Mid-Term Results of Exeter vs Endurance Cemented Stems

The mid-term results are reported of 2 uniquely different cemented stems implanted and followed prospectively by a single surgeon. The highly polished, collarless, tapered Exeter stem and the Endurance stem, a collared, roughened, satin finished stem, were inserted through a lateral approach using third-generation cement techniques. A total of 118 hips with the Exeter stem with an average follow-up of 7.25 years and 34 hips with the Endurance stem with an average follow-up of 4.57 years are included in the study. The Exeter patients had no revisions for aseptic loosening (0%) of the femoral stem. In contrast, the Endurance patients had 5 revisions and 2 impending revisions for aseptic loosening (20.5%) of the femoral stem with an average time to failure of 3.72 years. The excellent mid-term results of the Exeter stem support its ongoing use. By contrast, because of the poor early results of this modern cemented Endurance stem design, it is no longer used at our institution.