Abstract
Tapered cementless stems have several advantages and represent what we believe is the gold standard of cementless femoral stems (Figure 3). Durability is excellent and as good as any cemented stem. The tapered shape and the use of titanium alloy reduce the stiffness of these tapered cementless stems, leading to less thigh pain and stress shielding. In addition, the use of cementless tapered stems simplifies the surgical procedure to ream, broach, trial, and insert.
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