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Table 4 Clinical and radiographic outcomes stratified by stem type

From: No significant differences in 60-day postoperative complication rates between conventional and shortened stems

 

Conventional stem n = 393

Shortened stem n = 384

p-value

Mean ± SD

(Range)

Mean ± SD

(Range)

n (%)

n (%)

Modified Harris hip score

 Postoperative

87.3 ± 11.9

(47–100)

89.3 ± 9.6

(56–100)

0.109

 Net improvement

29.9 ± 17.7

(-27–80)

24.3 ± 14.8

(-21–68)

 < 0.001

 Minimal clinically important difference

330 (84.0%)

 

314 (81.8%)

 

0.473

Canal fill ratio (CFR)

 2 cm above the lesser trochanter

0.64 ± 0.14

(0.42–1.06)

0.66 ± 0.16

(0.34–1.35)

0.059

 At the level of the lesser trochanter

0.68 ± 0.13

(0.46–1.07)

0.76 ± 0.13

(0.16–1.12)

 < 0.001

 7 cm below the lesser trochanter

0.93 ± 0.16

(0.55–1.52)

0.96 ± 0.16

(0.54–1.47)

0.002

Femoral offset

 Postoperative

47.9 ± 9.5

(10.3–98.0)

49.8 ± 8.6

(28.8–105.0)

 < 0.001

 Absolute net change (continuous)

6.5 ± 7.2

(0.0–46.0)

6.4 ± 5.9

(0.0–43.0)

0.327

Net change (categorical)

    

0.097

 Offset increased by ≥ 3 mm

140 (35.6%)

 

163 (42.4%)

  

 Offset remained within 3 mm

127 (32.3%)

 

117 (30.5%)

  

 Offset decreased by ≥ 3 mm

118 (30.0%)

 

94 (24.5%)

  

 Missing

8 (2.0%)

 

10 (2.6%)

  

Limb length discrepancy (LLD)

 Absolute difference

3.0 ± 2.6

(0.0–25.3)

2.9 ± 2.4

(0.0–22.2)

0.695

Difference (categorical)

    

0.821

 Difference ≥ 3 mm

144 (36.6%)

 

146 (38.0%)

  

 Difference within 3 mm

227 (57.8%)

 

221 (57.6%)

  

 Missing

22 (5.6%)

 

17 (4.4%)

  

Subsidence ≥ 3 mm

4 (1.0%)

 

2 (0.5%)

 

0.686

Alignment

    

0.192

 Aligned within 3°

355 (90.3%)

 

333 (86.7%)

  

 Valgus

10 (2.5%)

 

15 (3.9%)

  

 Varus

23 (5.9%)

 

33 (8.6%)

  

 Missing

5 (1.3%)

 

3 (0.8%)

  
  1. Abbreviations: SD standard deviation