Some papers of English, Italian, American authors present the advantages of short stem hip prosthesis and publish very good mid-term results. In my opinion the primary stability of the short stem could be questioned if we take into consideration the classic biomechanical studies of Friedrich Pauwels for example.
Dear Panayot
Endoprostheses (modular system) should be considered as a treatment of choice for bone tumours in the hip and knee joint region.This modular system , in THR, provides a choice of different femoral head sizes, trochanteric reattachment, femoral stem and shaft size and length. We implant long stem hip in all THR.
Dear Nelson,
Thank you for your proper answer. I also prefer long stem hip. One of the advantages of the so-called "short stem" prosthesis that is underlined by those who use them is the followung: easy revision. In my opinion we have to think about the longevity and the survivorship of the primary hip replacement. That is to say - "the success of the first line of defence" of the "battle" with the hip disease. To think about the "second line of defence" a priori is important but it sounds to me very pesimistic.
I think another real indication could be a deformed proximal femur where the shorter stem would be a distinct advantage. I seen other benefits.
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