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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.

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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.

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

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