الفهرس | Only 14 pages are availabe for public view |
Abstract The good clinical results in hip arthroplasty have led to an increasing number of joint replacements in younger patients. Regardless, it is well known that this patient group faces an increased risk of early implant failure, which is probably related to their higher activity level. Early cementless implants obtained reproducible fixation distally. However this was associated with thigh pain, and the proximal offloading predisposed to stress shielding with loss of proximal bone stock. All these issues are addressed by conservative implants. In order to facilitate potential revision surgeries, bone-preserving implants, such as hip resurfacing arthroplasty (HRA) and short stem arthroplasty (SHA) implants, have been developed and recently have gained increasing popularity. A comparative study between short stem and standard cementless stem in the treatment of young patients with osteoarthritic hips was done and revealed that short stems are as effective as standard stems in relieving pain and improving function. And the complications were similar to that in the literature. |