ArticleJournal of orthopaedic surgery and research2020
Metaphyseal anchoring short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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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
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- A comparative meta-analysis of stress shielding between short-stem and conventional femoral stem in total hip arthroplasty.BMC musculoskeletal disorders · 2026Pooled it
- Factors influencing the outcomes of minimally invasive total hip arthroplasty: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- 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
- Bone-Sparing Hip Arthroplasty in Young and Active Patients: A Narrative Review.Journal of clinical medicine · 2026Review
- How Femoral Neck Resection Height and Dorr Type Affect the Primary Stability of Cemented Short Stems: An In Vitro Study.Biology · 2026Article
- Early-term clinical and radiographic outcomes of a new short cementless stem for primary total hip arthroplasty in young and active patients.Journal of experimental orthopaedics · 2026Article
- Predicting Proximal Femoral Remodeling After Short-Stem Hip Arthroplasty: A Biomechanical Modeling Approach.Journal of clinical medicine · 2025Article
- Long-term follow-up result of short metaphyseal femoral stem in primary total hip arthroplasty: A retrospective study.World journal of orthopedics · 2025Article
- Biomechanical analysis of a short femoral stem used in revision total hip replacement of a standard femoral stem.Scientific reports · 2025Article
- Learning curve comparison between switching approach and switching implant in cementless short stem total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Primary stability of multi-hole acetabular cup combined with posterior column plating for the fixation of complex acetabular fractures in elderly patients: a biomechanical analysis.Archives of orthopaedic and trauma surgery · 2024Article
- The Function and Mechanism of Anti-Inflammatory Factor Metrnl Prevents the Progression of Inflammatory-Mediated Pathological Bone Osteolytic Diseases.Journal of inflammation research · 2024Review
- Bone remodeling and cortical thinning distal to the femoral stem: a retrospective review.Archives of orthopaedic and trauma surgery · 2023Article
- Subsidence analysis of a cementless short stem THA using EBRA-FCA - A seven-year prospective multicentre study.Journal of orthopaedics · 2023Article
- Bionic reconstruction of tension trabeculae in short-stem hip arthroplasty: a finite element analysis.BMC musculoskeletal disorders · 2023Article
- Osteoimmune Interactions and Therapeutic Potential of Macrophage-Derived Small Extracellular Vesicles in Bone-Related Diseases.International journal of nanomedicine · 2023Review
- Innovative Design Methodology for Patient-Specific Short Femoral Stems.Materials (Basel, Switzerland) · 2022Article
- Novel Design of the Compound Sleeve and Stem Prosthesis for Treatment of Proximal Femur Bone Defects Based on Topology Optimization.Frontiers in bioengineering and biotechnology · 2022Article
- Future of total hip arthroplasty with the Metha short stem in modern surgeries.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShort stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a metaphyseal anchoring short and standard stem in native biomechanical femora.
methodsThe subject specific finite element models of biomechanical femora, one native and two with implanted metaphyseal anchoring SHA (Metha, B. Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution.
resultsCompared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally.
conclusionsBoth, short and standard THA, cause unloading of the proximal femur. However, the metaphyseal anchoring SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load patterns implicate a reduced stress shielding proximally for metaphyseal anchoring SHA stems and might be able to translate in a better bone preservation.
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Registered trials
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.