Efforts to improve cementless femoral stems in THR: 2- to 5-year follow-up of a high-offset femoral stem with distal stem modification (Secur-Fit Plus).

A retrospective review of 81 sequential primary total hip arthroplasties using a cementless, high-offset femoral stem was performed. Follow-up was 24 to 60 months. The average age at the time of surgery was 54 years. The femoral bone types were: 36% Dorr A, 51% Dorr B, and 13% Dorr C. The mean postoperative Harris Hip Score was 95. The mean postoperative Oxford score was 17. Eighty-five percent had no clinical leg-length difference. All stems were radiographically stable. The stem features of hydroxyapatite coating on a rough circumferential titanium arc-deposit proximal surface in conjunction with distal flutes seem to provide immediate stability, making this implant clinically versatile. Potential benefits of increased offset include improved joint stability and avoidance of leg lengthening.