Mechanical and biological results of short-stem hip implants: consideration on a series of 74 cases

Musculoskelet Surg. 2015 Apr;99(1):55-9. doi: 10.1007/s12306-014-0334-z. Epub 2014 Jun 27.

Abstract

Background: The aim of this survey was to show mid-term outcomes of a short-stem cementless hip prosthesis with metaphyseal fit and fill.

Methods: Case series is on 74 implants in 67 patients, implanted from June 2006 to December 2010 with an average follow-up of 48 months (range 36-90 months).

Results: In their case series, authors found some pitfalls as varus or valgus alignment, heterotopic ossification, aseptic mobilization with subsidency, and malpositioning. According to Harris Hip Score, postoperative clinical outcomes were excellent-good (84 %) and fair-poor (16 %).

Conclusions: At a mid-term follow-up, the investigated implant showed a strong stability and some well-tolerated mechanical and biological pitfalls.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip* / adverse effects
  • Arthroplasty, Replacement, Hip* / instrumentation
  • Arthroplasty, Replacement, Hip* / methods
  • Bioprosthesis*
  • Bone Malalignment / etiology
  • Female
  • Follow-Up Studies
  • Hip Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Hip / surgery*
  • Prosthesis Design
  • Range of Motion, Articular
  • Retrospective Studies
  • Treatment Outcome