ReviewEFORT open reviews2021
Short-term success of proximal bone stock preservation in short hip stems: a systematic review of the literature.
Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 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
- Trial
- Clinically relevant differences in stress shielding between two short-stemmed femoral prostheses.Archives of orthopaedic and trauma surgery · 2025Trial
- Cortical hypertrophies in cementless short stem total hip arthroplasty in young patients under 60 years and elderly patients over 75 years-analysis of outcome and risk factors for cortical hypertrophies.Archives of orthopaedic and trauma surgery · 2026Article
- Cementless calcar-guided short stems: 24-month clinical outcomes and migration analysis.Scientific reports · 2026Article
- Bone-Sparing Hip Arthroplasty in Young and Active Patients: A Narrative Review.Journal of clinical medicine · 2026Review
- Short-stem-ology: personal 25-year experience with short stems.EFORT open reviews · 2025Review
- 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
- Analysis of Postoperative Complication and Revision Rates and Mid- to Long-Term Implant Survival in Primary Short-Stem Total Hip Arthroplasty.Journal of clinical medicine · 2024Article
- Stem Alignment With the Tapered Wedge Cementless Stem "Accolade II" Does Not Affect Bone Mineral Density Over 5 Years After Total Hip Arthroplasty.Arthroplasty today · 2024Article
- Mid-term survival of the Optimys short stem: A prospective case series of 500 patients.World journal of orthopedics · 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
- Relationship between Stress Shielding and Optimal Femoral Canal Contact Regions for Short, Tapered-Wedge Stem Analyzed by 2D and 3D Systems in Total Hip Arthroplasty.Journal of clinical medicine · 2023Article
- Is it reasonable to shorten the length of cemented stems? A finite element analysis and biomechanical experiment.Frontiers in bioengineering and biotechnology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total hip arthroplasty is performed more frequently in younger patients nowadays, making long-term bone stock preservation an important topic. A mechanism for late implant failure is periprosthetic bone loss, caused by stress shielding around the hip stem due to different load distribution. Short stems are designed to keep the physical loading in the proximal part of the femur to reduce stress shielding. The aim of this review is to give more insight into how short and anatomic stems behave and whether they succeed in preservation of proximal bone stock.A systematic literature search was performed to find all published studies on bone mineral density in short and anatomic hip stems. Results on periprosthetic femoral bone mineral density, measured with dual-energy X-ray absorptiometry (DEXA), were compiled and analysed per Gruen zone in percentual change.A total of 29 studies were included. In short stems, Gruen 1 showed bone loss of 5% after one year (
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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.