These studies did not show a satisfactory overall survival rate
Background and purpose The aim of short-stem total hip arthroplasty is to preserve proximal bone stock for future revisions , to improve biomechanical reconstruction , and to make minimally invasive approaches easier .
It is therefore being increasingly considered to be a sound alternative to conventional total hip arthroplasty , especially for young and active patients .
However , it is still unknown whether survival rates of short-stem  hips match current st and ards .
We made a systematic summary of reported overall survival after short-stem total hip arthroplasty .
The Mayo Cementless Femoral Component in Active Patients with Osteoarthritis
This prospect i ve study reports the clinical and radiological results of a single-surgeon series using the Mayo conservative hip stem in a district hospital . 30 total hip arthroplasties were performed in 26 physically active patients . There were 18 women and 8 men , with a mean age of 57.4 years ( range 36–79 ) . 4 cases were bilateral . The operation was performed for severe primary or secondary osteoarthritis of the hip . Duration of follow-up ranged from 67–87 months ( mean 81 months ) . There were no early complications relating to the surgical procedure . There was one case of traumatic fracture of the femur during rehabilitation , while late complications included two cases of late infection ( 4 months and 16 months after surgery ) both revised in two-stage procedures . There was considerable improvement in Merle d'Aubigne score following surgery . There were no revisions for aseptic loosening , but we identified 2 implants with significant radiolucent lines and subsidence six years after the index operation . Neither patient experienced pain in the hip or restriction of activity . Therefore , the aseptic loosening survival rate was 100 % ( end point = revision operation ) . Taking radiological loosening as the end point survivorship was 93.3 % . The use of the Mayo short stem component in active patients may preserve bone and enable subsequent revision operations to proceed using primary implants . Our results suggest that conservative design s of this type may be of benefit in selected individuals
These studies did not show a satisfactory overall survival rate
Background and purpose The aim of short-stem total hip arthroplasty is to preserve proximal bone stock for future revisions , to improve biomechanical reconstruction , and to make minimally invasive approaches easier .
It is therefore being increasingly considered to be a sound alternative to conventional total hip arthroplasty , especially for young and active patients .
However , it is still unknown whether survival rates of short-stem  hips match current st and ards .
We made a systematic summary of reported overall survival after short-stem total hip arthroplasty .