Short Metaphyseal Femoral Stem Total Hip Arthroplasty in Poor Quality Bone Cortex Without Neck Length Sparing: A Case Report
DOI:
https://doi.org/10.56929/jseaortho-2025-0201Keywords:
Short stem total hip arthroplasty, fixation failure in femoral neck fracture, ipsilateral neck-shaft fractures of femur, cortical femoral neck ringAbstract
Purpose: The principle of short metaphyseal femoral stem total hip arthroplasty (short stem THA) required the cortical ring of the femoral neck and lateral touch of the distal stem at the proximal femur, but this case had an improper cortical ring of the femoral neck and lateral touch.
Methods: A case report of a 39-year-old male who underwent short stem THA surgery owing to a failure of the femoral neck fixation and delayed union of the femoral shaft fracture.
Results: The patient reported successful 5-year clinical and radiographic outcomes for a short stem THA.
Conclusions: Short stem THA could be an alternative implant option, compared with conventional cementless stem, for young patients with good bone quality, despite lacking femoral neck anchoring, with superiority in terms of bone stock preservation and more natural loading.
Metrics
References
Smith-Petersen M, Larson C, Aufranc O, et al. Complications of old fractures of the neck of the femur; results of treatment of vitallium-mold arthroplasty. J Bone Joint Surg Am 1947;29:41-8.
Yan SG, Chevalier Y, Liu F, et al. Metaphyseal anchoring short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study. J Orthop Surg Res 2020;15,498.
Rapeepat N, Pacharapol U. Cementless femoral component: Short metaphyseal stem. In: Thanainit C, editor. Textbook of total hip arthroplasty surgery. 1st Thai edition: Thai hip&knee society, RCOST; 2010. p.240-1.
Milecki M, Kowalczewski J, Wielopolski A, et al. Modular short-stem prosthesis in total hip arthroplasty: preliminary report. Chir Narzadow Ruchu Orthop Pol 2008;73:244-7.
Tippimanchai T, Suksathien Y, Suksathien R. Patient reported outcome in short stem total hip arthroplasty. JRCOST 2020;44:26-34.
Walker PS, Blunn GW, De Prada D, et al. Design rationale and dimentional considerations for a femoral neck prothesis. Clin Orthop Relat Res 2005;441:313-9.
Coutandin M, Afghanyar Y, Rehbein P, et al. Downsizing in total hip arthroplasty. A short stem as a revision implant. Orthopade 2022;51:230-8.
Thorat B, Singh A, Vohra R. Role of a bone conserving short stem femoral component in revision total hip arthroplasty: A case report. J Clin Orthop Trauma 2020;14:29-33.
Lee PYF, Woodnutt DJ, Golding DM. A short femoral stem in revision total hip replacement: An alternative solution for prosthetic fracture: A case report. JBJS Case Connect 2017;7:e33.
Moga M, Pogarasteanu ME. Technical considerations and functional results in primary uncemented hip arthroplasty using short femoral stems through mini-invasive techniques. J Med Life 2014;7:403-7.
Diamond OJ, Mullan CJ, McAlinden MG, et al. Total hip arthroplasty following an ipsilateral above knee amputation. Hip Int 2013;23:104-7.
Oh KJ, Yang JH. Versatile application of short stem during total hip arthroplasty. Eur J Orthop Surg Traumatol 2013;23 Suppl 2:S229-32.
Kim TY, Lee KB, Kwon DJ, et al. Total hip arthroplasty using a short-stemmed femoral component in the presence of a proximal femoral fixation device - a case report. Hip Int 2010;20:261-4.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 The Royal College of Orthopaedic Surgeons of Thailand
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
