Hip & pelvis最新文献

Change of Sacral Slope according to the Surgical Position in Total Hip Arthroplasty. 全髋关节置换术中骶骨斜度随手术位置的变化。

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.187

Shobit Deshmukh, Nirav Gupta, Ki Seong Heo, Won Yong Shon, Se Myoung Jo, Anshul Pancholiya

{"title":"Change of Sacral Slope according to the Surgical Position in Total Hip Arthroplasty.","authors":"Shobit Deshmukh, Nirav Gupta, Ki Seong Heo, Won Yong Shon, Se Myoung Jo, Anshul Pancholiya","doi":"10.5371/hp.2024.36.3.187","DOIUrl":"10.5371/hp.2024.36.3.187","url":null,"abstract":"Purpose: Pelvis tilting in sagittal plane influences the acetabular cup position. Majority of total hip arthroplasty (THA) are performed in lateral decubitus surgical position. This study is to assess whether there is any difference in sacral slope between standing and lateral decubitus position and influence of this variation in planning acetabular cup anteversion.Materials and methods: This is a prospective study including 50 patients operated between January 2020 to March 2022. Preoperative radiograph included lumbosacral spine lateral X-ray in standing, supine and lateral decubitus positions to calculate the sacral slope for assessment of anterior or posterior pelvic tilting. In our study, we determined the position of the acetabular cup based on changes in sacral slope between standing and lateral decubitus postures. For patients whose sacral slope increased from lateral decubitus to standing, we implanted the acetabular component with a higher degree of anteversion. Conversely, for patients with reverse phenomenon, the cup was inserted at lower anteversion.Results: Twenty-four patients (48.0%) had increase in sacral slope from lateral decubitus to standing whereas 26 patients (52.0%) had decrease in sacral slope. There was linear correlation between difference in preoperative sacral slope and postoperative cross table lateral cup anteversion. Harris hip scores improved from 40.78 to 85.43. There was no subluxation or dislocation in any patient at minimum 2-year follow-up.Conclusion: Individualized acetabular cup placement is important for better functional outcome in THA. Evaluation of pelvic tilting in lateral decubitus position is necessary for better positioning of acetabular cup and avoid postoperative complications.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 3","pages":"187-195"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evidence-based Approach for Prevention of Surgical Site Infection. 预防手术部位感染的循证方法。

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.161

Mehmet Kursat Yilmaz, Nursanem Celik, Saad Tarabichi, Ahmad Abbaszadeh, Javad Parvizi

{"title":"Evidence-based Approach for Prevention of Surgical Site Infection.","authors":"Mehmet Kursat Yilmaz, Nursanem Celik, Saad Tarabichi, Ahmad Abbaszadeh, Javad Parvizi","doi":"10.5371/hp.2024.36.3.161","DOIUrl":"10.5371/hp.2024.36.3.161","url":null,"abstract":"Periprosthetic joint infection (PJI) is regarded as a critical factor contributing to the failure of primary and revision total joint arthroplasty (TJA). With the increasing prevalence of TJA, a significant increase in the incidence of PJI is expected. The escalating number of cases, along with the significant economic strain imposed on healthcare systems, place emphasis on the pressing need for development of effective strategies for prevention. PJI not only affects patient outcomes but also increases mortality rates, thus its prevention is a matter of vital importance. The longer-term survival rates for PJI after total hip and knee arthroplasty correspond with or are lower than those for prevalent cancers in older adults while exceeding those for other types of cancers. Because of the multifaceted nature of infection risk, a collaborative effort among healthcare professionals is essential to implementing diverse strategies for prevention. Rigorous validation of the efficacy of emerging novel preventive techniques will be required. The combined application of these strategies can minimize the risk of infection, thus their comprehensive adoption is important. Collectively, the risk of PJI could be substantially minimized by application of a multifaceted approach implementing these strategies, leading to improvement of patient outcomes and a reduced economic burden.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 3","pages":"161-167"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hip Labral Repair versus Reconstruction: Meta-analysis. 髋关节唇臼修复与重建：元分析

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.168

Jean Tarchichi, Mohammad Daher, Ali Ghoul, Michel Estephan, Karl Boulos, Jad Mansour

{"title":"Hip Labral Repair versus Reconstruction: Meta-analysis.","authors":"Jean Tarchichi, Mohammad Daher, Ali Ghoul, Michel Estephan, Karl Boulos, Jad Mansour","doi":"10.5371/hp.2024.36.3.168","DOIUrl":"10.5371/hp.2024.36.3.168","url":null,"abstract":"The purpose of this meta-analysis is to compare the postoperative outcomes and complications of labral repair with those of labral reconstruction. An electronic search strategy was conducted from 1986 until August 2023 using the following databases: PubMed, Cochrane, and Google Scholar (pages 1-20). The primary objectives included the postoperative clinical outcomes determined by the number of patients who reached minimal clinical important difference (MCID) on the visual analog scale (VAS), modified Harris hip score (mHHS), Hip Outcome Score-Sports Subscale (HOS-SS), Hip Outcome Score-Activities of Daily Life (HOS-ADL), and International Hip Outcome Tool-12 (iHOT-12). In addition, analysis of the rate of revision arthroscopy, the rate of conversion to total hip arthroplasty (THA), the postoperative VAS, mHHS, HOS-SS, HOS-ADL, iHOT-12, nonarthritic hip score (NAHS), patient satisfaction, lower extremity function scale (LEFS), and the SF-12 (12-item shortform) was also performed. Any differences arising between the investigators were resolved by discussion. Seventeen studies were relevant to the inclusion criteria and were included in this meta-analysis. A higher rate of patients who reached MCID in the mHHS (P=0.02) as well as a higher rate of revision arthroscopy was observed for labral repair (P=0.03). The remaining studied outcomes were comparable. Despite the greater predictability of success in the reconstruction group, conduct of additional studies will be required for evaluation of the benefits of such findings. In addition, labral reconstruction is more technically demanding than a labral repair.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 3","pages":"168-178"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reliability of the Sundsvall Method for Femoral Offset Evaluation. 用于股骨偏移评估的松兹瓦尔法的可靠性

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.218

Patrick Kelly, Caitlin Grant, Niall Cochrane, Jonathan Florance, Michael Bolognesi, Sean Ryan

{"title":"Reliability of the Sundsvall Method for Femoral Offset Evaluation.","authors":"Patrick Kelly, Caitlin Grant, Niall Cochrane, Jonathan Florance, Michael Bolognesi, Sean Ryan","doi":"10.5371/hp.2024.36.3.218","DOIUrl":"10.5371/hp.2024.36.3.218","url":null,"abstract":"Purpose: Acetabular and femoral offset (FO) play an important role in total hip arthroplasty (THA). The Sundsvall method has been proposed to account for both FO and cup offset in one global hip offset measurement. In this study, we examine the agreement and inter-observer reliability of the Sundsvall method of hip offset measurement.Materials and methods: Four hundred and ninety-nine THA patients at a single tertiary academic institution were retrospectively reviewed. Preoperative hip offset was measured on anteroposterior radiographs of the pelvis on the operative and contralateral side. Hip offset was also measured postoperatively on the operative side. Hip offset was measured using the Sundsvall method as the distance between the femoral axis and midline of the pelvis at the height of the lateral most point of the greater trochanter. All measurements were completed by two raters. Intra-class correlation coefficients (ICC) and Pearson's correlation coefficients were used to evaluate agreement and inter-observer reliability between two raters.Results: There was excellent agreement between raters for preoperative hip offset measurement with an ICC of 0.91 (confidence interval [CI] 0.90-0.93, P<0.01) and R=0.92. There was excellent agreement between raters for postoperative hip offset with an ICC of 0.93 (CI 0.92-0.94, P<0.01) and R=0.93.Conclusion: This study confirms the inter-observer agreement and reliability of the Sundsvall method of hip offset measurement. With its high agreement and reliability, the Sundsvall method is an easy and reliable way to measure hip offset that can be applied in future clinical and research settings.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 3","pages":"218-222"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complications and Healthcare Cost of Total Hip Arthroplasty in Patients with Depressive Disorder. 抑郁症患者接受全髋关节置换术的并发症和医疗成本。

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.204

Antoinette R Portnoy, Shirley Chen, Ameer Tabbaa, Matthew L Magruder, Kevin Kang, Afshin E Razi

{"title":"Complications and Healthcare Cost of Total Hip Arthroplasty in Patients with Depressive Disorder.","authors":"Antoinette R Portnoy, Shirley Chen, Ameer Tabbaa, Matthew L Magruder, Kevin Kang, Afshin E Razi","doi":"10.5371/hp.2024.36.3.204","DOIUrl":"10.5371/hp.2024.36.3.204","url":null,"abstract":"Purpose: The purpose of this study was to determine whether the rates of (1) in-hospital lengths of stay (LOS), (2) readmissions, (3) medical complications, and (4) costs of care are higher for patients with depressive disorder (DD) undergoing primary total hip arthroplasty (THA) for treatment of femoral neck fractures (FNFs).Materials and methods: A retrospective query of a national administrative claims database for patients undergoing primary THA from 2006 to 2014 was conducted. Patients with DD undergoing THA for treatment of FNF were 1:5 ratio propensity score matched to a cohort (DD=6,758, controls=33,708). Primary endpoints included LOS, 90-day medical complications, 90-day readmissions, and healthcare reimbursements. A P-value less than 0.05 was considered statistically significant.Results: Longer LOS were observed for patients with DD compared to those without DD (5.6 days vs. 5.4 days, P<0.001). Similar readmission rates (29.9% vs. 25.0%, odds ratio [OR] 1.03, P=0.281) were observed between groups. The odds of 90-day medical complications were higher for patients with DD compared to control subjects (60.6% vs. 21.4%, OR 1.57, P<0.0001). Within the 90-day episode of care interval, patients with a history of DD incurred significantly higher healthcare expenditures ($21,382 vs. $19,781, P<0.001).Conclusion: Our findings showed longer LOS, higher odds of 90-day medical complications, and higher healthcare expenditures within the 90-day episode of care following a primary THA for treatment of FNF for patients with DD compared to the matched cohort. Thus, accordingly, patients with DD should receive counseling prior to undergoing surgery.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 3","pages":"204-210"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct Anterior Approach in Total Hip Arthroplasty: A Single Center Experience. 全髋关节置换术中的直接前方入路：单中心经验

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.196

Rajesh Malhotra, Sahil Batra, Vikrant Manhas, Jaiben George, Anitta Biju, Deepak Gautam

{"title":"Direct Anterior Approach in Total Hip Arthroplasty: A Single Center Experience.","authors":"Rajesh Malhotra, Sahil Batra, Vikrant Manhas, Jaiben George, Anitta Biju, Deepak Gautam","doi":"10.5371/hp.2024.36.3.196","DOIUrl":"10.5371/hp.2024.36.3.196","url":null,"abstract":"Purpose: The direct anterior approach (DAA) for conducting total hip arthroplasty (THA) is gaining popularity worldwide. However, careful selection of patients and surgeon experience are important. Although promising outcomes have been reported in international studies, research on DAA in Southern and Southeast Asia has been limited.Materials and methods: This prospective study included 157 patients who underwent THA using the DAA between January 2019 and June 2022. The patients were divided into three groups for the comparison. Data on preoperative, intraoperative, and postoperative variables were acquired. Improvement of the surgeon's performance to use of a DAA approach was examined using the CUSUM (cumulative summation method).Results: The mean age of the patients was 43.9 years. Differences in intraoperative variables and complications were observed among the three groups, and improved outcomes were reported in later cases. Functional outcomes showed significant improvement, and no differences were observed between groups. The results of learning curve analysis indicated a shift towards consistent success after the 82nd case, reaching an acceptable rate of failure by the 118th case.Conclusion: The findings of this study suggest that DAA can offer benefits but there is a learning curve. Complications were initially high but began decreasing after approximately 80 cases. Careful selection of patients is critical, particularly in the effort to minimize being presented with a challenging case. This study provides insights that may be helpful to surgeons when considering DAA; however, further study is warranted.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 3","pages":"196-203"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Intraoperative Acetabular Fractures in Total Hip Arthroplasty: A Current Concept Review. 全髋关节置换术术中髋臼骨折的处理：当前概念回顾。

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.179

Christian Hipfl, Sebastian Hardt, Carsten Perka

{"title":"Management of Intraoperative Acetabular Fractures in Total Hip Arthroplasty: A Current Concept Review.","authors":"Christian Hipfl, Sebastian Hardt, Carsten Perka","doi":"10.5371/hp.2024.36.3.179","DOIUrl":"10.5371/hp.2024.36.3.179","url":null,"abstract":"Intraoperative acetabular fractures (IAFs), a complication seldomly encountered in total hip arthroplasty, are typically a result of the impact of insertion of a cementless press-fit cup. Factors that contribute to the risk of these types of fractures include poor bone quality, highly sclerotic bone, and the use of a press-fit cup that is excessively large. The approach to management of these fractures is dependent on when they are identified. Immediate stabilization measures should be implemented for management of fractures detected during surgery. When fractures are detected postoperatively, the decision regarding conservative treatment is dependent on the stability of the implant and the specific fracture pattern. In the majority of cases, effective treatment of an acetabular fracture detected intraoperatively can be administered using a multi-hole revision cup along with anchoring screws in the various regions of the acetabulum. Selection of plate osteosynthesis of the posterior column is recommended when there is a large posterior wall fragment or pelvic discontinuity. In cases where anatomical dimensions allow, cup-cage reconstruction may offer a promising alternative to a combined hip procedure. The number of reports addressing the management of IAFs is limited. This review focuses on outlining the strategies that are currently available for management of this seldomly encountered complication.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 3","pages":"179-186"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Superior Approach in Hemiarthroplasty for Femoral Neck Fracture: A Comparative Analysis with the Posterior Approach. 股骨颈骨折半关节成形术中的上方入路：与后入路的比较分析。

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.211

Kenta Kamo

{"title":"The Superior Approach in Hemiarthroplasty for Femoral Neck Fracture: A Comparative Analysis with the Posterior Approach.","authors":"Kenta Kamo","doi":"10.5371/hp.2024.36.3.211","DOIUrl":"10.5371/hp.2024.36.3.211","url":null,"abstract":"Purpose: The concept of a superior approach (SA) involves the use of a tissue-sparing posterior approach (PA), with exposure of the piriformis muscle and gluteus medius/minimus muscles. The objective of this study was to clarify the features of hip hemiarthroplasty (HA) using a SA in regard to early recovery and mid-term outcomes, with a comparison of the outcomes of SA-HAs and HAs using a PA (PA-HAs).Materials and methods: A total of 120 HAs for treatment of primary femoral neck fracture with a healthy opposite hip joint were performed in our hospital from 2013 to 2018. Propensity score matching in regard to age, sex, body mass index, walking ability before injury, place of residence, time to surgery, and American Society of Anesthesiologists-Physical Status was performed for 79 patients with SA-HAs and 41 patients with PA-HAs. The final analysis included 34 patients who underwent SA-HAs and 34 patients who underwent PA-HAs.Results: The duration of surgery was 57.1 minutes and 72.1 minutes (P=0.001) for SA-HAs and PA-HAs, respectively. The scores for walking ability at postoperative one week were 4.9±1.4 and 4.2±1.0 (P=0.021) for SA-HAs and PA-HAs, respectively. The Barthel index (BI) at the start of rehabilitation was 26.2±18.7 and 17.4±16.3 (P=0.042) for SA-HAs and PA-HAs, respectively. The 4-year complication-free survival rates were 74.2% and 56.3% for SA-HAs and PA-HAs, respectively (P=0.310).Conclusion: SA-HA can be performed without torsion of the muscles and ligaments around the hip joint. Early recovery of walking ability and BI was a significant feature of SA-HAs.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 3","pages":"211-217"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cement Filling Technique to Prevent Greater Trochanter Displacement in Hip Arthroplasty for Femoral Intertrochanteric Fracture: A Technical Note. 在股骨转子间骨折髋关节置换术中防止大转子移位的水泥填充技术：技术说明。

Hip & pelvis Pub Date : 2024-09-01 DOI: 10.5371/hp.2024.36.3.223

Byung-Chan Choi, Kyung-Jae Lee, Eun-Seok Son, Byung-Woo Min

引用次数: 0

Management of Severe Bone Defects in Femoral Revision following Total Hip Arthroplasty. 全髋关节置换术后股骨翻修中严重骨缺损的处理。

Hip & pelvis Pub Date : 2024-06-01 DOI: 10.5371/hp.2024.36.2.101

Yicheng Li, Li Cao

{"title":"Management of Severe Bone Defects in Femoral Revision following Total Hip Arthroplasty.","authors":"Yicheng Li, Li Cao","doi":"10.5371/hp.2024.36.2.101","DOIUrl":"10.5371/hp.2024.36.2.101","url":null,"abstract":"Treatment of femoral bone defects continues to be a challenge in revision total hip arthroplasty (THA); therefore, meticulous preoperative evaluation of patients and surgical planning are required. This review provides a concise synopsis of the etiology, classification, treatment strategy, and prosthesis selection in relation to femoral bone loss in revision THA. A search of literature was conducted for identification of research articles related to classification of bone loss, management of femoral revision, and comparison of different types of stems. Findings of a thorough review of the included articles were as follows: (1) the Paprosky classification system is used most often when defining femoral bone loss, (2) a primary-length fully coated monoblock femoral component is recommended for treatment of types I or II bone defects, (3) use of an extensively porouscoated stem and a modular fluted tapered stem is recommended for management of types III or IV bone defects, and (4) use of an impaction grafting technique is another option for improvement of bone stock, and allograft prosthesis composite and proximal femoral replacement can be applied by experienced surgeons, in selected cases, as a final salvage solution. Stems with a tapered design are gradually replacing components with a cylindrical design as the first choice for femoral revision; however, further confirmation regarding the advantages and disadvantages of modular and nonmodular stems will be required through conduct of higher-level comparative studies.","PeriodicalId":73239,"journal":{"name":"Hip & pelvis","volume":"36 2","pages":"101-107"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11162874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0