{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:28:40Z","timestamp":1790231320519,"version":"4.1.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2018,5,7]],"date-time":"2018-05-07T00:00:00Z","timestamp":1525651200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"published-print":{"date-parts":[[2018,10]]},"DOI":"10.1007\/s00590-018-2217-8","type":"journal-article","created":{"date-parts":[[2018,5,7]],"date-time":"2018-05-07T09:51:49Z","timestamp":1525686709000},"page":"1291-1296","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["High incidence of intraoperative calcar fractures with the cementless CLS Spotorno stem"],"prefix":"10.1007","volume":"28","author":[{"given":"Carla","family":"Timmer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davey M. J. M.","family":"Gerhardt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"de Visser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marinus","family":"de Kleuver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Job L. C.","family":"van Susante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2018,5,7]]},"reference":[{"issue":"9597","key":"2217_CR1","doi-asserted-by":"publisher","first-page":"1508","DOI":"10.1016\/S0140-6736(07)60457-7","volume":"370","author":"ID Learmonth","year":"2007","unstructured":"Learmonth ID, Young C, Rorabeck C (2007) The operation of the century: total hip replacement. Lancet 370(9597):1508\u20131519","journal-title":"Lancet"},{"key":"2217_CR2","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1097\/00003086-200112000-00013","volume":"393","author":"RB Bourne","year":"2001","unstructured":"Bourne RB et al (2001) Tapered titanium cementless total hip replacements: a 10- to 13-year followup study. Clin Orthop Relat Res 393:112\u2013120","journal-title":"Clin Orthop Relat Res"},{"issue":"9","key":"2217_CR3","doi-asserted-by":"publisher","first-page":"2377","DOI":"10.1007\/s11999-010-1314-8","volume":"468","author":"KR Berend","year":"2010","unstructured":"Berend KR, Lombardi AV Jr (2010) Intraoperative femur fracture is associated with stem and instrument design in primary total hip arthroplasty. Clin Orthop Relat Res 468(9):2377\u20132381","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"2217_CR4","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1302\/0301-620X.97B2.34926","volume":"97-B","author":"JE Biemond","year":"2015","unstructured":"Biemond JE, Venkatesan S, van Hellemondt GG (2015) Survivorship of the cementless Spotorno femoral component in patients under 50\u00a0years of age at a mean follow-up of 18.4\u00a0years. Bone Jt J 97-B(2):160\u2013163","journal-title":"Bone Jt J"},{"issue":"6","key":"2217_CR5","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1007\/s00264-013-1867-8","volume":"37","author":"P Sadoghi","year":"2013","unstructured":"Sadoghi P et al (2013) Pooled outcome of total hip arthroplasty with the CementLess Spotorno (CLS) system: a comparative analysis of clinical studies and worldwide arthroplasty register data. Int Orthop 37(6):995\u2013999","journal-title":"Int Orthop"},{"issue":"8","key":"2217_CR6","doi-asserted-by":"publisher","first-page":"1554","DOI":"10.1016\/j.arth.2012.02.005","volume":"27","author":"KT Hwang","year":"2012","unstructured":"Hwang KT et al (2012) Total hip arthroplasty using cementless grit-blasted femoral component: a minimum 10-year follow-up study. J Arthroplasty 27(8):1554\u20131561","journal-title":"J Arthroplasty"},{"issue":"2","key":"2217_CR7","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1302\/0301-620X.85B2.13216","volume":"85","author":"PR Aldinger","year":"2003","unstructured":"Aldinger PR et al (2003) A ten- to 15-year follow-up of the cementless Spotorno stem. J Bone Jt Surg Br 85(2):209\u2013214","journal-title":"J Bone Jt Surg Br"},{"issue":"2","key":"2217_CR8","doi-asserted-by":"publisher","first-page":"113","DOI":"10.3109\/17453674.2015.1112712","volume":"87","author":"SS Miettinen","year":"2016","unstructured":"Miettinen SS et al (2016) Risk factors for intraoperative calcar fracture in cementless total hip arthroplasty. Acta Orthop 87(2):113\u2013119","journal-title":"Acta Orthop"},{"issue":"4 Suppl 1","key":"2217_CR9","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.arth.2004.02.007","volume":"19","author":"HU Cameron","year":"2004","unstructured":"Cameron HU (2004) Intraoperative hip fractures: ruining your day. J Arthroplasty 19(4 Suppl 1):99\u2013103","journal-title":"J Arthroplasty"},{"issue":"8","key":"2217_CR10","doi-asserted-by":"publisher","first-page":"1418","DOI":"10.1016\/j.arth.2015.02.043","volume":"30","author":"DY Ponzio","year":"2015","unstructured":"Ponzio DY et al (2015) Intraoperative proximal femoral fracture in primary cementless total hip arthroplasty. J Arthroplasty 30(8):1418\u20131422","journal-title":"J Arthroplasty"},{"issue":"2","key":"2217_CR11","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1016\/S0030-5898(05)70073-0","volume":"30","author":"DJ Berry","year":"1999","unstructured":"Berry DJ (1999) Epidemiology: hip and knee. Orthop Clin North Am 30(2):183\u2013190","journal-title":"Orthop Clin North Am"},{"issue":"3","key":"2217_CR12","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1016\/j.arth.2007.04.002","volume":"23","author":"BW Min","year":"2008","unstructured":"Min BW et al (2008) The effect of stem alignment on results of total hip arthroplasty with a cementless tapered-wedge femoral component. J Arthroplasty 23(3):418\u2013423","journal-title":"J Arthroplasty"},{"issue":"4","key":"2217_CR13","doi-asserted-by":"publisher","first-page":"347","DOI":"10.4055\/jkoa.2004.39.4.347","volume":"39","author":"YH Kim","year":"2004","unstructured":"Kim YH, Park KC, Hwang KT, Choi IY (2004) Hydroxyapatite coated CLS femoral stem in patients with rheumatoid arthritis: minimum 5 year results. J Korean Orthop Assoc 39(4):347\u2013353","journal-title":"J Korean Orthop Assoc"},{"issue":"9","key":"2217_CR14","doi-asserted-by":"publisher","first-page":"1673","DOI":"10.1007\/s00264-015-2721-y","volume":"39","author":"CC Sidler-Maier","year":"2015","unstructured":"Sidler-Maier CC, Waddell JP (2015) Incidence and predisposing factors of periprosthetic proximal femoral fractures: a literature review. Int Orthop 39(9):1673\u20131682","journal-title":"Int Orthop"},{"key":"2217_CR15","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/00003086-198411000-00022","volume":"190","author":"RA Mollan","year":"1984","unstructured":"Mollan RA et al (1984) Failure of the femoral component in the Howse total hip arthroplasty. Clin Orthop Relat Res 190:142\u2013147","journal-title":"Clin Orthop Relat Res"},{"issue":"10","key":"2217_CR16","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.1007\/s00402-009-0875-z","volume":"129","author":"S Witjes","year":"2009","unstructured":"Witjes S et al (2009) Learning from the learning curve in total hip resurfacing: a radiographic analysis. Arch Orthop Trauma Surg 129(10):1293\u20131299","journal-title":"Arch Orthop Trauma Surg"},{"key":"2217_CR17","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1097\/00003086-199209000-00017","volume":"282","author":"JJ Callaghan","year":"1992","unstructured":"Callaghan JJ et al (1992) Evaluation of the learning curve associated with uncemented primary porous-coated anatomic total hip arthroplasty. Clin Orthop Relat Res 282:132\u2013144","journal-title":"Clin Orthop Relat Res"},{"issue":"6 Suppl 2","key":"2217_CR18","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.arth.2006.05.014","volume":"21","author":"ME Berend","year":"2006","unstructured":"Berend ME et al (2006) Long-term outcome and risk factors of proximal femoral fracture in uncemented and cemented total hip arthroplasty in 2551 hips. J Arthroplasty 21(6 Suppl 2):53\u201359","journal-title":"J Arthroplasty"},{"issue":"2","key":"2217_CR19","first-page":"113","volume":"89","author":"A Moroni","year":"2000","unstructured":"Moroni A et al (2000) Risk factors for intraoperative femoral fractures during total hip replacement. Ann Chir Gynaecol 89(2):113\u2013118","journal-title":"Ann Chir Gynaecol"},{"issue":"1 Supple A","key":"2217_CR20","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0220.R1","volume":"99-B","author":"AV Carli","year":"2017","unstructured":"Carli AV, Negus JJ, Haddad FS (2017) Periprosthetic femoral fractures and trying to avoid them: what is the contribution of femoral component design to the increased risk of periprosthetic femoral fracture? Bone Jt J 99-B(1 Supple A):50\u201359","journal-title":"Bone Jt J"},{"issue":"11 Suppl A","key":"2217_CR21","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1302\/0301-620X.94B11.30614","volume":"94","author":"RE Mayle","year":"2012","unstructured":"Mayle RE, Della Valle CJ (2012) Intra-operative fractures during THA: see it before it sees us. J Bone Jt Surg Br 94(11 Suppl A):26\u201331","journal-title":"J Bone Jt Surg Br"},{"issue":"9","key":"2217_CR22","doi-asserted-by":"publisher","first-page":"2000","DOI":"10.2106\/JBJS.H.00331","volume":"90","author":"D Davidson","year":"2008","unstructured":"Davidson D et al (2008) Intraoperative periprosthetic fractures during total hip arthroplasty. Evaluation and management. J Bone Jt Surg Am 90(9):2000\u20132012","journal-title":"J Bone Jt Surg Am"},{"issue":"7 Suppl 2","key":"2217_CR23","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.arth.2004.06.008","volume":"19","author":"KR Berend","year":"2004","unstructured":"Berend KR et al (2004) Cerclage wires or cables for the management of intraoperative fracture associated with a cementless, tapered femoral prosthesis: results at 2\u201316 years. J Arthroplasty 19(7 Suppl 2):17\u201321","journal-title":"J Arthroplasty"},{"issue":"3","key":"2217_CR24","first-page":"337","volume":"21","author":"PF Sharkey","year":"1992","unstructured":"Sharkey PF et al (1992) Intraoperative femoral fractures in cementless total hip arthroplasty. Orthop Rev 21(3):337\u2013342","journal-title":"Orthop Rev"},{"issue":"6","key":"2217_CR25","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1302\/0301-620X.97B6.35022","volume":"97-B","author":"MP Bonnin","year":"2015","unstructured":"Bonnin MP et al (2015) Increased incidence of femoral fractures in small femurs and women undergoing uncemented total hip arthroplasty\u2014Why? Bone Jt J 97-B(6):741\u2013748","journal-title":"Bone Jt J"},{"issue":"1","key":"2217_CR26","first-page":"43","volume":"60","author":"A Toni","year":"1994","unstructured":"Toni A et al (1994) Incidence of intraoperative femoral fracture. Straight-stemmed versus anatomic cementless total hip arthroplasty. Acta Orthop Belg 60(1):43\u201354","journal-title":"Acta Orthop Belg"},{"issue":"4","key":"2217_CR27","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/S0883-5403(06)80071-9","volume":"7","author":"M Jasty","year":"1992","unstructured":"Jasty M et al (1992) Unrecognized femoral fractures during cementless total hip arthroplasty in the dog and their effect on bone ingrowth. J Arthroplasty 7(4):501\u2013508","journal-title":"J Arthroplasty"}],"container-title":["European Journal of Orthopaedic Surgery & Traumatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00590-018-2217-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-018-2217-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-018-2217-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T09:13:40Z","timestamp":1661159620000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00590-018-2217-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,7]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["2217"],"URL":"https:\/\/doi.org\/10.1007\/s00590-018-2217-8","relation":{},"ISSN":["1633-8065","1432-1068"],"issn-type":[{"value":"1633-8065","type":"print"},{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,7]]},"assertion":[{"value":"21 December 2017","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 April 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 May 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"All authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"For this research, IRB statement was not necessary, as it involves retrospective research making use of an existing database. Patient data were processed anonymous.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}