Excellent results with the cemented Lubinus SP II 130-mm femoral stem at 10 years of follow-up

Background and purpose — The Lubinus SP II stem is well documented in both orthopedic registries and clinical studies. Worldwide, the most commonly used stem lengths are 150 mm and 170 mm. In 1995, the 130-mm stem was introduced, but no outcome data have been published. We assessed the long-term survival of the Lubinus SP II 130-mm stem in primary total hip arthroplasty.

Patients and methods — In a retrospective cohort study, we evaluated 829 patients with a Lubinus SP II primary total hip arthroplasty (932 hips). The hips were implanted between 1996 and 2001. The primary endpoint was revision for any reason. The mean follow-up period was 10 (5–15) years.

Results — Survival analysis showed an all-cause 10-year survival rate of the stem of 98.7% (95% CI: 99.7–97.7), and all-cause 10-year survival of the total hip arthroplasty was 98.3% (95% CI: 99.3–97.3).

Interpretation — Excellent long-term results can be achieved with the cemented Lubinus SP II with the relatively short 130-mm stem. This stem has potential advantages over its 150-mm and 170-mm siblings such as bone preservation distal to the stem, better proximal filling around the prosthesis, and easier removal.