Short cementless stem has beneficial effects for treating femoral neck fractures .
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A comparison of a conventional versus a short, anatomical metaphyseal-fitting cementless femoral stem in the treatment of patients with a fracture of the femoral neck
J Bone Joint Surg Br. 2012 Jun;94(6):774-81140 patients with Garden III or IV fractures of the femoral neck were randomized to receive either a short anatomical cementless stem or a conventional cementless stem. At four year follow-up, it was found that the two groups did not significantly differ in regards to Harris Hip or WOMAC scores. However, 11 patients who received the conventional stem had thigh pain in comparison to none in the short stem group. The conventional group also had significantly more patients with pulmonary microemboli and intra-operative undisplaced fractures of the calcar.
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