Not all cemented femoral stems are created equal: A selection algorithm

Rory Sandberg, R. Meneghini

Research output: Contribution to journalArticle

Abstract

Cementless femoral stem fixation predominates in total hip arthroplasty with North America and includes various designs designated as fit and fill or double taper proximally porous coated stems, parallel sided taper wedge or "blade" stems, tapered rectangular cross-section Zweymuller-type stems, fully-porous coated cylindrical stems, Wagner-style conical shape splined titanium stems, and modular proximal sleeve stems. Regardless of the stem type, the essential tenets of long-term fixation and osseointegration remain obtaining adequate mechanical stability and intimate prosthesis contact with viable host bone. This manuscript will detail a selection an algorithm for selection of an appropriate femoral stem for a given patient anatomy.

Original languageEnglish (US)
JournalSeminars in Arthroplasty
DOIs
StateAccepted/In press - 2017

Keywords

  • Cementless stem
  • Femoral component
  • Femoral stem
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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