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Updated: May 7, 2026
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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Short stem option for total hip arthroplasty with retained hardware
Orthopedics
|October 8, 2013
Summary
Retained femoral hardware often requires removal before hip replacement. A novel technique using short stems avoided removal, showing excellent short-term results in a hip arthroplasty patient.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Traditionally, retained femoral hardware necessitates removal before total hip arthroplasty (THA).
- Hardware removal poses risks such as pain, stress risers, and refracture.
- Retained hardware presents a surgical challenge in THA planning.
Observation:
- A patient with a retained retrograde femoral nail underwent THA.
- A short, neck-preserving femoral stem was utilized to bypass the hardware.
- This approach aimed to obviate the need for hardware removal.
Findings:
- Excellent short-term clinical outcomes were achieved.
- The use of a short femoral stem successfully accommodated the retained hardware.
- No hardware removal was required, avoiding associated complications.
Implications:
- Short femoral stems offer a viable alternative for THA in patients with retained hardware.
- This technique may be suitable for select patients where standard implants are not feasible.
- It provides a potentially safer option, minimizing risks associated with hardware removal.
