Short Uncemented Femoral Stems in Total Hip Arthroplasty
Marco Aurélio Silvério Neves1*, Leandro Gregorut Lima1, Gustavo Rocha Santos1, Kelly Cristina Moutinho da Costa1, Thais Cristina Rampazo1 and Barbara Fialho Carvalho Sampaio1,2
1Arthron Specialized Medical Service, Brazil
2University of São Paulo School of Medicine, Brazil
*Corresponding Author: Marco Aurélio Silvério Neves, Arthron Specialized Medical Service, Brazil.
Received:
June 30, 2022; Published: September 30, 2022
Abstract
Total hip arthroplasty with short stems has been increasingly used in the treatment of hip degenerative diseases. Total hip arthroplasty with short stems can preserve bone stock and are a good choice in young patients who will eventually undergo revision surgery. It is also a good choice when we use approaches for minimally invasive surgeries. In this study, we evaluated clinically and radiologically our cases of total hip arthroplasty with Proxima® short rods (DePuy). Patients were assessed clinically using the Harris Hip Score (HHS). We included in the study a total of 82 hips (77 patients) with mean age of 52 years at the time of surgery. These patients were followed for at least 5 years. There was a slight femoral deviation in Varo from the stem in two cases, with no asseptic loosening. We observed three cases with migration of the femoral component with consequent subsidence in the femoral canal, requiring revision. The metaphyseal stem has good results in most cases, but our experience with this implant demonstrates that it demands more technically from the surgeon and from the bone conditions of the patient.
Keywords: Total Hip Arthroplasty; Metaphyseal Stems; Degenerative diseases
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