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Updated: May 10, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Revising short-stem THA with either a new short stem or a primary stems: A feasible and durable strategy
Sinan Kara1, Julie Manon2, Thomas Van den Wyngart2
1Orthopaedic and Trauma Department, Cliniques Universitaires Saint-Luc UCL, Brussels, Belgium.
Background:
Short-stem total hip arthroplasty (THA) has gained popularity due to its bone-preserving design, reduced stress shielding, and facilitation of future revisions. However, concerns persist regarding a higher incidence of complications especially during the learning curve. The feasibility of revising Fitmore short stems using either a new short or a standard primary stem, rather than dedicated revision implants, remains debated.
Methods:
We retrospectively reviewed 44 consecutive revisions following primary implantation of a Fitmore® metaphyseal short stem. Revision femoral components were classified as short, primary, or revision stems. Indications for revision, stem choice, and outcomes were analyzed.
Results:
Revision was performed using a short stem in 11 cases, a standard primary stem in 26 cases, and a revision stem in 7 cases. Mean follow-up was 69 months. The mean Harris Hip Score was 82.3 ± 8.4. Two patients (4.5%) required re-revision, one due to traumatic periprosthetic fracture and the other for hematogenous infection.
Conclusion:
Revision of failed short-stem THA using new short stem or standard primary stems is feasible in the vast majority of cases, with excellent mid-to long-term outcomes and a low re-revision rate. These findings challenge the notion that short stem revisions inherently require complex revision implants.
Level Of Evidence:
IV; Retrospective consecutive case series.
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