ArticleJournal of clinical orthopaedics and trauma2022
Subsidence of monoblock and modular titanium fluted tapered stems in revision hip arthroplasty: A retrospective multicentre comparison study.
Article in Journal of clinical orthopaedics and trauma, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Efficacy and safety of modular versus monoblock stems in revision total hip arthroplasty: a systematic review and meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Pooled it
- Does the order matter? Comparing the order of stem placement and fracture reduction in revision total hip arthroplasty for Vancouver B2 and B3 periprosthetic femur fractures.Archives of orthopaedic and trauma surgery · 2026Article
- A Review of the Variations in Design Features in Diaphyseal Engaging Tapered Fluted Titanium Femoral Stems in Revision Total Hip Arthroplasty.Hip & pelvis · 2026Review
- Stabilizing the Unstable: Cone Hemiarthroplasty in Geriatric Intertrochanteric Fractures.Arthroplasty today · 2026Article
- Mid-term results of a cementless hip stem in femoral revision: how much diaphyseal press-fit do we need?Archives of orthopaedic and trauma surgery · 2024Article
- Slightly reduced early subsidence with similar outcomes and complications rate in collared stems - A systematic review of randomized clinical trials.Journal of orthopaedics · 2024Review
- Modular versus monoblock stem in revision total hip arthroplasty: a systematic review and meta-analysis.Annals of joint · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Tapered, fluted, titanium (TFT) stems have shown good clinical outcomes in revision total hip arthroplasty (rTHA), however concerns exist regarding early subsidence. This study compares subsidence between a modern monoblock 3-degree and a modular 2-degree TFT stem in rTHA. Methods: A retrospective, international multicentre comparative study was conducted including 64 rTHA in 63 patients. A monoblock TFT stem was used in 37 cases and a modular TFT stem was used in 27 cases. Patient demographics, Paprosky femoral bone loss classification, bicortical contact and stem subsidence were recorded at minimum four week follow up. Results: There was no statistically significant difference in overall subsidence (p = 0.318) or the rate of subsidence >10 mm between stems. Mean subsidence was 2.13 mm in the monoblock group and 3.15 mm in the modular group. Two stems subsided >10 mm: one in each group. There was no difference in bicortical contact between groups (p = 0.98). No re-revisions were performed. Conclusions: We found no difference in subsidence between the two stems. Surgeons may consider the use of monoblock stems in rTHA as they have comparably low rates of subsidence and eliminate the small but potentially catastrophic risk of implant fracture at modular junctions associated with modular stems.
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