The Adaptiva custom-made stem--our reasons for not using it anymore

The Adaptiva custom-made stem is a hip stem anchored by fit and fill press-fit into the proximal femur and manufacture is based on computed tomography (CT) scanning. Its concept was developed for primary and revision hip arthroplasty in younger patients in our clinic. We present the advantages and the disadvantages of the system. After 66 months 98.9% of the patients are satisfied with the surgical outcome; 86% attained very good and 9% good results according to the Merle d'Aubigné score. Despite good clinical results and a high satisfaction rate, we stopped using this stem because we do not see any advantages in comparison with standard implants and feel that the price for a custom-made stem for primary hip arthroplasty is too high.