Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?

Introduction: Total hip arthroplasties (THA) is the gold standard treatment for end-stage hip osteoarthritis. The rise in primary THA incidence has led to a corresponding increase in THA revision rates. Revision surgeries are challenging and pose significant burdens on patients and on healthcare sys...

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Main Authors: Ioannis S Vasios, Konstantinos G Makiev, Georgios Drosos, Efthymios Iliopoulos, Konstantinos Tilkeridis
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-07-01
Series:Journal of Orthopaedic Case Reports
Subjects:
Online Access:https://jocr.co.in/wp/2025/07/01/revision-of-total-hip-arthroplastys-using-short-femoral-stems-is-it-possible/
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author Ioannis S Vasios
Konstantinos G Makiev
Georgios Drosos
Efthymios Iliopoulos
Konstantinos Tilkeridis
author_facet Ioannis S Vasios
Konstantinos G Makiev
Georgios Drosos
Efthymios Iliopoulos
Konstantinos Tilkeridis
author_sort Ioannis S Vasios
collection DOAJ
description Introduction: Total hip arthroplasties (THA) is the gold standard treatment for end-stage hip osteoarthritis. The rise in primary THA incidence has led to a corresponding increase in THA revision rates. Revision surgeries are challenging and pose significant burdens on patients and on healthcare systems worldwide. The use of short stems as revision implants are considered “off-label” and the literature on this application is scarce. Our purpose is to present the results of a revision surgery using a short femoral prosthesis as well as a review of the current literature on this perspective. Case Report: A 64-year-old male patient suffered from aseptic loosening of the right THA that was revised with a type-3 short femoral prosthesis. Conclusion: Short femoral stems are a viable option for revision surgeries especially for young patients. Although there are many surgeons who would oppose to their usage in this setting, few would deny that their advantages outnumber their cons.
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institution Kabale University
issn 2250-0685
2321-3817
language English
publishDate 2025-07-01
publisher Indian Orthopaedic Research Group
record_format Article
series Journal of Orthopaedic Case Reports
spelling doaj-art-8e224f2ed4074d86a6027a284baeb65c2025-08-20T03:36:58ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-07-01157434710.13107/jocr.2025.v15.i07.5762Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?Ioannis S VasiosKonstantinos G MakievGeorgios DrososEfthymios IliopoulosKonstantinos TilkeridisIntroduction: Total hip arthroplasties (THA) is the gold standard treatment for end-stage hip osteoarthritis. The rise in primary THA incidence has led to a corresponding increase in THA revision rates. Revision surgeries are challenging and pose significant burdens on patients and on healthcare systems worldwide. The use of short stems as revision implants are considered “off-label” and the literature on this application is scarce. Our purpose is to present the results of a revision surgery using a short femoral prosthesis as well as a review of the current literature on this perspective. Case Report: A 64-year-old male patient suffered from aseptic loosening of the right THA that was revised with a type-3 short femoral prosthesis. Conclusion: Short femoral stems are a viable option for revision surgeries especially for young patients. Although there are many surgeons who would oppose to their usage in this setting, few would deny that their advantages outnumber their cons.https://jocr.co.in/wp/2025/07/01/revision-of-total-hip-arthroplastys-using-short-femoral-stems-is-it-possible/hip arthroplastyrevision surgeryshort stemdownsizing
spellingShingle Ioannis S Vasios
Konstantinos G Makiev
Georgios Drosos
Efthymios Iliopoulos
Konstantinos Tilkeridis
Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?
Journal of Orthopaedic Case Reports
hip arthroplasty
revision surgery
short stem
downsizing
title Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?
title_full Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?
title_fullStr Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?
title_full_unstemmed Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?
title_short Revision of Total Hip Arthroplasties Using Short Femoral Stems: Is It Possible?
title_sort revision of total hip arthroplasties using short femoral stems is it possible
topic hip arthroplasty
revision surgery
short stem
downsizing
url https://jocr.co.in/wp/2025/07/01/revision-of-total-hip-arthroplastys-using-short-femoral-stems-is-it-possible/
work_keys_str_mv AT ioannissvasios revisionoftotalhiparthroplastiesusingshortfemoralstemsisitpossible
AT konstantinosgmakiev revisionoftotalhiparthroplastiesusingshortfemoralstemsisitpossible
AT georgiosdrosos revisionoftotalhiparthroplastiesusingshortfemoralstemsisitpossible
AT efthymiosiliopoulos revisionoftotalhiparthroplastiesusingshortfemoralstemsisitpossible
AT konstantinostilkeridis revisionoftotalhiparthroplastiesusingshortfemoralstemsisitpossible