AI Article Synopsis
- The study aimed to compare the return to sport activity between short and conventional femoral cementless stems in total hip arthroplasty for patients aged 50 and younger.
- A total of 83 hips from 83 patients were analyzed, with similar outcomes in Harris Hip Scores and radiographic assessments, indicating both stem types provided stable results.
- No significant difference in return to sports activity was found between the two groups, with the short stem showing fewer complications like thigh pain and intraoperative fractures.
Article Abstract
Background: The aim of this study was to compare return to sport activity between a short femoral cementless stem and a conventional femoral cementless stem in total hip arthroplasty in patients 50 years old and younger.
Methods: We retrospectively reviewed 55 patients (61 hips) treated with a short femoral cementless stem and 28 patients (32 hips) treated with a conventional femoral cementless stem 50 years old and younger from December 2009 and December 2014.Their mean age was 39.86 (22-49) years and 38.68 (18-49) years, respectively. The mean follow-up was 54.1 (15-68) months and 52.7 (15-72) months, respectively. They were pre- and postoperatively evaluated by the clinical and radiological examination.
Results: No patients with the short stem had intraoperative fracture, but 1 patient with the conventional stem had intraoperative fracture. At final follow-up, there was no statistically significant difference in Harris Hip Score, and radiographic review level between 2 stems. No hip with the short stem had thigh pain, but 6 hips with the conventional stem had thigh pain at the final follow-up. No component was revised for aseptic loosening in either group. There were no differences observed in the return to sports activity between the 2 groups.
Conclusions: Our study demonstrated that both short cementless stem and conventional cementless stem provided stable fixation and achieved a satisfactory result in patients 50 years old and younger. There is no difference in return to sports activity level after the procedure.
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| http://dx.doi.org/10.5301/hipint.5000404 | DOI Listing |
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