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Related Experiment Video

Updated: Jul 15, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

A modified transfemoral approach using modular cementless revision stems.

Bernd Fink1, Alexandra Grossmann, Svenja Schubring

  • 1Department of Joint Replacement, General and Rheumatic Ortho paedics, Orthopaedic Clinic Markgröningen gGmbH, Markgröningen, Germany. b.fink@okm.de

Clinical Orthopaedics and Related Research
|May 15, 2007
PubMed
Summary

A modified transfemoral approach using modular curved cementless revision stems improves hip revision surgery outcomes. This method enhances bony flap union and reduces stem subsidence, particularly when the femoral fixation zone exceeds 3 cm.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Engineering

Background:

  • Traditional transfemoral approach with nonmodular stems has issues with bony union and stem subsidence.
  • Revision hip arthroplasty presents unique challenges for achieving stable fixation and bone healing.

Purpose of the Study:

  • To evaluate the efficacy of a modified transfemoral approach with modular curved cementless revision stems.
  • To compare outcomes with traditional methods regarding bony flap union and stem subsidence.

Main Methods:

  • Prospective analysis of 68 hip revision surgeries.
  • Clinical and radiographic follow-up for a minimum of 24 months.
  • Assessment of bony consolidation, stem subsidence, and implant stability.

Main Results:

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Last Updated: Jul 15, 2026

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  • 98.5% bony consolidation of the osteotomy at one year.
  • 8.8% stem subsidence, with loosening in cases with <3 cm fixation zone.
  • Significant improvement in Harris hip score from 41.4 to 85.9 at 24 months.

Conclusions:

  • Modified transfemoral approach with modular curved stems yields reproducible good results.
  • Adequate femoral fixation zone (≥3 cm) is crucial for preventing subsidence and loosening.
  • This technique offers improved outcomes for revision hip arthroplasty.