Does femoral stem choice associate with survivorship and clinical outcomes after conversion total hip arthroplasty? A retrospective analysis and novel treatment algorithm - Takeaways - MDSpire

Does femoral stem choice associate with survivorship and clinical outcomes after conversion total hip arthroplasty? A retrospective analysis and novel treatment algorithm

  • By

  • Troy D. Bornes

  • Daniel Alexander Driscoll

  • Christopher G. Anderson

  • Delano R. Trenchfield

  • Mohammed El-Hassan

  • Ittai Shichman

  • Elizabeth B. Gausden

  • Allina A. Nocon

  • Peter K. Sculco

  • February 24, 2026

  • 0 min

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  • 1

    Proximal femur fractures are common and may lead to conversion total hip arthroplasty (cTHA) due to complications like osteoarthritis and nonunion.

  • 2

    Survivorship rates after cTHA are lower than those for primary total hip arthroplasty (pTHA), with higher complication rates reported.

  • 3

    The study evaluates the impact of femoral stem type on outcomes and survivorship in cTHA, addressing a gap in existing literature.

  • 4

    Data from 51 patients showed varying use of stem types, with uncemented diaphyseal-engaging stems being the most common.

  • 5

    A novel preoperative radiographic measurement is proposed to guide femoral stem selection during cTHA.

Original Source(s)

Does femoral stem choice associate with survivorship and clinical outcomes after conversion total hip arthroplasty? A retrospective analysis and novel treatment algorithm

  • by Troy D. Bornes, Daniel Alexander Driscoll, Christopher G. Anderson, Delano R. Trenchfield, Mohammed El-Hassan, Ittai Shichman, Elizabeth B. Gausden, Allina A. Nocon, Peter K. Sculco

  • February 24, 2026

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