ArticleDer Orthopade2021
Short versus conventional stem in cementless total hip arthroplasty : An evidence-based approach with registry data of mid-term survival.
Article in Der Orthopade, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 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
- Clinically relevant differences in stress shielding between two short-stemmed femoral prostheses.Archives of orthopaedic and trauma surgery · 2025Trial
- Comparison of Periprosthetic Femoral Bone Remodeling After Total Hip Arthroplasty with Zimmer VerSys Taper Stem or VerSys Midcoat Stem: Long-Term Outcomes.Journal of clinical medicine · 2026Article
- 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
- Short Femoral Stem Performance in Femoral Hip Fracture: Clinical and Radiological Evaluation and Comparative Study of Patients Older than 65 Years.Medicina (Kaunas, Lithuania) · 2026Article
- Fifteen-Year Follow-Up of Nanos Neck-Preserving Hip Arthroplasty: An Observational Retrospective Study.Journal of functional morphology and kinesiology · 2025Article
- Does the ratio of stem-to-femur length matter? A validated finite element analysis.Journal of experimental orthopaedics · 2025Article
- Outcomes following primary total hip arthroplasty with ceramic-on-metal and metal-on-metal bearings.Archives of orthopaedic and trauma surgery · 2025Observational
- [Short-stem THA-complications and therapy options].Orthopadie (Heidelberg, Germany) · 2025Article
- Do Cumulative Revision Rate and First-time Re-revision Rate Vary Between Short and Standard Femoral Stem Lengths? A Multinational Registry Study.Clinical orthopaedics and related research · 2025Article
- The 3D-Printed Customized Femoral Short Stem Offers Improved Anatomical Parameters Restoration, Fitness and Biomechanical Performance Compared With Traditional Femoral Stem.Orthopaedic surgery · 2025Article
- Cemented Calcar-Guided Short-Stem Prostheses in Geriatric Patients: Short-Term Results from a Prospective Observational Study.Antibiotics (Basel, Switzerland) · 2024Article
- Ten-year follow-up and clinical outcome of a metaphyseal anchoring short hip stem prosthesis: a retrospective single-centre analysis.International orthopaedics · 2024Article
- Development and Finite Element (FE) analysis of a novel short hip stem concept.Journal of orthopaedics · 2023Article
- Use of Short Stems in Revision Total Hip Arthroplasty: A Retrospective Observational Study of 31 Patients.Medicina (Kaunas, Lithuania) · 2023Observational
- Article
- [10 Years of the German Arthroplasty Registry-EPRD: what has been achieved?]Orthopadie (Heidelberg, Germany) · 2023Review
- Three-year migration analysis of a new metaphyseal anchoring short femoral stem in THA using EBRA-FCA.Scientific reports · 2022Article
- Predicting the Exception-CRP and Primary Hip Arthroplasty.Journal of clinical medicine · 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
backgroundShort-stemmed total hip arthroplasty (THA) is well established and gaining popularity in Germany. The perception that short stems may predispose to primary instability in the femur has resulted in a more thorough follow-up of younger patient cohorts than the typical uncemented THA population. To address this issue, an evidence-based approach is presented for a retrospective mid-term survival analysis of a large registry-based cohort in primary cementless THA comparing short stems with a matched group of conventional stems. MATERIAL AND
methodsPropensity score matching (PSM, see Infobox 1) was used on 131,580 primary cementless THAs fulfilling the inclusion criteria performed between November 2012 and September 2019 and the cumulative probability of revision (CPR) of short and conventional stems for any reason, for reasons excluding prosthetic joint infection (PJI), and due to PJI were compared.
resultsAfter PSM at 1:1 balanced groups of 17,526 short stems and of 17,526 conventional stems were achieved demonstrating no significant difference for CPR for any reason and for reasons excluding PJI. Matched CPR for any reason was 2.9% (95% confidence interval, CI, 2.4-3.5%) 5 years after primary THA in the short stem and 3.1% (95% CI 2.7-3.4%) in the conventional stem group. The CPR excluding PJI was 2.2% (95% CI 1.7-2.7%) vs. 2.1% (95% CI 1.8-2.4%). In contrast, the incidence of PJI was statistically significant lower for short stems.
conclusionFor the considered period, there was no statistically significant survival difference in uncemented THA between comparison groups but a lower incidence for PJI in short-stem THA. Further analyses of registry data are required to rule out range of indications and late mechanical failure of short stems.
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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.