The cementless taper wedge vs. fit-and-fill stem in primary total hip arthroplasty: risk of stem-related complication differs across Dorr types

Kun-Han Lee, Yueh-Ting Hung, Cheng-Yang Chang, Jui-Chien Wang,Shang-Wen Tsai,Cheng-Fong Chen,Po-Kuei Wu,Wei-Ming Chen

Archives of Orthopaedic and Trauma Surgery(2024)

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摘要
The choice between a cementless taper wedge stem and a fit-and-fill stem in total Hip arthroplasty (THA) for various proximal femoral morphological types has not been thoroughly evaluated. This study aimed to compare the risk of stem-related complications between these two stem types in Dorr type A, B, and C femurs. From January 2015 through April 2021, we retrospectively reviewed 1995 cementless THA procedures. We stratified all procedures into three groups: Dorr type A (N = 360, 18.0
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关键词
Cementless stem,Complication,Dorr classification,Proximal femoral morphology,Subsidence,Total hip arthroplasty
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