Primary total hip replacement using a tapered rectangular stem without porous surface

Frank Gottschalk

Research output: Contribution to journalArticle

Abstract

PURPOSE OF REVIEW: The present review aims to inform orthopedic surgeons regarding a broached rectangular straight stem which has provided excellent long-term results for stem survival. RECENT FINDINGS: The tapered rectangular femoral stem for hip replacement has been used in its current design since 1986. Implanting the stem requires no reaming and uses broaching for canal preparation. The stem design is such that a fit and fill of the canal is not required and bone ongrowth provides long-term stem stability. Implantation of the stem is straightforward and initial stability is related to the rectangular shape of the stem, which resists rotational and torsional stresses. The stem may be implanted in bone varying from normal to osteoporotic and for a variety of hip problems. General experience over the last 20 years has demonstrated a greater than 98% success rate of the stem with respect to aseptic loosening. SUMMARY: The longevity of a tapered uncemented straight stem has been validated in several studies and should be considered for patients requiring hip replacement.

Original languageEnglish (US)
Pages (from-to)11-15
Number of pages5
JournalCurrent Opinion in Orthopaedics
Volume19
Issue number1
DOIs
StatePublished - Jan 2008

Fingerprint

Hip Replacement Arthroplasties
Hip
Bone and Bones
Thigh
Survival

Keywords

  • Rectangular
  • Roughened titanium
  • Tapered
  • Uncemented

ASJC Scopus subject areas

  • Surgery

Cite this

Primary total hip replacement using a tapered rectangular stem without porous surface. / Gottschalk, Frank.

In: Current Opinion in Orthopaedics, Vol. 19, No. 1, 01.2008, p. 11-15.

Research output: Contribution to journalArticle

@article{44a0a8823557421e83f73f3d97461cd7,
title = "Primary total hip replacement using a tapered rectangular stem without porous surface",
abstract = "PURPOSE OF REVIEW: The present review aims to inform orthopedic surgeons regarding a broached rectangular straight stem which has provided excellent long-term results for stem survival. RECENT FINDINGS: The tapered rectangular femoral stem for hip replacement has been used in its current design since 1986. Implanting the stem requires no reaming and uses broaching for canal preparation. The stem design is such that a fit and fill of the canal is not required and bone ongrowth provides long-term stem stability. Implantation of the stem is straightforward and initial stability is related to the rectangular shape of the stem, which resists rotational and torsional stresses. The stem may be implanted in bone varying from normal to osteoporotic and for a variety of hip problems. General experience over the last 20 years has demonstrated a greater than 98{\%} success rate of the stem with respect to aseptic loosening. SUMMARY: The longevity of a tapered uncemented straight stem has been validated in several studies and should be considered for patients requiring hip replacement.",
keywords = "Rectangular, Roughened titanium, Tapered, Uncemented",
author = "Frank Gottschalk",
year = "2008",
month = "1",
doi = "10.1097/BCO.0b013e3282f2406e",
language = "English (US)",
volume = "19",
pages = "11--15",
journal = "Current Orthopaedic Practice",
issn = "1940-7041",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Primary total hip replacement using a tapered rectangular stem without porous surface

AU - Gottschalk, Frank

PY - 2008/1

Y1 - 2008/1

N2 - PURPOSE OF REVIEW: The present review aims to inform orthopedic surgeons regarding a broached rectangular straight stem which has provided excellent long-term results for stem survival. RECENT FINDINGS: The tapered rectangular femoral stem for hip replacement has been used in its current design since 1986. Implanting the stem requires no reaming and uses broaching for canal preparation. The stem design is such that a fit and fill of the canal is not required and bone ongrowth provides long-term stem stability. Implantation of the stem is straightforward and initial stability is related to the rectangular shape of the stem, which resists rotational and torsional stresses. The stem may be implanted in bone varying from normal to osteoporotic and for a variety of hip problems. General experience over the last 20 years has demonstrated a greater than 98% success rate of the stem with respect to aseptic loosening. SUMMARY: The longevity of a tapered uncemented straight stem has been validated in several studies and should be considered for patients requiring hip replacement.

AB - PURPOSE OF REVIEW: The present review aims to inform orthopedic surgeons regarding a broached rectangular straight stem which has provided excellent long-term results for stem survival. RECENT FINDINGS: The tapered rectangular femoral stem for hip replacement has been used in its current design since 1986. Implanting the stem requires no reaming and uses broaching for canal preparation. The stem design is such that a fit and fill of the canal is not required and bone ongrowth provides long-term stem stability. Implantation of the stem is straightforward and initial stability is related to the rectangular shape of the stem, which resists rotational and torsional stresses. The stem may be implanted in bone varying from normal to osteoporotic and for a variety of hip problems. General experience over the last 20 years has demonstrated a greater than 98% success rate of the stem with respect to aseptic loosening. SUMMARY: The longevity of a tapered uncemented straight stem has been validated in several studies and should be considered for patients requiring hip replacement.

KW - Rectangular

KW - Roughened titanium

KW - Tapered

KW - Uncemented

UR - http://www.scopus.com/inward/record.url?scp=37349058131&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=37349058131&partnerID=8YFLogxK

U2 - 10.1097/BCO.0b013e3282f2406e

DO - 10.1097/BCO.0b013e3282f2406e

M3 - Article

AN - SCOPUS:37349058131

VL - 19

SP - 11

EP - 15

JO - Current Orthopaedic Practice

JF - Current Orthopaedic Practice

SN - 1940-7041

IS - 1

ER -