Selecting a Press-fit Stem for Total Hip Arthroplasty: The Rationale and Evolution of the Modern Femoral Prosthesis

被引:6
|
作者
Blankstein, Michael
Haimes, Mark A. [1 ]
Nelms, Nathaniel J.
机构
[1] Univ Vermont, Med Ctr, Orthoped & Rehabil Ctr, Burlington, VT 05405 USA
关键词
CEMENTLESS STEMS; FRACTURE RISK; PORE-SIZE; FIXATION; HYDROXYAPATITE; REPLACEMENTS; REGISTRY; SMOOTH; RATES; WEAR;
D O I
10.5435/JAAOS-D-22-00074
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Noncemented press-fit femoral stems predominate in total hip arthroplasty for all age groups with generally excellent long-term survivorship. The 2021 American Joint Replacement Registry reports that 96% of all elective primary total hip arthroplasties used noncemented femoral implant fixation.(1) Today, there are many styles of press-fit stems, each with supposed benefits, based on a range of design philosophies. Design aspects to consider when selecting a stem are numerous, including stem geometry, stem length, collared or collarless, material properties, and surface structure. Although most stem designs demonstrate excellent results, the differences in stem designs are intimately linked to additional factors such as ease of use/ implantation, percentage of surface osseointegration, overall bone removal versus bone stock preservation, subsequent femoral stress shielding, and consideration of complexity of later revision. A surgeon with a broad understanding and appreciation of femoral stem designs should be prepared to select between the multitude of options to best serve individual patients.
引用
收藏
页码:E1279 / E1290
页数:12
相关论文
共 50 条
  • [41] Subsidence of a Single-Taper Femoral Stem in Primary Total Hip Arthroplasty: Characterization, Associated Factors, and Sequelae
    Bornes, Troy D.
    Radomski, Lenny R.
    Bonello, John-Peter
    Mortensen-Truscott, Lukas
    Safir, Oleg A.
    Gross, Allan E.
    Kuzyk, Paul R. T.
    JOURNAL OF ARTHROPLASTY, 2023, 38 (07): : S174 - S178
  • [42] A comparison of a short versus a conventional femoral cementless stem in total hip arthroplasty in patients 70 years and older
    Yu, Huachen
    Liu, Haixiao
    Jia, Man
    Hu, Yuezheng
    Zhang, Yu
    JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2016, 11
  • [43] Does femoral stem choice influence fracture type or incidence for direct anterior approach total hip arthroplasty?
    Combs, Dylan B.
    Nishioka, Scott T.
    Andrews, Samantha N.
    Varcadipane, Joseph
    Nakasone, Cass K.
    ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2022, 142 (11) : 3515 - 3521
  • [44] Minimum 15-Year Results of a Dual-Offset Uncemented Femoral Stem in Total Hip Arthroplasty
    Panichkul, Phonthakorn
    McCalden, Richard W.
    MacDonald, Steven J.
    Somerville, Lyndsay E.
    Naudie, Douglas N.
    JOURNAL OF ARTHROPLASTY, 2019, 34 (12): : 2992 - 2998
  • [45] Design and Verification of a Metaphyseal Filling Stem for Total Hip Arthroplasty Based on Novel Measurements of Proximal Femoral Anatomy
    Carlson, Victor R.
    Springer, Bryan D.
    Faizan, Ahmad
    Peterson, Joshua
    Imami, Don
    Gililland, Jeremy M.
    ARTHROPLASTY TODAY, 2024, 25
  • [46] Higher risk of 2-year cup revision of ceramic-on-ceramic versus ceramic-on-polyethylene bearing: analysis of 33,454 primary press-fit total hip arthroplasties registered in the Dutch Arthroplasty Register (LROI)
    van Loon, Justin
    Sierevelt, Inger N.
    Spekenbrink-Spooren, Anneke
    Opdam, Kim T. M.
    Poolman, Rudolf W.
    Kerkhoffs, Gino M. M. J.
    Haverkamp, Daniel
    HIP INTERNATIONAL, 2023, 33 (02) : 280 - 287
  • [47] Is there a Bone-Preserving Bone Remodelling in Short-Stem Prosthesis? DEXA Analysis with the Nanos® Total Hip Arthroplasty
    Goetze, C.
    Ehrenbrink, J.
    Ehrenbrink, H.
    ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE, 2010, 148 (04): : 398 - 405
  • [48] Long-Term Comparison of Porous Versus Hydroxyapatite Coated Sleeve of a Modular Cementless Femoral Stem (SROM) in Primary Total Hip Arthroplasty
    Tudor, Francois S.
    Donaldson, James R.
    Rodriguez-Elizalde, Sebastian R.
    Cameron, Hugh U.
    JOURNAL OF ARTHROPLASTY, 2015, 30 (10): : 1777 - 1780
  • [49] Distal femoral stem-bone anchorage of a cementless revision total hip arthroplasty Evaluation of 14 patients by CT
    Weiss, Rudiger J.
    Stromwall, Fredrik
    Beckman, Mats O.
    Hansson, Karl A.
    Stark, Andre
    ACTA ORTHOPAEDICA, 2009, 80 (03) : 298 - 302
  • [50] Rectangular Taper Stem Designs Are Associated With a Higher Risk for Periprosthstic Femoral Fractures After Cementless Total Hip Arthroplasty
    Jeong, Sang-Jin
    Park, Chan-Woo
    Cho, Kyungjun
    Jeong, Jusam
    Lim, Seung-Jae
    Park, Youn-Soo
    JOURNAL OF ARTHROPLASTY, 2023, 38 (11): : 2379 - 2385