Bone-Sparing Hip Arthroplasty in Young and Active Patients: A Narrative Review
Roberto Perulli, Calogero Graci, Raffaele Vitiello, Alessandro El Motassime, Roberta Righini, Alessandro Bumbaca, Carlotta Genesini, Marco Libertini, Giulio Maccauro, Riccardo Giorgino · 2026
Read Bone-Sparing Hip Arthroplasty in Young and Active Patients: A Narrative Review by Roberto Perulli, Calogero Graci, Raffaele Vitiello, Alessandro El Motassime, Roberta Righini, Alessandro Bumbaca, Carlotta Genesini, Marco Libertini, Giulio Maccauro, Riccardo Giorgino (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13467515.txt.
Description
Roberto Perulli and co-authors review in 2026 hip replacement strategies that preserve bone in young, active patients. Younger patients face a lifetime revision risk as high as 35 percent, and each revision is harder when the first implant has wasted the bone around it. Standard long stems protect the hip well in older patients but starve the upper thigh bone of load over time, shrinking future options.
Two femoral approaches try to keep that bone: resurfacing, which caps the natural ball of the joint, and short-stem total replacement. Each suits different patients and carries its own complication and revision profile. The review also covers the socket side, which has been studied less. The authors weigh patient selection and surgical technique so the first operation leaves the most bone for any later one.
Catalog record
| CREATOR | Roberto Perulli, Calogero Graci, Raffaele Vitiello, Alessandro El Motassime, Roberta Righini, Alessandro Bumbaca, Carlotta Genesini, Marco Libertini, Giulio Maccauro, Riccardo Giorgino |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 75 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |