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Defining the Most Effective Patient Blood Management Combined with Tranexamic Acid Regime in Primary Uncemented Total Hip Replacement Surgery
Open AccessArticle

Prospective Short-Term and Return-to-Sports Results of a Novel Uncemented Short-Stem Hip Prosthesis with Metaphyseal Anchorage

1
Department of Orthopedics and Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria
2
Department of Orthopedics and Trauma Surgery, Sozialmedizinisches Zentrum Ost, 1220 Vienna, Austria
3
Department of Orthopedics, Klinikum Wels-Grieskirchen, 4600 Wels, Austria
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(6), 1972; https://doi.org/10.3390/jcm9061972
Received: 22 May 2020 / Accepted: 19 June 2020 / Published: 24 June 2020
(This article belongs to the Special Issue State-of-the-Art Research on Hip and Knee Arthroplasty)
Short-stem hip prostheses were developed to treat active patients requiring total hip arthroplasty (THA). This study provides short-term data about a short-stem total hip arthroplasty system. Functional and radiological outcomes as well as return to sports and activity level were assessed. A series of 55 patients was primarily included. Data were available for 47 patients at an average follow-up of 38 ± 4.6 months. The back-to-sports analysis showed a 98% return-to-sports rate (46/47 patients). The average time for return to sports was 13 weeks (± 8) postoperatively. Five patients (10.6%) were more active postoperatively. The Harris Hip Score (HHS) improved from 34.8 (±9.4) preoperatively to 94.7 (±8.4, p ≤ 0.001) and the University of California, Los Angeles (UCLA) score improved from 4.5 (±1.8) to 6.9 (±1.9) (p ≤ 0.001). The High Activity Arthroplasty Score (HAAS) was 12 (±3.6) at 3-year follow-up. Pre- and postoperative UCLA and postoperative HHS and HAAS scores had a positive influence on the return-to-sports rate (p ≤ 0.05). The collection of radiographic data during all postoperative follow-ups showed no signs of radiolucent lines or bone fissures. The complication rate was at 5%. Short-stem systems are equaling conventional prostheses and offer benefits regarding soft tissue and bone stock preservation. Fast recovery and return to sports can be achieved. View Full-Text
Keywords: total hip arthroplasty; short stem; minimally invasive; bone stock preservation; return to sports; physical activity total hip arthroplasty; short stem; minimally invasive; bone stock preservation; return to sports; physical activity
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Breuer, R.; Fiala, R.; Schrenk, N.; Tiefenboeck, T.M. Prospective Short-Term and Return-to-Sports Results of a Novel Uncemented Short-Stem Hip Prosthesis with Metaphyseal Anchorage. J. Clin. Med. 2020, 9, 1972.

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