Mid-Term Outcomes of a Short Modular Neck-Preserving Cementless Hip Stem: A Retrospective Study With a 6-Year Minimum Follow-Up.

Autor:	Carnovale M; Emergency Department, Policlinico Umberto I University Hospital, Rome, Italy., De Meo D; Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Rome, Italy.; Department of General Surgery, Plastic Surgery and Orthopaedics, Policlinico Umberto I University Hospital, Rome, Italy., Guarascio G; Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Rome, Italy.; Department of General Surgery, Plastic Surgery and Orthopaedics, Policlinico Umberto I University Hospital, Rome, Italy., Martini P; Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Rome, Italy.; Department of General Surgery, Plastic Surgery and Orthopaedics, Policlinico Umberto I University Hospital, Rome, Italy., Cera G; Emergency Department, Policlinico Umberto I University Hospital, Rome, Italy., Persiani P; Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Rome, Italy.; Department of General Surgery, Plastic Surgery and Orthopaedics, Policlinico Umberto I University Hospital, Rome, Italy., Candela V; Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Rome, Italy.; Department of General Surgery, Plastic Surgery and Orthopaedics, Policlinico Umberto I University Hospital, Rome, Italy., Gumina S; Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Rome, Italy.; Istituto Clinico Ortopedico Traumatologico (ICOT), Latina, Italy., Villani C; Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, Rome, Italy.; Department of General Surgery, Plastic Surgery and Orthopaedics, Policlinico Umberto I University Hospital, Rome, Italy.
Jazyk:	angličtina
Zdroj:	Arthroplasty today [Arthroplast Today] 2024 Apr 27; Vol. 27, pp. 101387. Date of Electronic Publication: 2024 Apr 27 (Print Publication: 2024).
DOI:	10.1016/j.artd.2024.101387
Abstrakt:	Background: The neck-preserving cementless short stem represents a valid therapeutic option for total hip replacement in high-functional-demand patients, but few studies are available about the use of modularity in the last-generation short stem. The aim of the study was to evaluate the mid-term survival of a specific implant design that combines partial collum short hip stem with neck modularity; assessing the functional status was the second endpoint. Methods: A retrospective single-center cohort study was conducted on 75 patients aged 35 to 80 years, with a minimum 6-year follow-up. Patients with neurological/rheumatic pathologies and previous hip surgeries were excluded. All the patients underwent total hip replacement with a short modular neck-preserving cementless hip stem. Clinical outcomes, complications, revisions, and the Western Ontario and McMaster Universities Osteoarthritis Index, Harris hip score, and Short Form 12-Item Health Survey (SF-12) questionnaires were evaluated. The results were compared with healthy population's data extracted from the literature, stratified by age. Results: The Kaplan-Meier analysis revealed a 10-year implant survival rate of 96.7%, coupled with a revision rate of 1.3%. Results showed a Harris hip score and physical SF-12 significantly lower and a mental SF-12 higher when compared to healthy population. No statistically significant differences emerged when comparing groups based on neck modularity. Conclusions: The short modular neck-preserving cementless hip stem emerged as a reasonable choice for patients with elevated functional demands, ensuring good clinical outcomes while preserving bone integrity. The use of a modular neck in short stems didn't show any mechanical problems in the mid-term. (© 2024 The Authors.)
Databáze:	MEDLINE
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