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OTE200 survey: Short stem hip arthroplasty

Issue: Issue 5 2011

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Are the reported issues with short stem total hip arthroplasty great enough to avoid their use? Why?

I use a short stem THA routinely in most cases, for young and old patients alike. They are safe to use stems in cases of osteoarthritis, osteonecrosis or rheumatoid arthritis. Patients can expect osseointegration about 1 year after surgery, but return to work and normal activities is the same as with conventional implants.

I avoid using short stem implants in cases of intertrochanteric fracture, where distal stem fixation is needed to provide stability. In these patients, proximal fixation may lead to comminuted fracture.

— Young-Hoo Kim, MD
Professor and director of The Joint Replacement Center of Korea
Ewha Women’s University, MokDong Hospital
Seoul, Korea
Disclosure: Kim receives royalties from DePuy, a Johnson & Johnson Company.

A note from the editors: The OTE200 is a group of approximately 200 European orthopaedic practitioners, educators and researchers whose opinions we poll each month. If you would like to be considered for membership, please send a request to ote@slackinc.com.