Skip to main content
Log in

Mid-term results of 155 patients treated with a collum femoris preserving (CFP) short stem prosthesis

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Short stem prostheses that preserve the femoral neck are becoming more and more popular. The CFP (collum femoris preserving) has been introduced especially for the treatment of younger patients. However, information about remodelling, complications and learning curve are thus far rare. We present a retrospective study of 155 patients (average age 59.3 ± 9.9 years) who underwent total hip replacement with the CFP prosthesis. Follow-up was obtained 74.3 ± 9.4 months postoperatively. The Harris hip score revealed excellent and good results in 96%. One stem had to be exchanged due to aseptic loosening revealing a survival rate of 99% and 100% for stem and cup, respectively. Radiological analysis showed typical patterns of remodelling with apearance of cortical thickening predominantly in the distal part of the prosthesis. Implant related revision rate was <1%, with further complication rate independent of the surgeon’s individual experience. With regard to outcome, survivorship and complication rate, the medium-term results of the CFP prosthesis are promising.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Pipino F, Molfetta L (1993) Femoral neck preservation in total hip replacement. Ital J Orthop Traumatol 19(1):5–12

    PubMed  CAS  Google Scholar 

  2. Stukenborg-Colsman C (2007) Femoral neck prostheses. Orthopaede 36:347–352

    Article  CAS  Google Scholar 

  3. Decking R, Rokahr C, Zurstegge M, Simon U, Decking J (2008) Maintenance of bone mineral density after implantation of a femoral neck hip prosthesis. BMC Musculoskelet Disord 9:17–24

    Article  PubMed  Google Scholar 

  4. Stea S, Bordini B, De Clerico M, Petropulacos K, Toni A (2009) First hip arthroplasty register in Italy: 55,000 cases and 7 year follow-up. Int Orthop 33(2):339–346

    Article  PubMed  CAS  Google Scholar 

  5. Gill IR, Gill K, Jayasekera N, Miller J (2008) Medium term results of the collum femoris preserving hydroxyapatite coated total hip replacement. Hip Int 18(2):75–80

    Google Scholar 

  6. Brown TE, Larson B, Shen F, Moskal JT (2002) Thigh pain after cementless total hip arthroplasty: evaluation and management. J Am Acad Orthop Surg 10(6):385–392

    PubMed  Google Scholar 

  7. Kinov P, Radl R, Zacherl M, Leithner A, Windhager R (2007) Correlation between thigh pain and radiological findings with a proximally porous-coated stem. Acta Orthop Belg 73(5):618–624

    PubMed  Google Scholar 

  8. Röhrl SM, Li MG, Pedersen E, Ullmark G, Nivbrant B (2006) Migration pattern of a short femoral neck preserving stem. Clin Orthop Relat Res 448:73–78

    Article  PubMed  Google Scholar 

  9. Gebauer D, Refior HJ, Haake M (1990) Experimental studies of the effect of surgical technical errors on primary stability of cementless hip endoprosthesis shafts. Z Orthop Ihre Grenzgeb 128(1):100–107

    Google Scholar 

  10. Albanese CV, Rendine M, De Palma F, Impagliazzo A, Falez F, Postacchini F, Villani C, Passariello R, Santori FS (2006) Bone remodelling in THA: a comparative DXA scan study between conventional implants and a new stemless femoral component. A preliminary report. Hip Int 16(Suppl 3):9–15

    PubMed  Google Scholar 

  11. Chen HH, Morrey BF, An KN, Luo ZP (2009) Bone remodeling characteristics of a short-stemmed total hip replacement. J Arthroplasty 24(6):945–950

    Google Scholar 

  12. Gillies RM, Kohan L, Cordingley R (2007) Periprosthetic bone remodelling of a collum femoris preserving cementless titanium femoral hip replacement. Comput Methods Biomech Biomed Eng 10(2):97–102

    Google Scholar 

  13. Speirs AD, Heller MO, Taylor WR, Duda GN, Perka C (2007) Influence of changes in stem positioning on femoral loading after THR using a short-stemmed hip implant. Clin Biomech 22(4):431–439

    Article  Google Scholar 

  14. Sumner DR, Galante JO (1992) Determinants of stress shielding: design versus materials versus interface. Clin Orthop Relat Res 274:202–212

    PubMed  Google Scholar 

  15. Chambers B, St Clair SF, Froimson MI (2007) Hydroxyapatite-coated tapered cementless femoral components in total hip arthroplasty. J Arthroplasty 22(4 Suppl 1):71–74

    Article  PubMed  Google Scholar 

  16. Mont MA, Yoon TR, Krackow KA, Hungerford DS (1999) Clinical experience with a proximally porous-coated second-generation cementless total hip prosthesis: minimum 5-year follow-up. J Arthroplasty 14(8):930–939

    Article  PubMed  CAS  Google Scholar 

  17. Farrell CM, Springer BD, Haidukewych GJ, Morrey BF (2005) Motornerve palsy following primary total hip arthroplasty. J Bone Jt Surg Am 87(12):2619–2625

    Google Scholar 

  18. Davidson D, Pike J, Garbuz D, Duncan CP, Masri BA (2008) Intraoperative periprosthetic fractures during total hip arthroplasty. Evaluation and management. J Bone Jt Surg Am 90(9):2000–2012

    Article  Google Scholar 

  19. Thomsen MN, Jakubowitz E, Seeger JB, Lee C, Kretzer JP, Clarius M (2008) Fracture load for periprosthetic femoral fractures in cemented versus uncemented hip stems: an experimental in vitro study. Orthopedics 31(7):653

    PubMed  Google Scholar 

  20. Jakubowitz E, Seeger JB, Lee C, Heisel C, Kretzer JP, Thomsen MN (2009) Do short-stemmed-prostheses induce periprosthetic fractures earlier than standard hip stems? A biomechanical ex-vivo study of two different stem designs. Arch Orthop Trauma Surg 129(6):849–855

    Article  PubMed  Google Scholar 

  21. Flamme CH, Stukenborg-Colsman C, Wirth CJ (2006) Evaluation of the learning curves associated with uncemented primary total hip arthroplasty depending on the experience of the surgeon. Hip Int 16(3):191–197

    Google Scholar 

  22. van Oldenrijk J, Schafroth MU, Bhandari M, Runne WC, Poolman RW (2008) Time-action analysis (TAA) of the surgical technique implanting the collum femoris preserving (CFP) hip arthroplasty. TAASTIC trial Identifying pitfalls during the learning curve of surgeons participating in a subsequent randomized controlled trial. BMC Musculoskelet Disord 9:93–101

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

Daniel Briem, Thorsten Gehrke and Bernd Schwantes received funds for scientific presentations by Waldemar Link GmbH, Hamburg, Germany.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel Briem.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Briem, D., Schneider, M., Bogner, N. et al. Mid-term results of 155 patients treated with a collum femoris preserving (CFP) short stem prosthesis. International Orthopaedics (SICOT) 35, 655–660 (2011). https://doi.org/10.1007/s00264-010-1020-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-010-1020-x

Keywords

Navigation