The short stem: promises and pitfalls

作者: S. D. Stulberg , R. M. Patel

DOI: 10.1302/0301-620X.95B11.32936

关键词:

摘要: Conventional uncemented femoral implants provide dependable long-term fixation in patients with a wide range of functional requirements. Yet challenges associated proximal-distal dimensional mismatch, preservation bone stock, and minimally invasive approaches have led to exploration into alternative implant designs. Short stem designs focusing on stable metaphyseal fit emerged address these issues total hip replacement (THR). Uncemented metaphyseal-engaging short are proximal remodeling closer the metaphysis when compared conventional stems they also comparable clinical performances. can meet goals successful THR, including tolerating high level patient function, as well durable fixation.

参考文章(37)
Stephen J Kelly, Claire E Robbins, Benjamin E Bierbaum, James V Bono, Daniel M Ward, Use of a hydroxyapatite-coated stem in patients with Dorr Type C femoral bone. Clinical Orthopaedics and Related Research. ,vol. 465, pp. 112- 116 ,(2007) , 10.1097/BLO.0B013E318156BF96
John B. Meding, Michael E. Keating, Merrill A. Ritter, Philip M. Faris, Michael E. Berend, Minimum ten-year follow-up of a straight-stemmed, plasma-sprayed, titanium-alloy, uncemented femoral component in primary total hip arthroplasty. Journal of Bone and Joint Surgery, American Volume. ,vol. 86, pp. 92- 97 ,(2004) , 10.2106/00004623-200401000-00014
Takehito Hananouchi, Nobuhiko Sugano, Takashi Nishii, Nobuo Nakamura, Hidenobu Miki, Akihiro Kakimoto, Mitsuyoshi Yamamura, Hideki Yoshikawa, Effect of robotic milling on periprosthetic bone remodeling. Journal of Orthopaedic Research. ,vol. 25, pp. 1062- 1069 ,(2007) , 10.1002/JOR.20376
Christi J. Sychterz, Alexandra M. Claus, Charles A. Engh, What we have learned about long-term cementless fixation from autopsy retrievals. Clinical Orthopaedics and Related Research. ,vol. 405, pp. 79- 91 ,(2002) , 10.1097/00003086-200212000-00010
BERNARD F. Morrey, Short-stemmed uncemented femoral component for primary hip arthroplasty. Clinical Orthopaedics and Related Research. ,vol. 249, pp. 169- 175 ,(1989) , 10.1097/00003086-198912000-00018
William N Capello, James A D??Antonio, William L Jaffe, Rudolph G Geesink, Michael T Manley, Judy R Feinberg, Hydroxyapatite-coated femoral components: 15-year minimum followup. Clinical Orthopaedics and Related Research. ,vol. 453, pp. 75- 80 ,(2006) , 10.1097/01.BLO.0000246534.44629.B2
John B. Meding, Matthew R. Galley, Merrill A. Ritter, High Survival of Uncemented Proximally Porous-coated Titanium Alloy Femoral Stems in Osteoporotic Bone Clinical Orthopaedics and Related Research®. ,vol. 468, pp. 441- 447 ,(2010) , 10.1007/S11999-009-1035-Z
Ronak M. Patel, Matthew C. Smith, Chase C. Woodward, S. David Stulberg, Stable Fixation of Short-stem Femoral Implants in Patients 70 Years and Older Clinical Orthopaedics and Related Research®. ,vol. 470, pp. 442- 449 ,(2012) , 10.1007/S11999-011-2063-Z
Mohammad Arabmotlagh, Markus Rittmeister, Thorsten Hennigs, Alendronate prevents femoral periprosthetic bone loss following total hip arthroplasty: prospective randomized double-blind study. Journal of Orthopaedic Research. ,vol. 24, pp. 1336- 1341 ,(2006) , 10.1002/JOR.20162