Development of periprosthetic bone mass density around the cementless Metha® short hip stem during three year follow up-a prospective radiological and clinical study

Int Orthop. 2019 Sep;43(9):2031-2037. doi: 10.1007/s00264-018-4126-1. Epub 2018 Sep 3.


Purpose: The purpose of this study was to check the concept of the cementless Metha® short hip stem in order to find out whether proximal physiological load transfer can be achieved.

Methods: Fourty-three patients were included. Epidemiological factors were established. The Harris Hip Score was determined and measurement of bone mass density as well as osteodensitometric and radiological measurements was carried out pre-operatively, post-operatively, and after six, 12, 24, and 36 months.

Results: Harris Hip Score improved from 55.9 ± 12.4 pre-operatively to 94.8 ± 8.2 after 36 months (p < 0.001). After initial reduction of bone density in zones 1 and 7 up to six months post-operatively, there was a steady approximation of bone density to the initial values (p < 0.05).

Conclusion: The Metha® short hip stem shows good clinical results. Furthermore, there is an increase of bone density in the proximal zones 1 and 7 between six and 36 months serving as a sign of physiological load transfer.

Keywords: Bone mass density; Metha® short hip stem; Physiological load transfer.

Publication types

  • Clinical Study

MeSH terms

  • Absorptiometry, Photon
  • Adult
  • Aged
  • Arthroplasty, Replacement, Hip / instrumentation
  • Arthroplasty, Replacement, Hip / methods*
  • Biomechanical Phenomena
  • Bone Cements
  • Bone Density / physiology
  • Cementation
  • Female
  • Femur / diagnostic imaging
  • Femur / physiopathology
  • Femur / surgery*
  • Femur Head Necrosis / diagnostic imaging
  • Femur Head Necrosis / physiopathology
  • Femur Head Necrosis / surgery*
  • Follow-Up Studies
  • Hip Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Osseointegration*
  • Osteoarthritis, Hip / diagnostic imaging
  • Osteoarthritis, Hip / physiopathology
  • Osteoarthritis, Hip / surgery*
  • Prospective Studies
  • Prosthesis Design


  • Bone Cements