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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Dec 18, 2022; 13(12): 1047-1055
Published online Dec 18, 2022. doi: 10.5312/wjo.v13.i12.1047
Taper-wedge stem suitable for anterior approach total hip arthroplasty: Adequate biomechanical reconstruction parameters and excellent clinical outcome at mid-term follow-up
Carlo Trevisan, Antonino Salvatore Lombardo, Gianluca Gallinari, Marco Zeppieri, Raymond Klumpp
Carlo Trevisan, Antonino Salvatore Lombardo, Gianluca Gallinari, UOC Ortopedia e Traumatologia, Ospedale Bolognini Seriate ASST, Bergamo Est 24068, Italy
Marco Zeppieri, Department of Ophthalmology, University Hospital of Udine, Udine 33100, Italy
Raymond Klumpp, UOC Ortopedia e Traumatologia, Ospedale Treviglio-Caravaggio ASST, Bergamo Ovest 24047, Italy
Author contributions: Trevisan C designed the research study, performed data acquisition, and wrote the manuscript; Lombardo AS, Gallinari G, and Klumpp R designed the research study and performed data acquisition; Trevisan C, Lombardo AS, Gallinari G, Zeppieri M and Klumpp R contributed towards conception of the study and final editing; All authors revised the article critically for important intellectual content, and provided final approval for the paper to be published.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Bergamo, Italy (No. 144/19, August 5, 2019).
Informed consent statement: Patients were not required to give informed consent to the study because the data was collected retrospectively and anonymized. Clinical data were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
Data sharing statement: No additional data are available.
Corresponding author: Marco Zeppieri, BSc, MD, PhD, Doctor, Department of Ophthalmology, University Hospital of Udine, p.le S. Maria della Misericordia 15, Udine 33100, Italy. markzeppieri@hotmail.com
Received: September 13, 2022
Peer-review started: September 13, 2022
First decision: October 28, 2022
Revised: November 9, 2022
Accepted: December 6, 2022
Article in press: December 6, 2022
Published online: December 18, 2022
Processing time: 94 Days and 2.1 Hours
Core Tip

Core Tip: The direct anterior approach can provide a less invasive and muscle-sparing technique for total hip arthroplasty. New stems used in the direct anterior approach have been designed to reduce complication rates, and enhance postoperative morphologic and functional outcomes. The Accolade II stem is equipped with a morphometric design and a size-specific medial curvature, which can be advantageous for this type of surgery.