{"id":31769,"date":"2023-11-14T09:00:11","date_gmt":"2023-11-14T08:00:11","guid":{"rendered":"https:\/\/artiqo.de\/are-old-age-and-being-very-overweight-still-contraindications-for-the-short-shaft\/"},"modified":"2023-11-20T16:31:10","modified_gmt":"2023-11-20T15:31:10","slug":"are-old-age-and-being-very-overweight-still-contraindications-for-the-short-shaft","status":"publish","type":"post","link":"https:\/\/artiqo.de\/en\/are-old-age-and-being-very-overweight-still-contraindications-for-the-short-shaft\/","title":{"rendered":"Are old age and being very overweight still contraindications for the short shaft?"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; z_index=&#8221;&#8221;][vc_column css=&#8221;.vc_custom_1613035748057{margin-bottom: 30px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1699949032291{padding-bottom: 10px !important;}&#8221;]<\/p>\n<h1>Are old age and being very overweight still contraindications for the short shaft?<\/h1>\n<p>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1699950514047{padding-bottom: 10px !important;}&#8221;]<strong>In our latest video we go together with Dr. Thorsten Hillmann, Eduardus Hospital Cologne, asked the question of how the short shaft can be used in the very old and in people with obesity. Dr. has both previous contraindications. Hillmann examined in detail with his colleagues at the Eduardus Hospital in Cologne.<\/strong>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; z_index=&#8221;&#8221;][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1695617411305{margin-bottom: 30px !important;}&#8221;][vc_video link=&#8221;https:\/\/youtu.be\/Rg1iXQuwiAo?si=V8DzNr7snRbPXReN&#8221; css=&#8221;.vc_custom_1699950441625{margin-bottom: 30px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1699950451565{margin-bottom: 30px !important;}&#8221;]In people with obesity, the Cologne researchers compared the cement-free short stem treatment in n=130 patients with a body mass index (BMI) of \u2265 40 kg\/m2 and n=120 patients with a BMI of 20-29.9 kg\/m2. The obese patients were, on average, younger and in poorer physical condition during the operation, and the operations took significantly longer. It is known that people with obesity suffer more complications and the risk of dislocation is also higher, regardless of the implant. The Cologne results showed no fractures in the two groups and no differences in the scores (Oxford Hip Score, \u201cCologne-Deutz Score\u201d).<\/p>\n<p>For Dr. According to Hillmann, bone quality is the decisive criterion. If the bone substance is good (Dorr types A and B), almost all active patients could be treated with a short stem. In Dorr type C &#8211; with manifest osteoporosis or very poor bone quality &#8211; there is a contraindication to the cement-free short stem. However, since the introduction of the cemented A2 short stem, there has been a bone-saving and minimally invasive solution in many cases.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1695644613632{margin-bottom: 30px !important;}&#8221;][vc_column_text]The team retrospectively evaluated the hip replacement treatment of 607 patients over 80 years old between 2012 and 2019. Of these, 191 people were treated with a Zweym\u00fcller shaft and 414 with a short shaft (including the A2 short shaft). The results showed a slight, but not significant, advantage of short stems in fractures and fissures, while the dislocation rate was significantly better with short stems (1.19% after follow-up, p=0.003) than with straight stems (4.71%). .[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>In our latest video we go together with Dr. Thorsten Hillmann, Eduardus Hospital Cologne, asked the question of how the short shaft can be used in the very old and in people with obesity.<\/p>\n","protected":false},"author":1,"featured_media":31585,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[361,377,376,353],"tags":[],"class_list":["post-31769","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hip","category-hip-en","category-home-en","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Are old age and being very overweight still contraindications for the short shaft? 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