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Short stem hip replacement may be a reasonable alternative to classic implants and surface hip replacements.
This article outlines the recent developments in short stem hip replacement following the concept of conservative hip implants.
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Post-operative "hip precautions" against dislocation may be useful when releasing the iliopsoas arthroscopically in the presence of a stemmed hip replacement.
In this study, we sought to compare the pattern and force required to induce a peri-prosthetic fracture of femurs implanted with uncemented short- and long-stem hip replacements.
We compared patients with metal-on-metal hip replacements (both stemmed hip replacements and resurfacing hip arthroplasty) with two groups: the general population and patients with hip replacement with other bearing surfaces.
Metal-on-metal total hip replacement has become popular over the past decade and now accounts for 35% of hip replacements in the United States 1 and 14% of hip replacements recorded on the National Joint Registry of England and Wales. 2 Of those recorded on the National Joint Registry, about half are stemmed hip replacements and half are resurfacing procedures.
Two models of Ti6Al4V personalized femoral stems for hip replacement have been designed and laser sintered with different sizes of fenestrated architecture that mimics the natural structure of bone, ensuring postoperative bone ingrowth and increasing the elasticity of the entire structure.
20 consecutively treated young aged patients with a cementless short stemmed total hip replacement were included in this study.
The arthroplasty was converted to a femoral stemmed total hip replacement with extra-large femoral head (cement-free BiCONTACT System, Aesculap AG, Tuttlingen, Germany) and retention of the well-fixed acetabular component.
The robust bearing with Birmingham hip resurfacing, the large head with low risk of dislocation, and the mechanically sound femoral reconstruction keeping the point of fixation coincident with the point of loading, unlike a stemmed total hip replacement, are some favourable design features.
Objectives To examine mortality and revision rates among patients with osteoarthritis undergoing hip arthroplasty and to compare these rates between patients undergoing cemented or uncemented procedures and to compare outcomes between men undergoing stemmed total hip replacements and Birmingham hip resurfacing.
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