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 .
Stepwise introduction of a bone-conserving osseointegrated hip arthroplasty using RSA and a randomized study: II. Clinical proof of concept—40 patients followed for 2 years
Background We have developed a bone-conserving commercially pure titanium hip replacement system using osseointegration principles : a metaphyseal loading proximal femoral component affixing into the retained neck and metaphysis only , leaving the femoral canal untouched . The acetabular cup closely fits a dual-geometry cavity , avoiding stress protection at the dome . Patients and methods After extensive laboratory and clinical pilot trial investigations , the surface-engineered implants were su bmi tted to a prospect i ve r and omized controlled clinical trial involving 40 patients ( 40 hips ) , in which they were compared to the cemented Spectron femoral component and cementless Trilogy cup as control implant . The following clinical measures were used to monitor progress at regular intervals for the first 2 postoperative years : radiostereometric analysis ( RSA ) , Harris Hip Score , pain score , WOMAC , and SF-36 . Results After 2 years of follow-up , no statistically significant differences were seen between the groups concerning rotation or translation along the cardinal axes . The patients receiving the Gothenburg osseointegrated titanium ( GOT ) system had significantly higher Harris Hip Score at 6 months , suggesting more rapid recovery . WOMAC , SF-36 and pain analysis were similar for the first 2 postoperative years . Interpretation Our RSA data suggest that osseointegration was achieved for all patients receiving the GOT hip system . This bone-conserving prosthesis may provide a good alternative , especially for young and active patients
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 .