The short stem GHEs in total hip replacement - experience after 380 implantations.
BACKGROUND
Standard straight stems have been recognized as a gold standard implant in the field of hip replacement surgery. However, lately uncemented bone-preserving short stems started to gain more and more popularity. This was reflected in the increasing variety of available models. Up till now, short and mid-term results are available.


METHODS
In 2002, the cementless short stemmed GHEs was introduced. 380 patients were included in our study between 2002 and 2008. Only GHEs short stems were implanted. The clinical and radiological evaluations were performed in the Orthopaedic Department, Leipzig University Hospitals, on the average of 24 months (3 to 60 months) postoperatively.


RESULTS
365 primary implantations and 15 revision implantations were carried out. Average age 60 years. Favourable clinical and radiological outcome was seen in 361/380 patients (95%). Postoperative complications were seen in 19/380 patients (5%): 8 fissures/fractures (2.1%), 5 infections (1.3%), 4 aseptic loosenings (1.1%), 2 dislocations (0.5%).


CONCLUSIONS
Short stem implants, including our own experience with GHEs model, are satisfying and promising. They represent a valuable supplementation of the treatment modalities in hip replacement surgery. However, long term results are still awaited.
Orthopädische Klinik und Poliklinik, Universitätsklinikum Leipzig, Leipzig, Germany.
Mohamed
M
Ghanem
Orthopädische Klinik und Poliklinik, Universitätsklinikum Leipzig, Leipzig, Germany.
M
M
Farag
Orthopädische Klinik und Poliklinik, Universitätsklinikum Leipzig, Leipzig, Germany.
P
P
Schneider
Orthopädische Klinik und Poliklinik, Universitätsklinikum Leipzig, Leipzig, Germany.
P
P
Hitzler
Orthopädische Klinik und Poliklinik, Universitätsklinikum Leipzig, Leipzig, Germany.
J
J
Gulow
Orthopädische Klinik und Poliklinik, Universitätsklinikum Leipzig, Leipzig, Germany.
G
G
Freiherr von Salis-Soglio
GHEs; hip replacement; narrow bone marrow; proximal anchorage; short stems