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Updated: Aug 19, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
How close does an uncemented hip stem match the final rasp position?
Marco Barink1, Hjalmar Meijers, Maarten Spruit
1Orthopaedic Research Laboratory, University Medical Centre Nijmegen, Nijmegen, The Netherlands.
Abstract:
During total hip arthroplasty the final clinical position of the cementless CLS stem (Centerpulse) is not always identical to the position of the final rasp with which a successful trial reduction was performed. Therefore, the rasp-stem correspondence of CLS system (Centerpulse) was investigated in a laboratory study and compared to the CBC-T system (Mathys). Both systems showed an average rasp-stem mismatch below 2 mm in three orthogonal directions. It was found that this mismatch related to geometric differences at the corners between rasp and stem. The measured mismatch is not expected to have adverse clinical consequences.
