{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T08:29:06Z","timestamp":1786609746803,"version":"build-2736575974"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:00:00Z","timestamp":1786233600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Increasing demand for revision hip arthroplasty (rTHA), particularly among patients with longer life expectancy, necessitates durable femoral implants. The Link MP modular fluted tapered stem lacks granular mid- and longer-term outcome data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of 125 rTHA procedures using the Link MP stem was conducted at a UK centre from 2011 to 2025. Demographics, operative details, complications, radiographic migration, and clinical outcomes were analysed, and Kaplan-Meier survival analysis assessed implant survivorship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Median follow-up was 57\u2009months, with 100 followed up for at least 2\u2009years. Aseptic loosening was the primary revision indication (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200985, 68%). Extended trochanteric osteotomy (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200971, 56.8%) and cortical windowing (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200935, 28%) were common adjuncts, with 98.1% union rate across the osteotomy cohort. Median stem migration was 3\u2009mm; 36% had &gt;5\u2009mm migration without correlation to reduced mobility (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.273). Overall, 12 cases (9.6%) returned to theatre; stem-related reoperation occurred in 5 cases (4%). Infection was the most common reason for return to theatre (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094, 33.3%), with instability, fractures, and device issues also noted. Kaplan-Meier analysis showed 96% stem survival at 166\u2009months (95% confidence interval from 89.1% to 100%, with 4 hips at risk at that period. 96 cases (76.8%) returned to baseline mobility, 7 (5.6%) of cases suffered an intraoperative complication.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The Link MP stem demonstrates excellent survivorship in complex revision scenarios. Early stem migration appears benign. Mechanical complications at the modular junction were rare but clinically important, requiring return to theatre. This study supports the implant\u2019s reliability and provides technical insight into its use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000261463754","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T05:29:37Z","timestamp":1786339777000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes with use of a modular, cementless, tapered and fluted femoral prosthesis in revision hip arthroplasty with mid-term follow-up"],"prefix":"10.1177","author":[{"given":"Conor","family":"Hughes","sequence":"first","affiliation":[{"name":"National Treatment Centre \u2013 Fife Orthopaedics, Victoria Hospital, Kirkcaldy, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Lim","sequence":"additional","affiliation":[{"name":"National Treatment Centre \u2013 Fife Orthopaedics, Victoria Hospital, Kirkcaldy, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7935-5657","authenticated-orcid":false,"given":"Scott R","family":"Morrison","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Golden Jubilee University National Hospital, Clydebank, UK"},{"name":"Scottish Centres for Orthopaedic Treatment &amp; Innovation in Surgery &amp; Healthcare (SCOTTISH) Network, St Andrews, UK"},{"name":"School of Medicine, University of St. Andrews, Fife, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Adeel","family":"Akhtar","sequence":"additional","affiliation":[{"name":"National Treatment Centre \u2013 Fife Orthopaedics, Victoria Hospital, Kirkcaldy, UK"},{"name":"School of Medicine, University of St. Andrews, Fife, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phil","family":"Walmsley","sequence":"additional","affiliation":[{"name":"National Treatment Centre \u2013 Fife Orthopaedics, Victoria Hospital, Kirkcaldy, UK"},{"name":"Scottish Centres for Orthopaedic Treatment &amp; Innovation in Surgery &amp; Healthcare (SCOTTISH) Network, St Andrews, UK"},{"name":"School of Medicine, University of St. Andrews, Fife, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A","family":"Ballantyne","sequence":"additional","affiliation":[{"name":"National Treatment Centre \u2013 Fife Orthopaedics, Victoria Hospital, Kirkcaldy, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,9]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"21st Annual Report 2024. National Joint Registry for England Wales Northern Ireland the Isle of Man and the States of Guernsey https:\/\/reports.njrcentre.org.uk\/Portals\/0\/PDFdownloads\/NJR%2021st%20Annual%20Report%202024_Hips.pdf (2024 accessed 15 May 2026)."},{"key":"e_1_3_2_3_2","article-title":"Projections and epidemiology of primary hip and knee arthroplasty in Medicare patients to 2040-2060","volume":"8","author":"Shichman I","year":"2023","unstructured":"Shichman I, Roof M, Askew N, et al. Projections and epidemiology of primary hip and knee arthroplasty in Medicare patients to 2040-2060. 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