Total hip arthroplasty is a widely performed surgical procedure for relieving pain and restoring function in patients with advanced hip joint degeneration. In recent years, the increasing number of total hip arthroplasty procedures, particularly in young and active patients, has led to growing interest in implant designs aimed at preserving femoral bone stock. Short- stem and bone-preserving femoral components have been developed to promote a more physiological load transfer and to preserve proximal femoral bone for potential future revision procedures. However, short-stem femoral components do not represent a homogeneous implant group and demonstrate considerable variability in terms of design characteristics and their relationship with the femur. Current literature indicates that, when applied with appropriate patient selection and proper surgical technique, short-stem femoral components can provide clinical outcomes and implant survivorship comparable to those of conventional femoral stems. Nevertheless, patient- related factors, bone quality, and implant-specific features may significantly influence outcomes. Therefore, careful evaluation of indications and individualized implant selection remain essential when considering the use of short-stem femoral components in total hip arthroplasty.