Outcomes of short stems in total hip arthroplasty.

@article{Banerjee2013OutcomesOS,
  title={Outcomes of short stems in total hip arthroplasty.},
  author={Samik Banerjee and Robert Pivec and Kimona Issa and Steven F. Harwin and Michael A Mont and Harpal S. Khanuja},
  journal={Orthopedics},
  year={2013},
  volume={36 9},
  pages={
          700-7
        }
}
Short-stem total hip arthroplasty has been proposed as a bone-conserving procedure for the younger and more active population undergoing total hip arthroplasty. Although various short stems are currently available, no studies compare the outcomes between these stems. The aim of the current study was to conduct a systematic review of the clinical and radiographic outcomes of the various short stems that have been approved for use in the United States by the Food and Drug Administration. Outcomes… 
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Citation Type

Short-Stem Prostheses in Total Hip Arthroplasty: An Unexpected Short-Term Complication: A Report of 2 Cases.
TLDR
Patients who complain of new-onset thigh pain in the setting of short-stem total hip arthroplasty should have a femoral stress fracture included in the differential diagnosis and be worked up appropriately.
Short Stems in Total Hip Replacement: Current Status and Future
  • C. Castelli, L. Rizzi
  • Medicine
    Hip international : the journal of clinical and experimental research on hip pathology and therapy
  • 2014
TLDR
The features of the short stems are described and a stress distribution at the level of the proximal femur more similar to the physiological femur is reproduced limiting the stress-shielding that occur with conventional cementless stems.
Comparison of Blood Loss Between Short-Stem and Conventional Femoral Implants in Total Hip Arthroplasty
TLDR
The medical records of patients were reviewed to determine if using shortstem devices diminished the blood loss during THA, and it was hypothesized that short-stem femoral implants would result in lower intraoperative blood loss and transfusion rates compared with conventional Femoral implants.
Short versus conventional stem in cementless total hip arthroplasty
TLDR
There was no statistically significant survival difference in uncemented THA between comparison groups but a lower incidence for PJI in short-stem THA in the considered period.
Cementless short-stem total hip arthroplasty in the elderly patient - is it a safe option?: a prospective multicentre observational study
TLDR
Advanced age alone is not necessarily to be considered as contra-indications for calcar-guided short-stem THA, although further follow-up is needed.
Uncemented short stems in primary total hip arthroplasty
TLDR
Although the vast majority of stems demonstrated a good osseointegration, some prostheses transferred loads particularly to the lateral and distal-medial regions, favouring proximal stress shielding and bone atrophy in the great trochanter and calcar regions.
Outcome of short versus conventional stem for total hip arthroplasty in the femur with a high cortical index: a five year follow-up prospective multicentre comparative study
TLDR
In patients with high cortical index, a short stem shows better clinical and radiological outcomes at five year follow-up, and a significant improvement in the functional scores in both groups with no significant difference at final follow- up.
Comparison of short-stem with conventional-stem prostheses in total hip arthroplasty: an 8-year follow-up study
TLDR
The short-stem prosthesis provides mid-term results comparable to those of a standard- stem prosthesis, and excellent patient-reported outcomes were achieved after an average of 8 years after implantation.
TREATMENTS FOR AVASCULAR NECROSIS OF THE FEMORAL HEAD USING SHORT-STEM HIP ARTHROPLASTY
TLDR
The aim of this study was to review researches comparing the outcome of short-stem and conventional-stem arthroplasty in osteonecrosis of the femoral head and to present the pros and cons ofShort-stem hip arthro Plasty in ONFH.
Short stem total hip arthroplasty with the direct anterior approach demonstrates suboptimal fixation
TLDR
Patients presenting radiological alterations at five years had an increased risk of revision for aseptic stem loosening and also inferior clinical results, and warrants further continued scrutiny of mid- and long-term survivorship of the AMIStem-H®,.
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References

SHOWING 1-10 OF 69 REFERENCES
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TLDR
The purpose was to review the literature concerning MIS THA, to determine if using short stems over standard femoral components is beneficial and if surgical approach affects the ability to use any type of stem.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
Fewer intraoperative complications occurred with the short stems, attesting to the easier insertion of these devices, suggesting shortened stems can be used with low complication rates and do not compromise the survival and functional outcome of cementless THA.
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