Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Aug 9.
doi: 10.1007/s12306-025-00917-6. Online ahead of print.

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

Nicola Corradi  1   2 , Alberto Trimarchi  3 , Federica Manca  3 , Ilaria Martini  4 , Andrea Colombelli  5 , Alberto Belluati  6
Affiliations
Review

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

Nicola Corradi et al. Musculoskelet Surg. .

Abstract

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.

Keywords: Anatomic stem; Femoral neck fracture; Hip fracture management; Periprosthetic complications; Short cementless stem; Total hip arthroplasty.

PubMed Disclaimer

Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests. Ethical consideration: Ethical approval was not required. Data collection and analysis was performed in compliance with the Declaration of Helsinki.

Similar articles

See all similar articles

References

    1. Bhandari M, Swiontkowski M (2017) Management of acute hip fracture. N Engl J Med 377(21):2053–2062. https://doi.org/10.1056/NEJMcp1611090 - DOI - PubMed
    1. Caruso G, Andreotti M, Marko T, Tonon F, Corradi N, Rizzato D, Valentini A, Valpiani G, Massari L (2019) The impact of warfarin on operative delay and 1-year mortality in elderly patients with hip fracture: a retrospective observational study. J Orthop Surg Res 14(1):169. https://doi.org/10.1186/s13018-019-1199-5 - DOI - PubMed - PMC
    1. Sugand K, Ali R, Goodall R, Salciccioli J, Marshall D, Schuster-Bruce J, Abdul-Jabar HB, Shalhoub J (2023) Trends in neck of femur fracture incidence in EU15+ countries from 1990–2017. Injury 54(2):645–651. https://doi.org/10.1016/j.injury.2022.11.038 - DOI - PubMed
    1. Lewis SR, Macey R, Parker MJ, Cook JA, Griffin XL (2022) Arthroplasties for hip fracture in adults. Cochrane Database Syst Rev 2(2):CD013410. https://doi.org/10.1002/14651858.CD013410.pub2 - DOI - PubMed
    1. Mc Donald S, Yoong A, Evans JT, Farrow L (2025) A systematic review of short-compared with standard-length Exeter stems in primary total hip arthroplasty. Bone Joint J 107-B(1):27–33. https://doi.org/10.1302/0301-620X.107B1.BJJ-2024-0305.R1 - DOI - PubMed

LinkOut - more resources