and BMI was found. A tendency of increased axial migration was observed in male patients and in overweight patients. No revision surgeries had to be performed during follow-up.
conclusionThe results indicate a migration pattern comparable to that of primary osteoarthritis patients with slight initial migration under full load followed by subsequent stabilization in the metaphyseal femur. The 100% survival rate at mid-term supports the usage of this short-stem design in patients with ONFH.
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