Evidence map›Paper›PMID 39809964›Full record

ArticleScientific reports2025

Biomechanical analysis of a short femoral stem used in revision total hip replacement of a standard femoral stem.

Shuang G Yan, Zhi Wang, Yiliang Cui, Fanxiao Liu, Jingtao Lu, Hui Zhang, Di Li

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shuang G YanDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China. yanshuanggen@ahmu.edu.cn.
Zhi WangDepartment of Orthopaedic Surgery, Beijing Oriental Electronics Hospital, Hefei, China.
Yiliang CuiDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Fanxiao LiuDepartment of Orthopaedic Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical University, No. 324, Road Jing Wu Wei Qi, Jinan, 250021, Shandong, China.
Jingtao LuDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Hui ZhangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China. zhanghui@ahmu.edu.cn.
Di LiDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Naval Medical University: Changhai Hospital, Shanghai, China. orthlee@163.com.

Funding

Anhui Medical University basic and clinical cooperative research promotion plan 2020xkjT028research fund of Anhui institute of translational medicine 2021zhyx-C33research fund of Anhui provincial higher education institutions 2022AH051136support plan for innovation and entrepreneurship of returned overseas returnees of Anhui Province 2021LCX021
6 · The paper itself

Abstract

Short-stem total hip arthroplasty (SHA) has become popular because it preserves femoral bone stock and enables the use of short femoral stems in revision total hip arthroplasty (THA). However, no study has evaluated whether a short stem in revision THA, replacing a standard stem, can provide adequate primary stability to facilitate osseous integration. In this biomechanical study, a metaphyseal anchoring SHA (Tri-Lock BPS) stem and a standard THA (Corail) stem were implanted into ten composite femurs and loaded dynamically from 300 to 1700 N with 1 Hz. Primary stability was estimated using three-dimensional (3D) micromotions at five points around the bone-implant interface. A revision scenario was then established by removing the standard stem and implanting the same Tri-Lock BPS stem, with subsequent measurements of 3D micromotions. In the primary scenario, no significant differences in 3D micromotions were noted between the short and standard stems at most of the test points. Compared with the Corail group, the Tri-Lock BPS group presented significantly greater 3D micromotions only at the lateral point of the distal femur (P5: Tri-Lock BPS 32.9 ± 7.54 μm vs. Corail 25.1 ± 4.32 μm; p = 0.011). In the revision scenario, no significant differences in the 3D micromotions were noted between the primary and revision Tri-Lock BPS stems at all test points. Our results show that the SHA (Tri-Lock BPS) offers good primary stability, which is similar to that of the standard THA (Corail). The Tri-Lock BPS stem obtained comparable stability in this revision scenario as in the primary scenario; therefore, it can be assumed that the Corail standard stem can safely be revised with a Tri-Lock BPS short stem.

Indexed as

Arthroplasty, Replacement, HipFemurHip ProsthesisBiomechanical PhenomenaHumansProsthesis DesignReoperation3-dimensional micromotionPrimary stabilityRevisionShort stemTotal hip replacement

Identifiers

PMID39809964
PMCPMC11733154

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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.