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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

19.08.2024 | Original Article

Native hip geometry restoration in total hip arthroplasty: a retrospective analysis of eight different short stems

verfasst von: Ennio Sinno, Yuri Piccolo, Marco Scrivano, Giuseppe Rovere, Martina Damanti, Gabriele Panegrossi

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 6/2024

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Abstract

Purpose

To compare different types of short stems (SS) in terms of native hip geometry reproducibility, analyzing centrum-collum-diaphyseal angle (CCD) and femoral offset (FO). These parameters allow the SS to be adapted to patient’s anatomy in order to ensure better functional outcomes in total hip arthroplasty (THA).

Methods

A total of 387 cases of SS met the inclusion criteria. CCD and FO were measured using MediCAD® software Version 6 in preoperative (preop-) and postoperative (postop-) X-rays at 6–12 months after surgery. Considering preop-CCD, the sample was divided into three groups: ≤ 124.9° (A); 125°–129.9° (B); and ≥ 130°(C). Preop- and postop-CCD and FO and the respective average difference (Δ) were examined considering the SS individually and within groups, to verify reproducibility of these parameters.

Results

The SS considered were eight: Fitmore Zimmer, Pulchra Adler, TRIS Adler, Trifit Corin, Trilock Depuy, Actis Depuy, Profemur Microport, and SMF Smith&Nephew. Groups A, B, and C consisted, respectively, of 113, 124, and 150 cases. Considering all cases, there was a statistically significant (p < 0.05) increase in CCD and FO with surgery. Overall, Trifit and Trilock stems were the best in reproducing preop-CCD, Trifit itself followed by Pulchra and Profemur for preop-FO. In groups A and C, the reproduction of preop-CCD was better than preop-FO, in contrast in group B. With regard to preop-CCD reproduction, in group A Trifit and Pulchra, in group B Fitmore and Trifit, and in group C Fitmore and Pulchra were the best. Fitmore in group A, SMF in group B, Pulchra and Trilock in group C were the worst in reproducing preop-FO.

Conclusion

Each hip anatomy is unique, and reproduction of preop-CCD and preop-FO can be achieved with different SS characteristics. Accurate knowledge of the stems and performing correct preop- planning are crucial to allow the best restoration of the patient's native hip geometry in THA.

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Titel: Native hip geometry restoration in total hip arthroplasty: a retrospective analysis of eight different short stems
verfasst von: Ennio Sinno
Yuri Piccolo
Marco Scrivano
Giuseppe Rovere
Martina Damanti
Gabriele Panegrossi
Publikationsdatum: 19.08.2024
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 6/2024
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-024-04075-6

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Native hip geometry restoration in total hip arthroplasty: a retrospective analysis of eight different short stems