{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T04:07:11Z","timestamp":1793678831097,"version":"4.5.1"},"reference-count":50,"publisher":"Bioscientifica","issue":"2","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":2933,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bone remodelling around a stem is an unavoidable long-term physiological process highly related to implant design. For some predisposed patients, it can lead to periprosthetic bone loss secondary to severe stress-shielding, which is thought to be detrimental by contributing to late loosening, late periprosthetic fracture, and thus rendering revision surgery more complicated. However, these concerns remain theoretical, since late loosening has yet to be documented among bone ingrowth cementless stems demonstrating periprosthetic bone loss associated with stress-shielding. Because none of the stems replicate the physiological load pattern on the proximal femur, each stem design is associated with a specific load pattern leading to specific adaptive periprosthetic bone remodelling. In their daily practice, orthopaedic surgeons need to differentiate physiological long-term bone remodelling patterns from pathological conditions such as loosening, sepsis or osteolysis. To aid in that process, we decided to clarify the behaviour of the five most used femoral stems. In order to provide translational knowledge, we decided to gather the designers\u2019 and experts\u2019 knowledge and experience related to the design rationale and the long-term bone remodelling of the following femoral stems we deemed \u2018legendary\u2019 and still commonly used: Corail (Depuy); Taperloc (Biomet); AML (Depuy); Alloclassic (Zimmer); and CLS-Spotorno (Zimmer).<\/jats:p>\n                  <jats:p>Cite this article: EFORT Open Rev 2018;3:45-57. DOI: 10.1302\/2058-5241.3.170024<\/jats:p>","DOI":"10.1302\/2058-5241.3.170024","type":"journal-article","created":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T17:19:50Z","timestamp":1519665590000},"page":"45-57","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":56,"title":["Long-term bone remodelling around \u2018legendary\u2019 cementless femoral stems"],"prefix":"10.1530","volume":"3","author":[{"given":"Charles","family":"Rivi\u00e8re","sequence":"first","affiliation":[{"name":"1MSK Lab, Imperial College London, UK; South West London Elective Orthopaedic Centre, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Grappiolo","sequence":"additional","affiliation":[{"name":"2Unit of Hip Diseases and Joint Replacement Surgery, Humanitas Clinical and Research Center, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Charles A.","family":"Engh","sequence":"additional","affiliation":[{"name":"3Anderson Orthopaedic Research Institute, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Pierre","family":"Vidalain","sequence":"additional","affiliation":[{"name":"4Artro Group, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia-F.","family":"Chen","sequence":"additional","affiliation":[{"name":"5Rothman Institute of Orthopaedics, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Boehler","sequence":"additional","affiliation":[{"name":"6Orthopaedic Department, Kepleruniklinikum Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihad","family":"Matta","sequence":"additional","affiliation":[{"name":"7H\u00f4pital Maisonneuve-Rosemont, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal-Andr\u00e9","family":"Vendittoli","sequence":"additional","affiliation":[{"name":"8H\u00f4pital Maisonneuve-Rosemont, Universit\u00e9 de Montr\u00e9al, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2018,2,26]]},"reference":[{"key":"2026070711204182900_bibr1-2058-5241.3.170024","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1302\/0301-620X.48B2.245","article-title":"Replacement of arthritic hips by the McKee-Farrar prosthesis","volume":"48","author":"McKee","year":"1966","journal-title":"J Bone Joint Surg Br"},{"key":"2026070711204182900_bibr2-2058-5241.3.170024","first-page":"130","article-title":"Failed cementless total hip arthroplasty for osteoarthrosis due to hip dysplasia. 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