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Z Orthop Unfall 2019; 157(05): 548-557
DOI: 10.1055/a-0808-5115
Review/Übersicht
Georg Thieme Verlag KG Stuttgart · New York

A Differentiated View on Short Stemmed Hip Arthroplasty – What are the Differences in Fixation and Biomechanics?

Article in several languages: English | deutsch
Jörg Jerosch
1   Clinic for Orthopaedics and Orthopaedic Surgery, Johanna-Etienne Hospital, Neuss
,
Lars Victor von Engelhardt
2   Department for Trauma Surgery, Orthopaedics and Sports Medicine, Catholic Karl Leisner Hospital Kleve, Witten/Herdecke University, Faculty of Health, Witten
› Author Affiliations
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Publication History

Publication Date:
11 April 2019 (online)

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Abstract

The present paper gives an overview of the different types of short stem total hip replacements. There is a pronounced inhomogeneity of the nomenclature in clinical practice as well as in regard to the scientific literature. Examples include neck preserving implants, meta-, epi- or metadiaphyseal fixed implants, microimplants, ultrashort implants, partial neck preserving implants, trochanteric sparing implants, implants with extra- and/or intramedullar fixation, implants without primary fixation, etc. Biomechanically, the short stems vary from very short, completely neck retaining versions up to implants which are just a shorter version of a standard implant. A frequently cited classification recommends the osteotomy level as a discriminating factor. This classification categorizes into a neck preserving, partial neck preserving and neck resecting short stems.

Key words

primary hip arthroplasty - short stemmed endoprosthesis - hip arthroplasty classifications - biomechanics
 

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