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9% were observed, being this decrease statistically significant. No differences were found in the remodelling pattern according to age, sex and body mass index. The ANATO® stem allows an efficient transmission of loads from the stem to the proximal femur. Only in zone seven significant bone atrophy is observed. Differences in age, BMI and sex do not seem to influence the bone remodelling around this new stem. The ANATO® stem allows an efficient transmission of loads from the stem to the proximal femur. Only in zone seven significant bon