Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2020; 11(11): 528-533
Published online Nov 18, 2020. doi: 10.5312/wjo.v11.i11.528
Use of short stems in revision of standard femoral stem: A case report
Francesco Roberto Evola, Giuseppe Evola, Giuseppe Sessa
Francesco Roberto Evola, Giuseppe Sessa, University of Catania, Department of Surgery, Clinic Orthopaedic, Catania 95124, Italy
Giuseppe Evola, General and Emergency Surgery Department, Surgery Clinic, Catania 95124, Italy
Author contributions: Evola FR reviewed the literature and contributed to conception and design of the study; Evola G contributed to drafting the article and making critical revisions related to important intellectual content of the manuscript; Sessa G revised the manuscript and approved the final version of the article.
Informed consent statement: Informed consent is not necessary for the study because the authors used anonymous clinical data and the patient died.
Conflict-of-interest statement: The authors declare that they have no conflict of interest and financial relationships for the realization of this work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Francesco Roberto Evola, MD, PhD, Assistant Professor, Doctor, University of Catania, Department of Surgery, Clinic Orthopaedic, Via Plebiscito 628, Catania 95124, Italy. robertoevola@virgilio.it
Received: June 10, 2020
Peer-review started: June 10, 2020
First decision: July 4, 2020
Revised: September 14, 2020
Accepted: September 25, 2020
Article in press: September 25, 2020
Published online: November 18, 2020
Core Tip

Core Tip: Short stems, because of their reduced size, could be applied for post-traumatic obliteration of the femoral canal when it is difficult to apply a standard stem; moreover, in revision procedures for patients with serious comorbidity, the use of a short stem could reduce the surgical risks to femoral osteotomy, which is necessary for the removal of parts of the implant or acrylic cement from the medullary canal. The availability of cemented short stems could help surgeons in cases where there is a lack or reduced quality of bone to treat particular prosthetic revisions, limiting surgical invasiveness and the use of long stems.