Preoperative Femoral Bone Texture Features on Radiographs Are Associated With Femoral Stem Subsidence Following Total Hip Arthroplasty

Omar Abdelhalim; J Polus; Edward M. Vasarhelyi; Brent A. Lanting; Matthew G. Teeter

doi:10.1016/j.arth.2026.04.038

April 1, 2026The Journal of ArthroplastyOpen Access

Preoperative Femoral Bone Texture Features on Radiographs Are Associated With Femoral Stem Subsidence Following Total Hip Arthroplasty

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Key Points

This study evaluates the relationship between radiographic bone texture and early femoral stem subsidence following total hip arthroplasty.
Secondary analysis of 63 participants from a randomized trial.
Assessment using radiostereometric analysis and standardized radiographs preoperatively and at multiple postoperative intervals.
Participants grouped based on femoral stem subsidence greater or less than two mm.
Hips with greater than two mm subsidence showed significantly lower texture energy and mean intensity.
Texture parameters increased over time, indicating bone remodeling and ingrowth.
Findings suggest a quantifiable association between bone texture and femoral stem stability.

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Implication

Exploratory analysis shows early femoral stem subsidence is linked to preoperative bone texture in participants undergoing THA, indicating potential for better implant selection.

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Cite This Study

Abdelhalim et al. (2026) studied this question.

synapsesocial.com/papers/69e5c30b03c2939914028de1 https://doi.org/10.1016/j.arth.2026.04.038

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Preoperative Femoral Bone Texture Features on Radiographs Are Associated With Femoral Stem Subsidence Following Total Hip Arthroplasty

Key Points

No abstract yet

Ask about this paper

Implication

Discussion

Cite This Study

Preoperative Femoral Bone Texture Features on Radiographs Are Associated With Femoral Stem Subsidence Following Total Hip Arthroplasty

Key Points

No abstract yet

Ask about this paper

Implication

Discussion

Cite This Study

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