The Effect of Femoral Stem Length on Duration of Hospital Stay

Tahim, Arpan; Stokes, Oliver M.; Vedi, Vikas

doi:10.5301/hip.2012.9035

Cited by 11 publications

(11 citation statements)

References 35 publications

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“…Within this context, diminished bone density has been described as predisposing factor for periprosthetic fractures [6, 24, 25]. Another study including a low number of patients treated with the mayo stem also showed increased numbers of intraoperative fractures (13.3%) with 2 cases in 15 patients [26].…”

Section: Discussionmentioning

confidence: 99%

The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department

Arnholdt

Gilbert

Blank

et al. 2017

BMC Musculoskelet Disord

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BackgroundTo prevent bone loss in hip arthroplasty, several short stem systems have been developed, including the Mayo conservative hip system. While there is a plethora of data confirming inherent advantages of these systems, only little is known about potential complications, especially when surgeons start to use these systems.MethodsIn this study, we present a retrospective analysis of the patients’ outcome, complications and the complication management of the first 41 Mayo conservative hips performed in 37 patients. For this reason, functional scores, radiographic analyses, peri- and postoperative complications were assessed at an average follow-up of 35 months.ResultsThe overall HHS improved from 61.2 pre-operatively to 85.6 post-operatively. The German Extra Short Musculoskeletal Function Assessment Questionnaire (XSFMA-D) improved from 30.3 pre-operatively to 12.2 post-operatively. The most common complication was an intraoperative non-displaced fracture of the proximal femur observed in 5 cases (12.1%). Diabetes, higher BMI and older ages were shown to be risk factors for these intra-operative periprosthetic fractures (p < 0.01). Radiographic analysis revealed a good offset reconstruction in all cases.ConclusionIn our series, a high complication rate with 12.1% of non-displaced proximal femoral fractures was observed using the Mayo conservative hip. This may be attributed to the flat learning curve of the system or the inherent patient characteristics of the presented cohort.

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Section: Discussionmentioning

confidence: 99%

The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department

Arnholdt

Gilbert

Blank

et al. 2017

BMC Musculoskelet Disord

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show abstract

“…We think that although they both have similar weight transfer, TPP patients have better score development regarding their functional activity and walking velocity than do conventional THP patients, which may be due to the fact that TPP probably has higher physiological functional loading of the bone. We also consider that less traumatization of soft tissue resulting from better protection of bone stock in TPP applications will contribute to TPP patients' having better functional activities than conventional THP patients [1,9,27].…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, studies investigating the effects of the type and length of the incision and the length of femoral stem on the duration of hospital stay have found different results. Tahim et al reported that short femoral stem applications significantly shortened the duration of hospitalization than did longstem femoral stem applications [9].…”

Section: Discussionmentioning

confidence: 99%

“…Several surgical factors have been recognised as affecting hospital length of stay. These factors include type of incision, length of incision, anaesthetic technique, and the use of short or long stem femoral components [9,10]. The recent use of short stem femoral components in THP may theoretically decreases bone and soft tissue damage and limit blood loss, enabling earlier mobilization, faster recovery and decreasing hospital length of stay [9].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Femoral Stem Length on Inpatient Rehabilitation Outcomes

Bakırhan¹,

Ünver

Karatosun³

2013

AJCMR

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Thrust plate prosthesis (TPP) has load-transferring characteristics different from those of conventional intramedullary stemmed prostheses (ISP). We investigate whether prosthesis type (intramedullary or extramedullary application) can improve early functional activities in hospital patients with hip arthroplasty. Early postoperative functional activities of 30 patients with TPP were compared with 31 patients treated by ISP. Each group received same rehabilitation programmes: TPP patients with early full weight bearing and ISP patients with early full weight bearing. Patients were evaluated postoperatively (on the second, sixth and discharge days). Their functional activities were assessed with Iowa Level of Assistance Scale (ILAS), walking speed with Iowa Ambulation Velocity Scale (IAVS), hip functions with Harris Hip Scoring System, and hip motions with goniometer. TPP patients achieved higher scores for total functional activities on the second and sixth postoperative days and during discharge than did ISP patients (p<0.05). Comparison of the walking speed of the patients on the second and sixth postoperative days and during discharge showed that TPP patients walked faster than did ISP patients (p<0.05). TPP patients had higher Harris hip scores and a higher hip motion degree than did ISP patients during discharge (p<0.05). We conclude that patients with TPP gain their independence in functional activities earlier than do patients with ISP.

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“…Advantages of SHA include a more physiological load transfer at the metaphyseal part of the femur and a reduced soft tissue trauma, as the small and curved designs facilitate the preparation of the femoral cavity and the insertion of the stem [12]. As a result, faster post-operative mobilization with a reduced hospital stay has been reported [15]. A further advantage of SHA is the preservation of the femoral bone stock.…”

Section: Discussionmentioning

confidence: 99%

Revision of hip resurfacing arthroplasty with a bone-conserving short-stem implant: a case report and review of the literature

Schmidutz¹,

Wanke-Jellinek²,

Jansson³

et al. 2012

J Med Case Reports

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IntroductionSuitable treatment of early failure of total hip replacement is critical in younger patients, as bone stock is lost and the functional outcome is impaired.Case presentationWe report the case of a 56-year-old Caucasian woman with early failure of hip resurfacing arthroplasty. While revision is usually performed with a conventional hip implant, this case report describes for the first time a revision procedure with a bone-conserving short-stem hip implant.ConclusionsOur approach allows further conservation of femoral bone stock and provides a long-term solution to the patient, which maintains the possibility of using a conventional hip implant should a second revision become necessary.

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The Effect of Femoral Stem Length on Duration of Hospital Stay

Cited by 11 publications

References 35 publications

The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department

The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department

The Effect of Femoral Stem Length on Inpatient Rehabilitation Outcomes

Revision of hip resurfacing arthroplasty with a bone-conserving short-stem implant: a case report and review of the literature

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