Evidence map›Paper›PMID 40382662›Full record

ArticleJournal of orthopaedic surgery and research2025

Long-term clinical comparison of three different femoral stems in Total Hip Arthroplasty with femoral shortening in patients with high-riding hips.

Kutalmis Albayrak, Yakup Alpay, Ozgur Ismail Turk, Muhammed Mert, Deniz Akbulut, Akif Albayrak

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
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2citing papers in PubMed
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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kutalmis AlbayrakDepartment of Orthopaedics and Traumatology, University of Health Sciences Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey. kutalmisalbayrak@gmail.com.ORCID http://orcid.org/0000-0002-8427-8856
Yakup AlpayDepartment of Orthopaedics and Traumatology, University of Health Sciences Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
Ozgur Ismail TurkDepartment of Orthopedics and Traumatology, Ghent University Hospital, Ghent, Belgium.
Muhammed MertDepartment of Orthopaedics and Traumatology, University of Health Sciences Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
Deniz AkbulutDepartment of Orthopaedics and Traumatology, University of Health Sciences Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
Akif AlbayrakDepartment of Orthopaedics and Traumatology, University of Health Sciences Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopmental hip dysplasia is a common cause of hip arthrosis in young adults, necessitating total hip arthroplasty (THA) for improved function and pain relief. In cases of high-riding hips, transverse femoral shortening osteotomy is often required to facilitate reduction and prevent neurovascular complications. However, the choice of femoral stem in such cases remains controversial due to variations in design and osteoconductive properties. This study aimed to compare the clinical and radiological outcomes of three different femoral stems used in THA with transverse femoral shortening osteotomy.

methodsA retrospective cohort study was conducted on 107 patients who underwent THA with transverse femoral shortening osteotomy between 2004 and 2014. Patients were divided into three groups based on the femoral stem used: Group 1 (Summit Tapered Stem (Depuy

resultsThe mean preoperative HHS significantly improved from 42.7 ± 6.7 to 84.6 ± 11.5 postoperatively (p < 0.001). Group 3 had significantly higher final HHS compared to Group 1 (p = 0.0002), while no significant differences were observed between Group 1 and Group 2 (p = 0.1947) or Group 2 and Group 3 (p = 0.0723). The overall 10-year survival rate was 87.8%, with Group 3 demonstrating the highest survivorship (91%) and Group 2 the lowest (83%). Intraoperative femoral fissure or fracture rates were significantly higher in Group 1 compared to Group 3 (p = 0.0006), and with a significantly increased need for additional plating in Group 1 (p = 0.0031).

conclusionsThis study suggests that cylindrical fully porous-coated femoral stems (Wagner Cone Prosthesis) provide better clinical outcomes, fewer intraoperative complications, and higher long-term survival rates compared to tapered and rectangular stems in THA with femoral shortening osteotomy. These findings highlight the importance of implant selection in optimizing patient outcomes. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Arthroplasty, Replacement, HipDevelopmental Dysplasia of the HipFemurHip ProsthesisOsteotomyProsthesis DesignAdultCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeDevelopmental hip dysplasiaFemoral shortening osteotomyFemoral stem designHarris hip scoreProsthesis survivorshipTotal hip arthroplasty

Identifiers

PMID40382662
PMCPMC12084919

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Registered trials

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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.