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Background <p>Short cementless femoral stems, designed for bone-preserving elective THA, are increasingly used for femoral neck fractures, yet their safety and effectiveness remain unclear.</p> Objective <p>To map current evidence on short cementless stems in fracture-related THA, focusing on complications, function, and revisions.</p> Methods <p>MedLine and Web of Science were searched to 30 April 2025. Studies reporting ≥ 5 THAs with short cementless stems for femoral neck fractures were included; data were charted and narratively synthesized.</p> Results <p>Five studies (477 short-stem, 70 standard-stem THAs; mean age 63&#xa0;years; mean follow-up 65&#xa0;months) met criteria. Short stems showed a 4.4% complication rate (0.6% intra-op fractures, 0.6% dislocations, 2.1% aseptic loosening) and 3.7% reoperations. Mean Harris Hip Score was 86.8—comparable to standard stems—with fewer surgical complications (4.4 vs. 15.7%).</p> Conclusion <p>Current evidence suggests short cementless stems are a safe, effective option for selected femoral neck fracture patients, but higher-quality, long-term studies are needed.</p>

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The use of short cementless femoral stems in total hip arthroplasty for femoral neck fractures: a scoping review of the literature

  • 期刊论文

  • 发表日期：

    2025年8月9日

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  • Nicola Corradi,
  • Alberto Trimarchi,
  • Federica Manca,
  • Ilaria Martini,
  • Andrea Colombelli,
  • Alberto Belluati

摘要

Background

Short cementless femoral stems, designed for bone-preserving elective THA, are increasingly used for femoral neck fractures, yet their safety and effectiveness remain unclear.

Objective

To map current evidence on short cementless stems in fracture-related THA, focusing on complications, function, and revisions.

Methods

MedLine and Web of Science were searched to 30 April 2025. Studies reporting ≥ 5 THAs with short cementless stems for femoral neck fractures were included; data were charted and narratively synthesized.

Results

Five studies (477 short-stem, 70 standard-stem THAs; mean age 63 years; mean follow-up 65 months) met criteria. Short stems showed a 4.4% complication rate (0.6% intra-op fractures, 0.6% dislocations, 2.1% aseptic loosening) and 3.7% reoperations. Mean Harris Hip Score was 86.8—comparable to standard stems—with fewer surgical complications (4.4 vs. 15.7%).

Conclusion

Current evidence suggests short cementless stems are a safe, effective option for selected femoral neck fracture patients, but higher-quality, long-term studies are needed.