Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
International Orthopaedics
Published in: International Orthopaedics 5/2011

01-05-2011 | Original Paper

Mid-term results of 155 patients treated with a collum femoris preserving (CFP) short stem prosthesis

Authors: Daniel Briem, Michael Schneider, Nicole Bogner, Nadine Botha, Matthias Gebauer, Thorsten Gehrke, Bernd Schwantes

Published in: International Orthopaedics | Issue 5/2011

Login to get access

Abstract

Short stem prostheses that preserve the femoral neck are becoming more and more popular. The CFP (collum femoris preserving) has been introduced especially for the treatment of younger patients. However, information about remodelling, complications and learning curve are thus far rare. We present a retrospective study of 155 patients (average age 59.3 ± 9.9 years) who underwent total hip replacement with the CFP prosthesis. Follow-up was obtained 74.3 ± 9.4 months postoperatively. The Harris hip score revealed excellent and good results in 96%. One stem had to be exchanged due to aseptic loosening revealing a survival rate of 99% and 100% for stem and cup, respectively. Radiological analysis showed typical patterns of remodelling with apearance of cortical thickening predominantly in the distal part of the prosthesis. Implant related revision rate was <1%, with further complication rate independent of the surgeon’s individual experience. With regard to outcome, survivorship and complication rate, the medium-term results of the CFP prosthesis are promising.
Literature
1.
Pipino F, Molfetta L (1993) Femoral neck preservation in total hip replacement. Ital J Orthop Traumatol 19(1):5–12PubMed
2.
Stukenborg-Colsman C (2007) Femoral neck prostheses. Orthopaede 36:347–352CrossRef
3.
Decking R, Rokahr C, Zurstegge M, Simon U, Decking J (2008) Maintenance of bone mineral density after implantation of a femoral neck hip prosthesis. BMC Musculoskelet Disord 9:17–24PubMedCrossRef
4.
Stea S, Bordini B, De Clerico M, Petropulacos K, Toni A (2009) First hip arthroplasty register in Italy: 55,000 cases and 7 year follow-up. Int Orthop 33(2):339–346PubMedCrossRef
5.
Gill IR, Gill K, Jayasekera N, Miller J (2008) Medium term results of the collum femoris preserving hydroxyapatite coated total hip replacement. Hip Int 18(2):75–80
6.
Brown TE, Larson B, Shen F, Moskal JT (2002) Thigh pain after cementless total hip arthroplasty: evaluation and management. J Am Acad Orthop Surg 10(6):385–392PubMed
7.
Kinov P, Radl R, Zacherl M, Leithner A, Windhager R (2007) Correlation between thigh pain and radiological findings with a proximally porous-coated stem. Acta Orthop Belg 73(5):618–624PubMed
8.
Röhrl SM, Li MG, Pedersen E, Ullmark G, Nivbrant B (2006) Migration pattern of a short femoral neck preserving stem. Clin Orthop Relat Res 448:73–78PubMedCrossRef
9.
Gebauer D, Refior HJ, Haake M (1990) Experimental studies of the effect of surgical technical errors on primary stability of cementless hip endoprosthesis shafts. Z Orthop Ihre Grenzgeb 128(1):100–107
10.
Albanese CV, Rendine M, De Palma F, Impagliazzo A, Falez F, Postacchini F, Villani C, Passariello R, Santori FS (2006) Bone remodelling in THA: a comparative DXA scan study between conventional implants and a new stemless femoral component. A preliminary report. Hip Int 16(Suppl 3):9–15PubMed
11.
Chen HH, Morrey BF, An KN, Luo ZP (2009) Bone remodeling characteristics of a short-stemmed total hip replacement. J Arthroplasty 24(6):945–950
12.
Gillies RM, Kohan L, Cordingley R (2007) Periprosthetic bone remodelling of a collum femoris preserving cementless titanium femoral hip replacement. Comput Methods Biomech Biomed Eng 10(2):97–102
13.
Speirs AD, Heller MO, Taylor WR, Duda GN, Perka C (2007) Influence of changes in stem positioning on femoral loading after THR using a short-stemmed hip implant. Clin Biomech 22(4):431–439CrossRef
14.
Sumner DR, Galante JO (1992) Determinants of stress shielding: design versus materials versus interface. Clin Orthop Relat Res 274:202–212PubMed
15.
Chambers B, St Clair SF, Froimson MI (2007) Hydroxyapatite-coated tapered cementless femoral components in total hip arthroplasty. J Arthroplasty 22(4 Suppl 1):71–74PubMedCrossRef
16.
Mont MA, Yoon TR, Krackow KA, Hungerford DS (1999) Clinical experience with a proximally porous-coated second-generation cementless total hip prosthesis: minimum 5-year follow-up. J Arthroplasty 14(8):930–939PubMedCrossRef
17.
Farrell CM, Springer BD, Haidukewych GJ, Morrey BF (2005) Motornerve palsy following primary total hip arthroplasty. J Bone Jt Surg Am 87(12):2619–2625
18.
Davidson D, Pike J, Garbuz D, Duncan CP, Masri BA (2008) Intraoperative periprosthetic fractures during total hip arthroplasty. Evaluation and management. J Bone Jt Surg Am 90(9):2000–2012CrossRef
19.
Thomsen MN, Jakubowitz E, Seeger JB, Lee C, Kretzer JP, Clarius M (2008) Fracture load for periprosthetic femoral fractures in cemented versus uncemented hip stems: an experimental in vitro study. Orthopedics 31(7):653PubMed
20.
Jakubowitz E, Seeger JB, Lee C, Heisel C, Kretzer JP, Thomsen MN (2009) Do short-stemmed-prostheses induce periprosthetic fractures earlier than standard hip stems? A biomechanical ex-vivo study of two different stem designs. Arch Orthop Trauma Surg 129(6):849–855PubMedCrossRef
21.
Flamme CH, Stukenborg-Colsman C, Wirth CJ (2006) Evaluation of the learning curves associated with uncemented primary total hip arthroplasty depending on the experience of the surgeon. Hip Int 16(3):191–197
22.
van Oldenrijk J, Schafroth MU, Bhandari M, Runne WC, Poolman RW (2008) Time-action analysis (TAA) of the surgical technique implanting the collum femoris preserving (CFP) hip arthroplasty. TAASTIC trial Identifying pitfalls during the learning curve of surgeons participating in a subsequent randomized controlled trial. BMC Musculoskelet Disord 9:93–101PubMedCrossRef
Metadata
Title
Mid-term results of 155 patients treated with a collum femoris preserving (CFP) short stem prosthesis
Authors
Daniel Briem
Michael Schneider
Nicole Bogner
Nadine Botha
Matthias Gebauer
Thorsten Gehrke
Bernd Schwantes
Publication date
01-05-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1020-x

Other articles of this Issue 5/2011

International Orthopaedics 5/2011 Go to the issue

Original Paper

Road traffic injuries as seen in a Nigerian teaching hospital

Original Paper

Gait analysis after total hip replacement with hip resurfacing implant or Mallory-head Exeter prosthesis: a randomised controlled trial

Original Paper

Total hip arthroplasty in patients with Down’s syndrome

Original Paper

Kashin Beck Disease: more than just osteoarthrosis

Original Paper

The utility of digital templating in Total Hip Arthroplasty with Crowe type II and III dysplastic hips

Original Paper

Combined single photon emission computerised tomography and conventional computerised tomography (SPECT/CT) in patellofemoral disorders: a clinical review