Comparing femoral stem designs in cementless total hip arthroplasty .
Evaluation of Proximal Femoral Bone Mineral Density in Cementless Total Hip Arthroplasty: A 3-Arm Prospective Randomized Controlled Trial.
J Bone Joint Surg Am . 2024 Mar 20;106(6):508-516.One hundred and nineteen patients with hip osteoarthritis were randomized to receive either a proximally coated collarless dual-taper wedge stem (n=38), a proximally coated collarless anatomic stem (n=36), or a fully coated collarless triple-taper stem (n=38). The primary outcome of interest was the change in proximal femoral BMD, assessed at multiple intervals up to two years postoperatively. Secondary outcomes included patient-reported pain, function, and health-related quality of life. Overall, results showed significant BMD preservation in the lateral cortex (Gruen zone 2) for the dual-taper wedge and anatomic stems (p=0.019) and an increase in BMD across most proximal zones.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
