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Material composition of this tapered stem design is unrelated to the incidence of thigh pain.
Bone mineral density of Gruen's zones 2 and 6 was significantly lower around the tapered stem.
We analyzed whether primary stability as presupposition for long-term fixation can be achieved with a current tapered stem design.
Distal fixation achieved with a tapered stem design has demonstrated favorable clinical results in revision total hip arthroplasty in the setting of severe bone defects.
Two-hundred patients presenting with a displaced intracapsular fracture of the hip were randomised to receive either a cemented Thompson hemiarthroplasty or a cemented smooth tapered stem hemiarthroplasty (Exeter Trauma Stem).
Cancellous condensation was always found in Gruen's zones 2 and 6 around the cylindrical stem and in regions between zones 2 and 3 and between zones 6 and 5 around the tapered stem.
Similar(40)
We report the outcome of 58 consecutive polished tapered stems in 47 patients younger than 50 years, with a minimum of 10 years of follow-up.
Out of these 11, 8 were long CPT double tapered stems and 3 were VerSys cemented stems (Zimmer).
On the other hand, polished tapered stems make good use of cement creep and stress relaxation of cement to achieve stability [23].
Monoblock fluted and tapered stems provide stable axial fixation in the distal femur and excellent rotational stability, promoting spontaneous formation of new bone at the site of the defect [6, 7, 9, 11, 12, 13, 14, 15].
The rough surface finish is only important in creating this instability in tapered stems.
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