Standard versus short stem cemented Exeter((R)) when used for primary total hip arthroplasty: a survivorship analysis

Article Orthopedics

Survivorship and functional outcome of a cemented acetabular component with bulk roof autograft for severe acetabular dysplasia: 12-to 23-year follow-up

Nick D. Clement et al.

Summary: The study aimed to evaluate the survival and clinical outcome of a cemented acetabular component with bulk roof autograft for acetabular dysplasia with a minimum of 12 years follow-up. The results showed that this method provided excellent survival, good to excellent functional outcome, and high patient satisfaction in the medium- to long-term.

HIP INTERNATIONAL (2023)

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Article Orthopedics

Can Arthroplasty Stem Influence Outcome: A Randomized Controlled Trial of Stem Length in Cemented Total Hip Arthroplasty

Paul Gaston et al.

Summary: This study found that using a short stem in cemented total hip arthroplasty was equivalent to using a standard stem in terms of hip-specific function, health-related quality of life, and patient satisfaction at a mean of 2 years post operation. However, the short stem was associated with a higher rate of varus malalignment, which may affect the implant's survival.

JOURNAL OF ARTHROPLASTY (2023)

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Article Orthopedics

Survival of the Exeter V40 short revision (44/00/125) stem when used in primary total hip arthroplasty

Jonathan T. Evans et al.

Bone & Joint Journal (2023)

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Article Orthopedics

Varus malalignment of short femoral stem not associated with post-hip arthroplasty fracture

Scott T. Nishioka et al.

Summary: In this study on the use of short cementless taper-wedged femoral stems, it was found that varus malalignment did not contribute to early periprosthetic fracture risk, with most fractures occurring in neutrally aligned stems. This suggests that forceful intraoperative realignment of neutrally aligned stems with good initial fixation may pose an unnecessary risk of intraoperative fracture.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2022)

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Article Orthopedics

Clinical evaluation of the cemented Exeter Short 125 mm stem at a minimum of 3 years: A prospective cohort study

Rebecca Martin et al.

Summary: This study demonstrates that the Exeter Short 125 mm stem implants are a safe and effective option for total hip replacements. The patient reported outcome measures for patients who received these implants were comparable to those for patients who received a 'standard' size stem.

JOURNAL OF ORTHOPAEDICS (2022)

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Article Oncology

A comparison of short-stem prostheses and conventional stem prostheses in primary total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials

Zhen Zhang et al.

Summary: Compared with conventional stem prostheses, short-stem prostheses like Proxima SS can decrease the incidence of thigh pain and provide better proximal bone remodeling. However, there were no significant differences in revision rates, Harris Hip Score, or maximum total point motion between the two types of prostheses. Further high-quality randomized controlled trials are needed to verify these findings.

ANNALS OF TRANSLATIONAL MEDICINE (2021)

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Review Orthopedics

Analysis of the Exeter V40 femoral stem prosthesis fracture SYSTEMATIC REVIEW AND SINGLE CENTRE CASE SERIES

J. W. Thompson et al.

Summary: The Exeter V40 cemented polished tapered stem system has excellent long-term outcomes, but the risk of stem fractures is higher in revision arthroplasty patients and with 125 mm length stems compared to longer stems. Short 125 mm V40 stems are associated with stem-body fractures, earlier time to fracture, younger patient age, and female sex.

BONE & JOINT OPEN (2021)

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Article Orthopedics