Vástagos femorales cortos para el reemplazo total de cadera primario en pacientes jóvenes. Resultados clínicos y biomecánicos*
DOI:
https://doi.org/10.15417/issn.1852-7434.2023.88.2.1725Palabras clave:
Artroplastia total de cadera, tallo corto, artrosis de caderaResumen
La artroplastia total de cadera es una cirugía eficaz para tratar la artrosis. Con el aumento de la necesidad de una mejor calidad de vida, este procedimiento se está realizando en pacientes más jóvenes. Pero, con la mayor expectativa de vida, también crece la demanda de múltiples cirugías de revisión para el mismo paciente. Esto plantea desafíos técnicos debido a la pérdida de hueso. Existe una necesidad creciente de identificar implantes duraderos y altamente funcionales que sean adecuados para la revisión futura. Aunque los vástagos femorales cementados eran la opción principal en el pasado, los vástagos femorales no cementados han logrado una fijación a largo plazo y excelentes resultados. Sin embargo, aún se pueden mejorar algunos problemas relacionados con la fijación. Los vástagos femorales cortos han sido desarrollados para abordar algunos de estos desafíos, mientras se mantienen los buenos resultados obtenidos con los vástagos convencionales. En este artículo, se analiza la experiencia tras 10 años de uso de vástagos femorales cortos en cirugías de cadera en pacientes jóvenes. Se comparan los resultados biomecánicos y la preservación ósea femoral, se reportan los resultados posoperatorios en relación con el regreso al deporte, y se evalúan las complicaciones relacionadas con su uso. El empleo de vástagos cortos en cirugía primaria de cadera brinda múltiples ventajas. La indicación de este tipo de implante está justificada en pacientes jóvenes y activos, con el objetivo de reproducir los resultados de los implantes convencionales con un menor consumo de hueso y la posibilidad de una revisión futura.
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Referencias
Berend KR, Lombardi AV, Mallory TH, Dodds KL, Adams JB. Cementless double tapered total hip arthroplasty in patients 75 years of age and older. J Arthroplasty 2004;19(3):288-95. https://doi.org/10.1016/j.arth.2003.11.002 DOI: https://doi.org/10.1016/j.arth.2003.11.002
Meding JB, Galley MR, Ritter MA. High survival of uncemented proximally porous-coated titanium alloy femoral stems in osteoporotic bone. Clin Orthop Relat Res 2010;468(2):441-7. https://doi.org/10.1007/s11999-009-1035-z DOI: https://doi.org/10.1007/s11999-009-1035-z
Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M. Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Joint Surg Am 2005;87(7):1487-97. https://doi.org/10.2106/JBJS.D.02441 DOI: https://doi.org/10.2106/00004623-200507000-00010
Rajaee SS, Campbell JC, Mirocha J, Paiement GD. Increasing burden of total hip arthroplasty revisions in patients between 45 and 64 years of age. J Bone Joint Surg Am 2018;100(6):449-58. https://doi.org/10.2106/JBJS.17.00470 DOI: https://doi.org/10.2106/JBJS.17.00470
Grübl A. Cementless total hip arthroplasty with the rectangular titanium Zweymüller stem. A concise follow-up, at a minimum of fifteen years, of a previous report. J Bone Joint Surg Am 2006;88(10):2210-5. DOI: https://doi.org/10.2106/00004623-200610000-00013
https://doi.org/10.2106/jbjs.e.00810 DOI: https://doi.org/10.2106/JBJS.E.00810
McLaughlin JR, Lee KR. Total hip arthroplasty with an uncemented femoral component. Excellent results at ten-year follow-up. J Bone Joint Surg Br 1997;79(6):900-7. https://doi.org/10.1302/0301-620x.79b6.7482 DOI: https://doi.org/10.1302/0301-620X.79B6.0790900
Eingartner C. Current trends in total hip arthroplasty. Ortop Traumatol Rehabil 2007;9(1):8-14. PMID: 17514169
Issa K, Pivec R, Wuestemann T, Tatevossian T, Nevelos J, Mont MA. Radiographic fit and fill analysis of a new second-generation proximally coated cementless stem compared to its predicate design. J Arthroplasty 2014;29(1):192-8. https://doi.org/10.1016/j.arth.2013.04.029 DOI: https://doi.org/10.1016/j.arth.2013.04.029
Reimeringer M, Nuño N, Desmarais-Trépanier C, Lavigne M, Vendittoli PA. The influence of uncemented femoral stem length and design on its primary stability: a finite element analysis. Comp Methods Biomech Biomed Engin 2013;16(11):1221-31. https://doi.org/10.1080/10255842.2012.662677 DOI: https://doi.org/10.1080/10255842.2012.662677
McTighe T, Keggi J, Stulberg D, Keppler L, Brazil D, McPherson E. Total Hip Stem Classification System. Reconstr Rev 2014;4(2):24-8. https://doi.org/10.15438/rr.v4i2.70 DOI: https://doi.org/10.15438/rr.v4i2.70
Feyen H, Shimmin AJ. Is the length of the femoral component important in primary total hip replacement? Bone Joint J 2014;96-B(4):442-8. https://doi.org/10.1302/0301-620X.96B4.33036 DOI: https://doi.org/10.1302/0301-620X.96B4.33036
Dimitriou D, Tsai T-Y, Kwon Y-M. The effect of femoral neck osteotomy on femoral component position of a primary cementless total hip arthroplasty. Int Orthop 2015;39(12):2315-21. https://doi.org/10.1007/s00264-015-27391 DOI: https://doi.org/10.1007/s00264-015-2739-1
Khanuja HS, Banerjee S, Jain D, Pivec R, Mont MA. Short bone-conserving stems in cementless hip arthroplasty. J Bone Joint Surg 2014;96(29):1742-52. https://doi.org/10.2106/jbjs.m.00780 DOI: https://doi.org/10.2106/JBJS.M.00780
Stulberg SD, Dolan M. The short stem: A thinking man’s alternative to surface replacement. Orthopedics 2008;31(9):885-6. https://doi.org/10.3928/01477447-20080901-37 DOI: https://doi.org/10.3928/01477447-20080901-37
Renkawitz T, Santori FS, Grifka J, Valverde C, Morlock MM, Learmonth ID. A new short uncemented, proximally fixed anatomic femoral implant with a prominent lateral flare: design rationals and study design of an international clinical trial. BMC Musculoskelet Disord 2008;9:147. https://doi.org/10.1186/1471-2474-9-147 DOI: https://doi.org/10.1186/1471-2474-9-147
Chen H-H, Morrey BF, An K-N, Luo Z-P. Bone remodeling characteristics of a short-stemmed total hip
replacement. J Arthroplasty 2009;24(6):945-50. https://doi.org/10.1016/j.arth.2008.07.014 DOI: https://doi.org/10.1016/j.arth.2008.07.014
Arabmotlagh M, Rittmeister M, Hennigs T. Alendronate prevents femoral periprosthetic bone loss following total hip arthroplasty: prospective randomized double-blind study. J Orthop Res 2006;24(7):1336-41. https://doi.org/10.1002/jor.20162 DOI: https://doi.org/10.1002/jor.20162
Slullitel PA, Mahatma MM, Farzi M, Grammatopoulos G, Wilkinson JM, Beaulé PE. Influence of femoral component design on proximal femoral bone mass after total hip replacement: A randomized controlled trial. J Bone Joint Surg Am 2021;103(1):74-83. https://doi.org/10.2106/JBJS.20.00351 DOI: https://doi.org/10.2106/JBJS.20.00351
Khanuja HS, Vakil JJ, Goddard MS, Mont MA. Cementless femoral fixation in total hip arthroplasty. J Bone Joint Surg Am 2011;93(5):500-9. https://doi.org/10.2106/JBJS.J.00774 DOI: https://doi.org/10.2106/JBJS.J.00774
Pipino F. The bone-prosthesis interaction. J Orthopaed Traumatol 2000;1;3-9. https://doi.org/10.1007/pl00012193 DOI: https://doi.org/10.1007/PL00012193
Mai KT, Verioti CA, Casey K, Slesarenko Y, Romeo L, Colwell CW Jr. Cementless femoral fixation in total hip arthroplasty. Am J Orthop (Belle Mead NJ) 2010;39(3):126-30. PMID: 20463983
Leali A, Fetto J, Insler H, Elfenbein D. The effect of a lateral flare feature on implant stability. Int Orthop 2002;26(3):166-9. https://doi.org/10.1007/s00264-002-0355-3 DOI: https://doi.org/10.1007/s00264-002-0355-3
d’Imporzano M, Pierannunzii L. Minimally invasive total hip replacement. J Orthopaed Traumatol 2006;7:42-50. https://doi.org/10.1007/s10195-006-0121-1 DOI: https://doi.org/10.1007/s10195-006-0121-1
Walker PS, Culligan SG, Hua J, Muirhead-Allwood SK, Bentley G. The effect of a lateral flare feature on uncemented hip stems. HIP International 1999;9(2):71-80. https://doi.org/10.1177/112070009900900210 DOI: https://doi.org/10.1177/112070009900900210
Ng VY, Arnott L, McShane MA. Perspectives in managing an implant recall: revision of 94 Durom Metasul acetabular components. J Bone Joint Surg Am 2011;93(17):e100(1-5). https://doi.org/10.2106/JBJS.J.01311 DOI: https://doi.org/10.2106/JBJS.J.01311
Vidalain J-P. Twenty-year results of the cementless Corail stem. Int Orthop 2011;35(2):189-94.
https://doi.org/10.1007/s00264-010-1117-2 DOI: https://doi.org/10.1007/s00264-010-1117-2
Buttaro M, Martorell G, Quinteros M, Comba F, Zanotti G, Piccaluga F. Preservación ósea femoral con tallos cortos de fijación cervicometafisaria. Rev Asoc Argent Ortop Traumatol 2014;79(4):232-6. https//doi.org/10.15417/299 DOI: https://doi.org/10.15417/299
González Della Valle A, Slullitel G, Piccaluga F, Salvati EA. The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty. J Arthroplasty 2005;20(1):51-8. https://doi.org/10.1016/j.arth.2004.04.016 DOI: https://doi.org/10.1016/j.arth.2004.04.016
Nally FJ, Rossi LA, Diaz F, Stagnaro J, Slullitel PA, Buttaro MA. Which prosthetic system restores hip
biomechanics more effectively? Comparison among three systems. Curr Orthop Pract 2015;26:382-6.
https://doi.org/10.1097/bco.0000000000000242 DOI: https://doi.org/10.1097/BCO.0000000000000242
Tönnis D, Heinecke A, Nienhaus R, Thiele J. [Predetermination of arthrosis, pain and limitation of movement in congenital hip dysplasia (author’s transl)]. Z Orthop Ihre Grenzgeb 1979;117(5):808-15. PMID: 549339
Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement
arthroplasties. J Bone Joint Surg Am 1978;60(2):217-20. PMID: 641088 DOI: https://doi.org/10.2106/00004623-197860020-00014
Buttaro M, Nally F, Salcedo R, Slullitel PA, Oñativia JI, Comba F, et al. Reemplazo total de cadera con un tallo corto no cementado tipo 2B: resultados a los 2-5 años de seguimiento. Rev Asoc Argent Ortop Traumatol 2009;84(2):112-21. https://doi.org/10.15417/issn.1852-7434.2019.84.2.856 DOI: https://doi.org/10.15417/issn.1852-7434.2019.84.2.856
Baert IAC, Lluch E, Van Glabbeek F, Nuyts R, Rufai S, Tuynman J, et al. Short stem total hip arthroplasty: Potential explanations for persistent post-surgical thigh pain. Med Hypotheses 2017;107:45-50. https://doi.org/10.1016/j.mehy.2017.07.028 DOI: https://doi.org/10.1016/j.mehy.2017.07.028
Lindgren JU, Rysavy J. Restoration of femoral offset during hip replacement. A radiographic cadaver study. Acta Orthop Scand 1992;63(4):407-10. https://doi.org/10.3109/17453679209154755 DOI: https://doi.org/10.3109/17453679209154755
Teoh KH, Lee PYF, Woodnutt DJ. Our early experience of the Corin Minihip prosthesis. Hip Int 2016;26(3):265-9. https://doi.org/10.5301/hipint.5000343 DOI: https://doi.org/10.5301/hipint.5000343
Engh CA, McGovern TF, Bobyn JD, Harris WH. A quantitative evaluation of periprosthetic bone-remodeling after cementless total hip arthroplasty. J Bone Joint Surg 1992;74(7):1009-20.
https://doi.org/10.2106/00004623-199274070-00007 DOI: https://doi.org/10.2106/00004623-199274070-00007
Nally F, Buttaro M, Comba F, Zanotti G, Piccaluga F. Actividad física post-artroplastía de cadera. Prótesis de superficie vs. tallos cortos de fijación cervicometafisaria. Rev Asoc Argent Traumatol Deporte 2013;20(2):30-5. Disponible en: https://revista.aatd.org.ar/wp-content/uploads/2019/08/2013_Vol-20_n2_5Actividad-F%c3%adsica-Post.pdf
Diaz-Dilernia F, Lucero C, Slullitel P, Zanotti F, Comba F, Buttaro M. Medium term outcomes of conventional versus short uncemented femoral stems in patients younger than 55 years old. EHS Meeting, Lille, France 2021.
Buttaro MA, Oñativia JI, Slullitel PA, Andreoli M, Comba F, Zanotti G, et al. Metaphyseal debonding of the Corail collarless cementless stem: report of 18 cases and case-control study. Bone Joint J 2017;99-B(11):1435-41. https://doi.org/10.1302/0301-620X.99B11.BJJ-2017-0431.R1 DOI: https://doi.org/10.1302/0301-620X.99B11.BJJ-2017-0431.R1
Buttaro MA, Slullitel PA, Oñativia JI, Nally F, Andreoli M, Salcedo R, et al. 4- to 8 year complication analysis of 2 “partial collum” femoral stems in primary THA. Hip Int 2021;31(1):75-82.
https://doi.org/10.1177/1120700019879360 DOI: https://doi.org/10.1177/1120700019879360
Falez F, Papalia M, Granata G, Longo D, Ciompi A, Casella F, et al. Bone remodelling and integration of two different types of short stem: a dual-energy X-ray – absorptiometry study. Int Orthop 2020;44:839-46. https://doi.org/10.1007/s00264-020-04545-6 DOI: https://doi.org/10.1007/s00264-020-04545-6
Buttaro MA, Slullitel PA, Zanotti G, Comba FM, Piccaluga F. Is a short stem suitable for patients with hip dysplasia? A report on technical problems encountered during femoral reconstruction. Hip Int 2018;28(3):315-23. https://doi.org/10.5301/hipint.5000562 DOI: https://doi.org/10.5301/hipint.5000562
Hartofilakidis G, Babis GC, Lampropoulou-Adamidou K. Congenital hip disease in adults. Berlin: Springer Science & Business Media; 2013. 170 p. Disponible en: https://play.google.com/store/books/details?id=3wDFBAAAQBAJ DOI: https://doi.org/10.1007/978-88-470-5492-9_2
Clohisy JC, Carlisle JC, Beaulé PE, Kim Y-J, Trousdale RT, Sierra RJ, et al. A systematic approach to the plain radiographic evaluation of the young adult hip. J Bone Joint Surg Am 2008;90(Suppl 4):47-66.
https://doi.org/10.2106/jbjs.h.00756 DOI: https://doi.org/10.2106/JBJS.H.00756
Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 1979;61(1):15-23. PMID: 365863 DOI: https://doi.org/10.2106/00004623-197961010-00004
Delee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 1976;121:20-32. PMID: 991504 DOI: https://doi.org/10.1097/00003086-197611000-00003
Gruen TA, McNeice GM, Amstutz HC. “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 1979;(141):17-27. PMID: 477100 DOI: https://doi.org/10.1097/00003086-197906000-00002
Berry DJ. Total hip arthroplasty in patients with proximal femoral deformity. Clin Orthop Relat Res 1999;(369):262-72. https://doi.org/10.1097/00003086-199912000-00027 DOI: https://doi.org/10.1097/00003086-199912000-00027
Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 1969;51(4):737-55. PMID: 5783851 DOI: https://doi.org/10.2106/00004623-196951040-00012
Hodge WA, Andriacchi TP, Galante JO. A relationship between stem orientation and function following total hip arthroplasty. J Arthroplasty 1991;6(3):229-35. https://doi.org/10.1016/s0883-5403(06)80169-5 DOI: https://doi.org/10.1016/S0883-5403(06)80169-5
Charles MN, Bourne RB, Davey JR, Greenwald AS, Morrey BF, Rorabeck CH. Soft tissue balancing of the hip: the role of femoral offset restoration. Instr Course Lect 2005;54:131-41. PMID: 15948440
Konyves A, Bannister GC. The importance of leg length discrepancy after total hip arthroplasty. J Bone Joint Surg Br 2005;87(2):155-7. https://doi.org/10.1302/0301-620x.87b2.14878 DOI: https://doi.org/10.1302/0301-620X.87B2.14878
Wedemeyer C, Quitmann H, Xu J, Heep H, von Knoch M, Saxler G. Digital templating in total hip arthroplasty with the Mayo stem. Arch Orthop Trauma Surg 2008;128(10):1023-9. https://doi.org/10.1007/s00402-007-0494-5 DOI: https://doi.org/10.1007/s00402-007-0494-5
Schmalzried TP. Metal-on-metal resurfacing arthroplasty. J Arthroplasty 2005;20(4 Suppl 2):70-1.
https://doi.org/10.1016/j.arth.2005.03.007 DOI: https://doi.org/10.1016/j.arth.2005.03.007
Berend KR, Mallory TH, Lombardi AV Jr, Dodds KL, Adams JB. Tapered cementless femoral stem: difficult to place in varus but performs well in those rare cases. Orthopedics 2007;30(4):295-7.
https://doi.org/10.3928/01477447-20070401-16 DOI: https://doi.org/10.3928/01477447-20070401-16
Head WC, Mallory TH, Emerson RH Jr. The proximal porous coating alternative for primary total hip arthroplasty. Orthopedics 1999;22(9):813-5. https://doi.org/10.3928/0147-7447-19990901-08 DOI: https://doi.org/10.3928/0147-7447-19990901-08
Steinbrück A, Grimberg AW, Elliott J, Melsheimer O, Jansson V. Short versus conventional stem in cementless total hip arthroplasty : An evidence-based approach with registry data of mid-term survival. Orthopade 2021;50(4):296-305. https://doi.org/10.1007/s00132-021-04083-y DOI: https://doi.org/10.1007/s00132-021-04083-y
Li M, Hu Y, Xie J. Analysis of the complications of the collum femoris preserving (CFP) prostheses. Acta Orthop Traumatol Turc 2014;48(6):623-7. https://doi.org/10.3944/AOTT.2014.13.0060 DOI: https://doi.org/10.3944/AOTT.2014.13.0060
Kutzner KP, Freitag T, Donner S, Kovacevic MP, Bieger R. Outcome of extensive varus and valgus stem alignment in short-stem THA: clinical and radiological analysis using EBRA-FCA. Arch Orthop Trauma Surg 2017;137(3):431-9. https://doi.org/10.1007/s00402-017-2640-z DOI: https://doi.org/10.1007/s00402-017-2640-z
Kutzner KP, Freitag T, Bieger R. Defining “undersizing” in short-stem total hip arthroplasty: the importance of sufficient contact with the lateral femoral cortex. Hip Int 2022;32(2):160-5.
https://doi.org/10.1177/1120700020940276 DOI: https://doi.org/10.1177/1120700020940276
Kendoff DO, Citak M, Egidy CC, O’Loughlin PF, Gehrke T. Eleven-year results of the anatomic coated CFP stem in primary total hip arthroplasty. J Arthroplasty 2013;28(6):1047-51. https://doi.org/10.1016/j.arth.2012.10.013 DOI: https://doi.org/10.1016/j.arth.2012.10.013
Kim Y-H, Park J-W, Kim J-S, Kang J-S. Long-term results and bone remodeling after THA with a short,
metaphyseal-fitting anatomic cementless stem. Clin Orthop Relat Res 2014;472(3):943-50.
https://doi.org/10.1007/s11999-013-3354-3 DOI: https://doi.org/10.1007/s11999-013-3354-3
Briem D, Schneider M, Bogner N, Botha N, Gebauer M, Gehrke T, et al. Mid-term results of 155 patients treated with a collum femoris preserving (CFP) short stem prosthesis. Int Orthop 2011;35(5):655-60. https://doi.org/10.1007/s00264-010-1020-x DOI: https://doi.org/10.1007/s00264-010-1020-x
Pipino F, Molfetta L, Grandizio M. Preservation of the femoral neck in hip arthroplasty: results of a 13- to 17-year follow-up. J Orthopaed Traumatol 2000;1:31-9. https://doi.org/10.1007/s101950070026 DOI: https://doi.org/10.1007/s101950070026
Synder M, Drobniewski M, Pruszczyński B, Sibiński M. Initial experience with short Metha stem implantation. Ortop Traumatol Rehabil 2009;11(4):317-23. PMID: 19828913
Yasunaga Y, Yamasaki T, Matsuo T, Yoshida T, Oshima S, Hori J, et al. Clinical and radiographical results of 179 thrust plate hip prostheses: 5-14 years follow-up study. Arch Orthop Trauma Surg 2012;132(4):547-54. https://doi.org/10.1007/s00402-011-1434-y DOI: https://doi.org/10.1007/s00402-011-1434-y
Jo W-L, Lee Y-K, Ha Y-C, Park M-S, Lyu S-H, Koo K-H. Frequency, developing time, intensity, duration, and functional score of thigh pain after cementless total hip arthroplasty. J Arthroplasty 2016;31(6):1279-82. Disponible en: https://doi.org/10.1016/j.arth.2015.12.016 DOI: https://doi.org/10.1016/j.arth.2015.12.016
Brown TE, Larson B, Shen F, Moskal JT. Thigh pain after cementless total hip arthroplasty: evaluation and management. J Am Acad Orthop Surg 2002;10(6):385-92. https://doi.org/10.5435/00124635-200211000-00002 DOI: https://doi.org/10.5435/00124635-200211000-00002
Maier MW, Streit MR, Innmann MM, Krüger M, Nadorf J, Philippe Kretzer J, et al. Cortical hypertrophy with a short, curved uncemented hip stem does not have any clinical impact during early follow-up. BMC Musculoskelet Disord 2015;16:371. https://doi.org/10.1186/s12891-015-0830-9 DOI: https://doi.org/10.1186/s12891-015-0830-9
Slullitel PA, Oñativia JI, Llano L, Comba F, Zanotti G, Piccaluga F, et al. Periprosthetic stress fracture around a well-fixed type 2B short uncemented stem. SICOT J 2018;4:33. https://doi.org/10.1051/sicotj/2018031 DOI: https://doi.org/10.1051/sicotj/2018031
Buttaro M. CORR Insights(®): Ultrashort versus conventional anatomic cementless femoral stems in the same patients younger than 55 years. Clin Orthop Relat Res 2016;474(9):2018-9. https://doi.org/10.1007/s11999-016-4932-y DOI: https://doi.org/10.1007/s11999-016-4932-y
Sanchez-Sotelo J, Berry DJ, Trousdale RT, Cabanela ME. Surgical treatment of developmental dysplasia of the hip in adults: II. Arthroplasty options. J Am Acad Orthop Surg 2002;10(5):334-44.
https://doi.org/10.5435/00124635-200209000-00005 DOI: https://doi.org/10.5435/00124635-200209000-00005
Schuh A, Schraml A, Hohenberger G. Long-term results of the Wagner cone prosthesis. Int Orthop 2009;33(31):53-8. https://doi.org/10.1007/s00264-007-0460-4 DOI: https://doi.org/10.1007/s00264-007-0460-4
Christie M, Brinson MF. Proximal/distal mismatch: type A and C femurs. Orthopedics 2005;28(9 Suppl):1033-6. https://doi.org/10.3928/0147-7447-20050902-05 DOI: https://doi.org/10.3928/0147-7447-20050902-05
Salemyr M, Muren O, Ahl T, Bodén H, Eisler T, Stark A, et al. Lower periprosthetic bone loss and good fixation of an ultra-short stem compared to a conventional stem in uncemented total hip arthroplasty. Acta Orthop 2015;86(6):659-66. https://doi.org/10.3109/17453674.2015.1067087 DOI: https://doi.org/10.3109/17453674.2015.1067087
Kutzner KP, Pfeil D, Kovacevic MP, Rehbein P, Mai S, Siebert W, et al. Radiographic alterations in short-stem total hip arthroplasty: A 2-year follow-up study of 216 cases. Hip Int 2016;26:278-83. https://doi.org/10.5301/hipint.5000339 DOI: https://doi.org/10.5301/hipint.5000339
Benke GJ, Baker AS, Dounis E. Total hip replacement after upper femoral osteotomy. A clinical review. J Bone Joint Surg Br 1982;64(5):570-1. https://doi.org/10.1302/0301-620X.64B5.7142264 DOI: https://doi.org/10.1302/0301-620X.64B5.7142264
Mehlhoff T, Landon GC, Tullos HS. Total hip arthroplasty following failed internal fixation of hip fractures. Clin Orthop Relat Res 1991;(269):32-7. PMID: 1864052 DOI: https://doi.org/10.1097/00003086-199108000-00006
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En caso de que el manuscrito sea aprobado para su próxima publicación, los autores conservan los derechos de autor y cederán a la revista los derechos de la publicación, edición, reproducción, distribución, exhibición y comunicación a nivel nacional e internacional en las diferentes bases de datos, repositorios y portales.
Se deja constancia que el referido artículo es inédito y que no está en espera de impresión en alguna otra publicación nacional o extranjera.
Por la presente, acepta/n las modificaciones que sean necesarias, sugeridas en la revisión por los pares (referato), para adaptar el trabajo al estilo y modalidad de publicación de la Revista.
