The procedure of total hip arthroplasty (THA) is rapidly evolving. Patients undergoing THA are younger and more active, and they demand an earlier return to their daily activities. All of these factors increase both the early forces on uncemented femoral stems and the risk for complications. Consequently, surgeons must choose implants that provide immediate primary stability. This has led to renewed interest in the use of uncemented collared stems, which have benefits including increased primary stability, decreased risk of subsidence and periprosthetic fracture, and improved load transfer to the proximal femur. [. 2022;45(3):e122-e126.].
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http://dx.doi.org/10.3928/01477447-20220128-02 | DOI Listing |
Arch Orthop Trauma Surg
December 2024
Department of Orthopedic Surgery, Eniwa Hospital, 2-1-1, Koganechuou, Eniwa, Koganechuou, Hokkaido, 061-1449, Japan.
Introduction: Fixation and long-term stability of collared, uncemented stems, such as the CORAIL collared stem, in total hip arthroplasty (THA), depend on a strong cancellous bone sleeve and subsequent osseointegration. This study aimed to investigate bone reaction and mid-term outcomes following compaction autologous bone grafting in uncemented stems in primary THA.
Materials And Methods: This study retrospectively reviewed patients with primary THA using CORAIL collared stem and having ≥ 5 years follow-up.
J Arthroplasty
October 2024
Acıbadem University Maslak Acibadem Hospital, İnternational Joınt Center, İstanbul, Turkey.
Ann Jt
May 2024
Department of Surgery, The University of Auckland, Auckland, New Zealand.
Removing well-fixed uncemented components can be challenging. With thoughtful surgical planning, appropriate surgical instruments, and proper surgical techniques, most implants can be removed expeditiously with little bone loss and minimal impact on the subsequent reconstruction. Preoperative planning is one of the most essential steps to remove uncemented implants.
View Article and Find Full Text PDFInt Orthop
October 2024
Artro Institute, 8, Rue du Pont de Thé, 74940, Annecy Le Vieux, France.
Purpose: To compare clinical and radiographic outcomes of propensity-matched patients undergoing THA using standard versus high offset stems at five years.
Methods: The authors retrospectively reviewed a consecutive series of primary THAs performed between 01/09/2015-31/12/2017 using a fully-hydroxyapatite coated collared stem, with either a standard (n = 365) or high (n = 110) offset. Outcomes collected included: modified Harris Hip Score (mHHS), Oxford Hip Score (OHS), Forgotten Joint Score (FJS), and radiographic measurements including limb length discrepancy (LLD), stem subsidence, and stem radiolucencies.
Cureus
May 2024
Orthopedic Surgery, Hoag Orthopedics Institute, Irvine, USA.
Background The anterior approach for total hip arthroplasty (THA) has gained popularity in recent years. Some surgeons have been hesitant to adopt the approach due to concerns over increased complications such as intraoperative fracture, stem loosening, and stem revision. This study aims to evaluate the all-cause revision rate and survivorship of a collared, triple-tapered stem that was designed specifically for use with the anterior approach in THA to enhance outcomes and reduce adverse events.
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