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optimal stem length of total hip arthroplasty

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  • optimal stem length of total hip arthroplasty

    Dear Netters
    during a ward round at our hospital the discussion started about the
    optimal stem length of a total hip prosthesis. Is there an optimal
    stem length? The discussion started because due to anatomical
    problems of the femur it was only possible to insert a small curved
    stem of a Weber cemented prosthesis which is about 12 cm long. The
    opinions in our hospital varied from the longer the better to about
    12 cm as an optimal length. Is there literature available about
    this matter and are there long term results of different stem length?
    What is the opinion of the leading biomechanists? Doing a lit search
    I was not able to find any reliable information.
    As usual the summary will be posted.

    Markus Kuster MD
    Kantonsspital
    CH - 9007 St. Gallen
    Switzerland
    e-mail : G0Kuster@SGCL1.UNISG.CH
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