Early perioperative complication rates and subsidence with the Tribute<sup>®</sup> short cementless, tapered stem in primary total hip arthroplasty.

Attenello, John; Chan, Sean; Naito, Kelvin; Saruwatari, Michele; Saito, Sean; Andrews, Samantha; Nakasone, Cass · J Orthop · 2019

retrospective_cohort · Level III

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Abstract

This study examined early perioperative complications and subsidence following total hip arthroplasty (THA) with a short femoral stem. A retrospective review of 207 consecutive patients (247 hips) having undergone THA via the direct anterior approach produced only six perioperative complications: two intraoperative fractures, three perioperative femur fractures and one dislocation. Subsidence greater than 5 mm was observed in four hips but subsidence did not progress greater than 3 mm at the latest follow-up. Based on these results, cementless THA though the direct anterior approach with a short femoral stem provides a clinical and radiographic advantage while maintaining low complication rates.

Anatomy