Suksathien Y, Chuvanichanon P, Tippimanchai T, Sueajui J. Insufficient lateral stem contact is an influencing factor for significant subsidence in cementless short stem total hip arthroplasty. World J Orthop 2022; 13(5): 444-453 [PMID: 35633743 DOI: 10.5312/wjo.v13.i5.444]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Author contributions: All authors contributed to the study conception and design; Suksathien Y, Chuvanichanon P and Tippimanchai T contributed to the material preparation, data collection and performed analysis; Suksathien Y wrote the first draft of the manuscript; and all authors commented on previous versions of the manuscript and read and approved the final manuscript.
Institutional review board statement: This study was Approval by the Institutional Review Board of Maharat Nakhon Ratchasima Hospital, Thailand (Approval No. 046/2021).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest to declare that are relevant to the content of this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: October 8, 2021 Peer-review started: October 8, 2021 First decision: January 12, 2022 Revised: January 25, 2022 Accepted: April 29, 2022 Article in press: April 29, 2022 Published online: May 18, 2022
Core Tip
Core Tip: Short stem total hip arthroplasties (THAs) are commonly used in young and active patients. The advantages of these stems include more proximal load transfer which reduces stress shielding and, thigh pain, and they provide better options should revision surgery become necessary. Subsidence is one of the concerning complications in cementless femoral fixation. It is particularly important to identify the key intraoperative decision criteria to predict post-implantation subsidence of the short stem, which should be useful for choosing the proper size and position of the short stem and for allowance of early weight bearing post-operatively. This study demonstrated that insufficient lateral stem contact was a statistically significant influencing factor on significant subsidence. Therefore, it is a particularly important step to create proper lateral cortical contact when performing the short stem THA.
