Outcomes with use of a modular, cementless, tapered and fluted femoral prosthesis in revision hip…

Cohort studyHip international : the journal of clinical and experimental research on hip pathology and therapy· Aug 2026

Outcomes with use of a modular, cementless, tapered and fluted femoral prosthesis in revision hip arthroplasty with mid-term follow-up.

Conor Hughes, Brian Lim, Scott R Morrison … James A Ballantyne

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ArthroplastyCohort studyTreatmentQ2IF 1.9

Link MP stem achieves 96% survivorship in revision hip arthroplasty patients.

Outcomes with use of a modular, cementless, tapered and fluted femoral prosthesis in revision hip arthroplasty with mid-term follow-up.

Conor Hughes … James A Ballantyne

Hip international · Aug 2026 · Q2 in Orthopedics

Background

Increasing demand for revision hip arthroplasty (rTHA), particularly among patients with longer life expectancy, necessitates durable femoral implants.

Methods

A retrospective review of 125 rTHA procedures using the Link MP stem was conducted at a UK centre from 2011 to 2025.

n = 96 cases

Results

stems held firm for years, revision rarely failed for mechanical reasons

stem survival at 166 m 96 (95% CI 89.10 to 100)

null 0

89.10

100

CI excludes the null - significant

More results

Aseptic loosening was the primary revision indication ( n = 85, 68%).

Extended trochanteric osteotomy ( n = 71, 56.8%) and cortical windowing ( n = 35, 28%) were common adjuncts, with 98.1% union rate across the osteotomy cohort.

Median stem migration was 3 mm; 36% had >5 mm migration without correlation to reduced mobility ( p = 0.273).

More results

Overall, 12 cases (9.6%) returned to theatre; stem-related reoperation occurred in 5 cases (4%).

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Conclusion · 1 of 2

The Link MP stem demonstrates excellent survivorship in complex revision scenarios. Early stem migration appears benign. Mechanical complications at the modular junction were rare but clinically important, requiring return to theatre.

Conclusion · 2 of 2

This study supports the implant's reliability and provides technical insight into its use.

Outcomes with use of a modular, cementless, tapered and fluted femoral prosthesis in revision hip arthroplasty with mid-term follow-up.

Outcomes with use of a modular, cementless, tapered and fluted femoral prosthesis in revision hip arthroplasty with mid-term follow-up.

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