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0% at 25 years for C-type stems. The survivorship for C-type stems was significantly higher than that for non-C-type stems (P .01). Focal osteolysis in the shoulder of 37 hips with C-type stems suppressed the spread of osteolysis to the distal femur. Anatomic femoral stems with a circumferential porous coating provide excellent durability in patients with hip dysplasia who are 50 years of age or younger. Therapeutic Level IV. Therapeutic Level IV. Limb length discrepancy (LLD) is a known complication of total hip arthroplasty (THA