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Arthroplasty of the hip, for either arthritic changes or femoral neck fracture, is a common procedure in orthopedic surgery. Although the standard designs for implantation, either cemented or uncemented, are well described and studied, there are also alternative designs regarding the implantation of both prosthetic stem and cup. This paper aims to explore one such alternative design, using the screw-in technique. It has been described in past literature for uncemented fixation of both the cup and the stem, and the biomechanical principles of fixation are different from the classical methods, offering certain advantages that are insufficiently explored in current-day endoprosthesis. Also, we will be presenting an innovative femoral stem design, recently developed, that combines an uncemented screw-on technique with a cemented augmentation possibility, aimed to provide the practitioner with the advantages of a bone-preserving mini-stem design, combined with the innovative screw-in fixation technique and the versatility of the hybrid cemented/uncemented fixation method.

An Alternative Femoral Stem-bone Implantation Technique Using an Innovative Short Femoral Stem Endoprosthesis