Our results suggest that compared with CS , SS may provide superior bone remodelling and similar survival rates and clinical outcomes .
However , the short-term follow-up of the included studies was inadequate to determine the long-term performance of SS
OBJECTIVE Cementless total hip arthroplasty (  THA ) is associated with reliable clinical results and high patient satisfaction .
Short-stem prostheses ( SS ) were design ed to achieve superior preservation of proximal bone stock and stability compared with those of conventional-stem prostheses ( CS ) .
This meta- analysis was conducted to determine the proximal bone remodelling , revision rate , Harris Hip Score , radiolucent line and maximum total point motion values of both SS and CS for primary THA .
No Increased Migration in Cups with Ceramic-on-Ceramic Bearing: An RSA Study
Ceramic-on-ceramic hip replacements might stress the bone interface more than a metal-polyethylene because of material stiffness , microseparation , and sensitivity to impingement . To ascertain whether this potentially increased stress caused an increased cup migration we compared a ceramic-on-ceramic with a metal-on-polyethylene implant for cup migration . Sixty one patients ( 61 hips ) undergoing THA for osteoarthritis were  r and omized to ceramic on ceramic ( Ce/Ce ) or cobalt-chromium on cross-linked polyethylene bearings ( PE ) in the same uncemented cup shell . Migration was followed with RSA . At 2 years we observed similar mean cup translations in the 3 directions ( 0.07 - 0.40 mm vs. 0.05 - 0.31 mm , Ce/Ce vs. PE ) , as well as similar rotations around the 3 axes ( 0.31 - 0.92 ° vs. 0.57 - 1.40 ° ) . WOMAC and SF-36 scores were also similar and no radiolucent lines or osteolysis found . The large migration seen in some cups in both implant groups will require close monitoring to ascertain the reasons . Mean proximal wear of the polyethylene liners measured 0.016 mm between 2 and 24 months . Our data suggest there is no increased cup migration in the ceramic-on-ceramic implant compared with the metal-on-polyethylene , and they seem an equally safe choice . However , the low wear measured with the more versatile and less expensive cross-linked polyethylene makes it a strong contender . Levels of Evidence : Therapeutic Level I. See the Guidelines for Authors for a complete description of levels of evidence
Our results suggest that compared with CS , SS may provide superior bone remodelling and similar survival rates and clinical outcomes .
However , the short-term follow-up of the included studies was inadequate to determine the long-term performance of SS
OBJECTIVE Cementless total hip arthroplasty (  THA ) is associated with reliable clinical results and high patient satisfaction .
Short-stem prostheses ( SS ) were design ed to achieve superior preservation of proximal bone stock and stability compared with those of conventional-stem prostheses ( CS ) .
This meta- analysis was conducted to determine the proximal bone remodelling , revision rate , Harris Hip Score , radiolucent line and maximum total point motion values of both SS and CS for primary THA .