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ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2016, Number 4

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Acta Ortop Mex 2016; 30 (4)

A proposal for the study of cementless short-stem hip prostheses

Gómez-García F, Fernández-Fairen M, Espinosa-Mendoza RL

Language: English
References: 18
Page: 204-215
PDF size: 909.61 Kb.


Text Extraction

Background: With the recent evolution of hip arthroplasty, new models of short stems have emerged. So far, we do not have a clear strategy to analyze their outcomes, since there is confusion around the definition of short stem and there is no consensus for their classification. Purposes: The purpose of this study was to review the current state of the art of cementless short stems considering the main design characteristics; it provides a definition of short stem and proposes a classification, grouping them into families by means of a nomenclature that describes them accurately. Material and methods: We conducted a search in the PubMed and Scopus databases and consulted various implant manufacturers, foundations devoted to research on joint arthroplasty, organizations of independent experts on medical device analysis, and national arthroplasty registries. The stems studied were classified according to a new nomenclature system. Conclusions: We identified 44 different models that share 84 design variables and may be grouped into three types and 16 generic families. The stems were manufactured by 20 different companies. Short stems are those occupying the neck, metaphysis and the proximal aspect of the limit between the metaphysis and diaphysis, regardless of the geometric type of endosteum present. A wide variety of models was identified, with multiple design variables. In order to classify them, it was necessary to design a whole new nomenclature capable of describing them in an unequivocal, unique and distinctive way.


REFERENCES

  1. Dorr LD, Faugere MC, Mackel AM, Gruen TA, Bognar B, Malluche HH: Structural and Cellular Assessment of Bone Quality of Proximal Femur. Bone. 1993; 14(3): 231-42.

  2. Falez F, Casella F, Papalia M: Current concepts, classifi cation, and results in short stem hip arthroplasty. Orthopedics. 2015; 38(3 Suppl): S6-S13.

  3. Feyen H, Shimmin AJ: Is the length of the femoral component important in primary total hip replacement? Bone Joint J. 2014; 96- B(4): 442-8.

  4. Gulow J, Scholz R, Freiherr von Salis-Soglio G: Short-stemmed endoprostheses in total hip arthroplasty. Orthopade. 2007; 36(4): 353-9.

  5. Harpal SK, Banerjee S, Jain D, Pivec R, Mont MA: Short boneconserving stems in cementless hip arthroplasty. JBJS Am. 2014; 96(20): 1742-52.

  6. Khanuja HS, Banerjee S, Jain D, Pivec R, Mont MA: Short boneconserving stems in cementless hip arthroplasty. J Bone Joint Surg Am. 2014; 96(20): 1742-52.

  7. Kim YH, Choi Y, Kim JS: Comparison of bone mineral density changes around short, metaphyseal-fitting, and conventional cementless anatomical femoral components. J Arthroplasty. 2011; 26(6): 931-40.

  8. Kim YH, Kim JS, Joo JH, Park JW: A prospective short-term outcome study of a short metaphyseal fi tting total hip arthroplasty. J Arthroplasty. 2012; 7(1): 88-94.

  9. Lombardi AV Jr, Berend KR, Ng VY: Stubby stems: good things come in small packages. Orthopedics. 2011; 34(9): e464-6.

  10. McTighe T: Total hip stem classifi cation system. Joint Implant Surgery & Research Foundation. 2014; 4(2):

  11. McTighe T, Brazil D, Aram, Bryant C, Keggi J, Keppler L, et al: Design rationale and early clinical/surgical observations with a short curved sparing hip implant “The Apex ARCTM Stem”. RR Oct. 2012 www.jisrf.org

  12. McTighe T, Stulberg SD, Keppler L, Keggi J, Kennon R, Brazil D, et al: A classifi cation system for short stem uncemented THA. CME ICJR Poster 4 April 27-29, 2012, Coronado, CA.

  13. McTighe T, Stulberg SD, Keppler, et al: A classifi cation system for short stem uncemented and uncemented femoral components. Bone Joint J Orthopaedic Proceedings. 2013; 95-B(Suppl): 260.

  14. Morrey BF: Short stemmed uncemented femoral component for primary hip arthoplasty. Clin Orthop Relat Res. 1989; (249):169-75.

  15. Noble PC, Alexander JW, Lindahl LJ, Yew DT, Grandberry WM, Tullos HS: The anatomic basis of femoral component design. Clin Orthop Relat Res. 1988; (225): 148-65.

  16. Pipino F, Molfetta L, Grandizio M. Preservation of the femoral neck in hip arthroplasty: results of a 13-17 year follow-up. J Orthpaed Traumatol. 2000; 1: 31-39.

  17. Stulbergh SD, Patel RM: The short stem: promises and pitfalls. Bone Joint J. 2013; 95-B Suppl A: 57-62.

  18. Van Oldenrijk J, Molleman J, Klaver M, Poolman RW, Haverkamp D: Revision rate after short-stem total hip arthroplasty. A systematic review of 49 clinical studies. Acta Orthop. 2014; 85(3): 250-8.




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