The collum femoris preserving stem: early results

Femoral neck preserving stems have been developed to take advantage of the biomechanical properties of the femoral neck, and to optimise femoral anchorage and load distribution. The aim of this study was to report the clinical and radiological results in a group of 126 patients (150 hips), operated on for a total hip arthroplasty with the CFP stem. Clinical evaluation considered Harris Hip Score (HHS), thigh pain, Charnley classification, peri- and post-operative complications. Radiographic variables were stem sizing and alignment, femoral and acetabular osteolysis, the quality of cementation and restoration of the offset. The HHS at mean follow-up of 66 months was 83 points. We did not observe femoral or acetabular osteolysis, secondary malalignment or radiographic reactions, but only bone remodelling under the collar. The CFP stem must be used appropriately based on pre-operative planning (correct morphology and torsion of the femur). The surgical technique is straightforward if carried out step by step. We did not see any cases of significant limb length discrepancy.