{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:18:00Z","timestamp":1780705080316,"version":"3.54.1"},"reference-count":28,"publisher":"Universa BV","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>The aim of this study was to present the midterm results of total hip arthroplasty with ultra-short anatomical cementless stem in the primary treatment of displaced intracapsular femoral neck fractures in patients younger 60 years. From 2006 to 2015, 17 hip arthroplasties (with the Proxima stem) were performed in group of 17 patients for the treatment of acute femoral neck fractures Garden type III and IV. The mean follow-up period was 112.7 (range: 64-148) months. Patients were evaluated retrospectively - clinically and radiographically, using the Harris hip scoring system during the year 2020. Seven males and ten females (mean age: 45.0 years) were included in the study. Each of them had one or more risk factors (time delay, comminution of the femoral neck, corticosteroids usage, the presence of coxarthrosis, rheumatoid arthritis, alcohol abuse, etc\u2026), because of which the osteosynthesis was not performed. Harris hip scores were 6.3 preoperatively and 82.9 at the final follow-up. Three patients (17.6%) had complications: luxation, aseptic stem loosening (migration with subsidence - \u201cvarisation\u201d and thigh pain) and deep infection. One patient (5.9%) with infection was revised. In carefully selected younger patients with displaced intracapsular femoral neck fracture, where the osteosynthesis as first treatment option should be associated with high risk of complication (avascular femoral head necrosis, non-union) due to the presence of risk factors, the primary total hip arthroplasty could be performed. The ultra-short cementless stem offers promising results in these rare cases in the midterm.<\/jats:p>","DOI":"10.52628\/87.4.06","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T20:38:47Z","timestamp":1645043927000},"page":"619-627","source":"Crossref","is-referenced-by-count":17,"title":["Ultra-short cementless anatomical stem for intracapsular femoral neck fractures in patients younger than 60 years"],"prefix":"10.52628","volume":"87","author":[{"given":"Marian","family":"Melisik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maros","family":"Hrubina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matej","family":"Daniel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoltan","family":"Cibula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Rovnak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Libor","family":"Necas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2022,2]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr. Ectopic ossification following total hip replacement: incidence and a method of classification. J Bone Joint Surg Am. 1973 ; 55(8) : 1629-1632.","DOI":"10.2106\/00004623-197355080-00006"},{"key":"ref1","unstructured":"Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ , Lawrence Erlbaum, 1988."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Dargan DP, Callachand F, Diamond OJ, Conolly, CK. Three-year outcomes of intracapsular femoral neck fractures fixed with sliding hip screws in adults aged under sixty-five years. Injury. 2016\u037e 47(11) : 2495-2500.","DOI":"10.1016\/j.injury.2016.09.013"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Dogger MN, Fransen BL, Sierevelt IN, Nolte PA. Implant survival in uncemented total hip arthroplasty for displaced intracapsular femoral neck fractures: outcomes of 115 patients in a single center. Eur J Orthop Surg Traumatol. 2020; 30(5) : 885-893.","DOI":"10.1007\/s00590-020-02652-z"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Engh CA, Massin P, Suthers KE. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res. 1990\u037e 257: 107-128.","DOI":"10.1097\/00003086-199008000-00022"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Garden RS. Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg Br. 1961\u037e 43(4) : 647-663.","DOI":"10.1302\/0301-620x.43b4.647"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Gombar C, Janositz G, Friebert G, Sisak K. The DePuy ProximaTM short stem for total hip arthroplasty: excellent outcome at a minimum of 7 years. J Orthop Surg. 2019\u037e 27(2) :1-6.","DOI":"10.1177\/2309499019838668"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures treatment by mold arthroplasty: an end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969\u037e 51(4): 737-755.","DOI":"10.2106\/00004623-196951040-00012"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Hrubina M, Skotak M, Behounek J sr. DHS osteosynthesis for proximal femoral fractures: infectious complications. Acta Chir orthop Traum Czech. 2013; 80(5) : 351-355.","DOI":"10.55095\/achot2013\/057"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Chang ChH, Tsai SW, Wu PK, et. al. Suboptimal outcomes after internal fixation for displaced intracapsular femoral neck fractures in 50- to 60-years old patients. Hip Int. 2020; 30(4) : 474-480.","DOI":"10.1177\/1120700019859842"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957\u037e 16(4) : 494-502.","DOI":"10.1136\/ard.16.4.494"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Kim YH, Oh JH. A comparison of a conventional versus a short, anatomical metaphyseal-fitting cementless femoral stem in the treatment of patients with a fracture of the femoral neck. J Bone Joint Surg Br. 2012; 94(6) : 774-781.","DOI":"10.1302\/0301-620x.94b6.29152"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Kim YH, Park JW. Long-term outcomes of ultra-short metaphyseal-fitting anatomic cementless femoral stem in total hip arthroplasty with ceramic-on-ceramic articulation for young patients. J Arthroplasty. 2019\u037e 34(10) : 2427-2433.","DOI":"10.1016\/j.arth.2019.04.036"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Kim YH, Park JW. Ultra-short anatomic uncemented femoral stem and ceramic-on-ceramic bearing in patients with idiopathic or ethanol-induced femoral head osteonecrosis. J Arthroplasty. 2020; 35(1): 212-218.","DOI":"10.1016\/j.arth.2019.08.047"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Levack AE, Gausden EB, Dvorzhinskiy A, Lohrich DG, Helfet DL. Novel treatment options for the surgical management of young femoral neck fractures. J Orthop Trauma. 2019\u037e 33(Suppl. 1): S33-S37.","DOI":"10.1097\/bot.0000000000001368"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Mahmoud AN, Kesteris U, Flivik G. Stable migration pattern of an ultra-short anatomical uncemented hip stem:a prospective study with 2 years radiostereometric analysis follow-up. Hip Int. 2017\u037e 27(3): 259-266.","DOI":"10.5301\/hipint.5000458"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Martell JM, Pierson RH, Jacobs JJ, Rosenberg AG, Maley M, Galante JO. Primary total hip reconstruction with a titanium fiber-coated prosthesis inserted without cement. J Bone Joint Surg Am. 1993\u037e 75(4) : 554-571.","DOI":"10.2106\/00004623-199304000-00010"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Melisik M, Hrubina M, Hert J, Cibula Z, Cabala J, Necas L. Mid-term results Proxima ultra-short anatomical stem \u2013 analysis of 130 cases. Acta Chir orthop Traum Czech. 2021; 88(1) : 50-57.","DOI":"10.1177\/11207000211043481"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Morrey BF, Adams RA, Kessler M. A conservative femoral replacement for total hip arthroplasty. A prospective study. J Bone Joint Surg B. 2000; 82(7) : 952-958.","DOI":"10.1302\/0301-620x.82b7.0820952"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"Rawall S, Bali K, Upendra B, Garg B, Yadav CS, Jayaswal A. Displaced femoral neck fractures in the young: significance of posterior comminution and raised intracapsular pressure. Arch Orthop Trauma Surg. 2012\u037e 132(1): 73-79.","DOI":"10.1007\/s00402-011-1395-1"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Rogmark C, Kristensen MT, Viberg B, R\u00f6nnquist SS, Overgaard S, Palm H. Hip fractures in the non-elderly \u2013 who, why and whiter? Injury. 2018; 49(8): 1445-1450.","DOI":"10.1016\/j.injury.2018.06.028"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Santori FS, Santori N. Mid-term results of a custom-made short proximal loading femoral component. J Bone Joint Surg Br. 2010\u037e 92(9) :1231-1237.","DOI":"10.1302\/0301-620x.92b9.24605"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"Slobogean GP, Sprague SA, Scott T, Bhandari M. Complications following young femoral neck fractures. Injury. 2015; 46(3) : 484-491.","DOI":"10.1016\/j.injury.2014.10.010"},{"key":"ref23","doi-asserted-by":"publisher","unstructured":"Swart E, Roulette P, Leas D, Bozic KJ, Karunakar M. ORIF or arthroplasty for displaced femoral neck fractures in patients younger than 65 years old. J Bone Joint Surg Am. 2017\u037e 99(1) : 65-75.","DOI":"10.2106\/jbjs.16.00406"},{"key":"ref24","unstructured":"Talboys R, Pickup L, Chojnowski A. The management of intracapsular hip fractures in the \u201cyoung elderly\u201d internal fixation or total hip replacement? Acta Orthop Belg. 2012\u037e 78(1) : 41-48."},{"key":"ref25","unstructured":"Toth K, Mecs L, Kellermann P. Early experience with the DePuy ProximaTM short stem in total hip arthroplasty. Acta Orthop Belg. 2010; 76(5): 613-618."},{"key":"ref26","doi-asserted-by":"publisher","unstructured":"Upadhyay A, Jain P, Mishra P, Maini L, Gautum VK, Dhaon BK. Delayed internal fixation of fractures of the neck of the femur in young adults. J Bone Joint Surg Br. 2004; 86(7) : 1035-1040.","DOI":"10.1302\/0301-620x.86b7.15047"},{"key":"ref27","doi-asserted-by":"publisher","unstructured":"Zicat B, Engh CA, Gokcen E. Patterns of osteolysis around total hip components inserted with and without cement. J Bone Joint Surg Am. 1995\u037e 77(3): 432-439.","DOI":"10.2106\/00004623-199503000-00013"}],"container-title":["Acta Orthopaedica Belgica"],"original-title":[],"deposited":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T16:28:57Z","timestamp":1700238537000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.actaorthopaedica.be\/archive\/volume-87\/issue-4\/original-studies\/ultra-short-cementless-anatomical-stem-intracapsular-femoral-neck-fractures-patients-younger-than-60\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":28,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,2]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.52628\/87.4.06","relation":{},"ISSN":["0001-6462"],"issn-type":[{"value":"0001-6462","type":"print"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}