The use of short cementless femoral stems in total hip arthroplasty for femoral neck fractures: a scoping review of the literature.

Q1 Medicine

MUSCULOSKELETAL SURGERY Pub Date : 2026-06-01 Epub Date: 2025-08-09 DOI:10.1007/s12306-025-00917-6

Nicola Corradi, Alberto Trimarchi, Federica Manca, Ilaria Martini, Andrea Colombelli, Alberto Belluati

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引用次数: 0

Abstract

Background: Short cementless femoral stems, designed for bone-preserving elective THA, are increasingly used for femoral neck fractures, yet their safety and effectiveness remain unclear.

Objective: To map current evidence on short cementless stems in fracture-related THA, focusing on complications, function, and revisions.

Methods: MedLine and Web of Science were searched to 30 April 2025. Studies reporting ≥ 5 THAs with short cementless stems for femoral neck fractures were included; data were charted and narratively synthesized.

Results: Five studies (477 short-stem, 70 standard-stem THAs; mean age 63 years; mean follow-up 65 months) met criteria. Short stems showed a 4.4% complication rate (0.6% intra-op fractures, 0.6% dislocations, 2.1% aseptic loosening) and 3.7% reoperations. Mean Harris Hip Score was 86.8-comparable to standard stems-with fewer surgical complications (4.4 vs. 15.7%).

Conclusion: Current evidence suggests short cementless stems are a safe, effective option for selected femoral neck fracture patients, but higher-quality, long-term studies are needed.

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短无骨水泥股骨柄在股骨颈骨折全髋关节置换术中的应用：文献综述。

背景：用于保留骨的选择性THA的短骨水泥股骨干越来越多地用于股骨颈骨折，但其安全性和有效性尚不清楚。目的：绘制骨折相关全髋关节置换术中无骨水泥短柄的现有证据，重点关注并发症、功能和修复。方法：检索MedLine和Web of Science至2025年4月30日。纳入了报道≥5个tha和短柄无骨水泥治疗股骨颈骨折的研究；数据被绘制成图表并以叙述的方式合成。结果：5项研究(477例短茎THAs， 70例标准茎THAs；平均年龄63岁；平均随访65个月)符合标准。短柄的并发症发生率为4.4%（0.6%术内骨折，0.6%脱位，2.1%无菌性松动），3.7%再手术。Harris髋关节平均评分为86.8，与标准茎杆相当，手术并发症较少（4.4比15.7%）。结论：目前的证据表明，短骨水泥柄是一种安全、有效的选择，用于股骨颈骨折患者，但需要更高质量的长期研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

MUSCULOSKELETAL SURGERY Medicine-Surgery

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： Musculoskeletal Surgery – Formerly La Chirurgia degli Organi di Movimento, founded in 1917 at the Istituto Ortopedico Rizzoli, is a peer-reviewed journal published three times a year. The journal provides up-to-date information to clinicians and scientists through the publication of original papers, reviews, case reports, and brief communications dealing with the pathogenesis and treatment of orthopaedic conditions.An electronic version is also available at http://www.springerlink.com.The journal is open for publication of supplements and for publishing abstracts of scientific meetings; conditions can be obtained from the Editors-in-Chief or the Publisher.