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Updated: Jul 16, 2026
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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
[Short-stemmed endoprostheses in total hip arthroplasty]
J Gulow1, R Scholz, G Freiherr von Salis-Soglio
1Orthopädische Klinik und Poliklinik am Universitätsklinikum Leipzig AöR, Liebigstrasse 20, 04103 Leipzig, Deutschland. orthopaedie@medizin.uni-leipzig.de
Der Orthopade
|March 23, 2007
Summary
Short-stemmed hip implants offer a valuable alternative for younger patients, particularly for revision surgery. While long-term data exists for some systems, others show promising early results.
Area of Science:
- Orthopedic surgery
- Biomedical engineering
- Implant design
Background:
- Short-stemmed endoprostheses in total hip arthroplasty anchor in the metaphysis and proximal diaphysis, differing from classic longer stems.
- These implants offer advantages for revision surgeries and accommodate diaphyseal bone marrow spaces for proximal sizing.
Purpose of the Study:
- To introduce well-established short-stemmed hip implant systems currently in clinical use.
- To evaluate the clinical outcomes and long-term efficacy of these short-stemmed prostheses.
Main Methods:
- Review and introduction of prominent short-stemmed endoprostheses.
- Analysis of available clinical data, including long-term and medium-term results.
Main Results:
- Positive long-term results are documented for the Pipino and Mayo short-stemmed systems.
- Encouraging short to medium-term outcomes are reported for C.F.P.(R), Metha, PROXIMA, and ESKA stems, considering their learning curves.
Conclusions:
- Short-stemmed endoprostheses are a valuable alternative in hip arthroplasty, especially for younger patient populations.
- Continued scientific evaluation and experience are necessary, but current data supports their efficacy.
