ArticleArchives of orthopaedic and trauma surgery2025
Does introduction of a cemented polished taper-slip femoral stem reduce early periprosthetic fracture risk with anterior approach total hip arthroplasty? A case-matched study.
Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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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1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnterior approach total hip replacement (AA-THA) is associated with higher periprosthetic fracture (PFF) risk. Cemented femoral fixation may reduce this risk. This study aims to (1) determine if using a cemented polished taper-slip (PTS) stem reduces PFF risk, (2) describe perioperative complications, and (3) identify factors associated with outcome.
methodsThis was a retrospective, case-matched cohort study from an academic center. The first 122 hybrid AA-THAs with a minimum 12-month follow-up were reviewed. These were matched (1:2) for age, sex, BMI, femoral and pelvic morphology with 244 AA-THAs using an uncemented, short, stem. Outcomes measured include PPF (Vancouver classification) rate, reoperation rate, complications, cement quality, and radiologic measurements.
resultsNineteen PFFs (5.2%) occurred at a mean 14.5±23 days following surgery. There was no difference in PPF rate between groups (Cemented Stems: 7/122, 5.7%, 5/7 Type-A and 2/7 Type-B
conclusionHybrid AA-THA did not reduce PFF risk. Suboptimal cementation was associated with increased risk of subsidence or fracture. Current instruments do not accommodate the limited working window and steeper femoral angle during AA-THA.
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