PURPOSE: The purpose of this study was to compare the clinical and radiographic outcomes with use of short-curved stems versus standard-length single wedged stems over a minimum follow-up period of five years. MATERIALS AND METHODS: A retrospective study of primary total hip arthroplasties performed using the Fitmore stem (127 hips, 122 patients) and the M/L taper stem (195 hips, 187 patients) between October 2012 and June 2014 was conducted. The clinical and radiographic outcomes were obtained for evaluation over a minimum follow-up period of five years. RESULTS: In both the Fitmore and M/L taper groups, the mean Harris hip score improved from 52.4 and 48.9 preoperatively to 93.3 and 94.5 at the final follow-up, respectively (=0.980). The mean Western Ontario and McMaster Universities Osteoarthritis Index scores also improved from 73.3 and 76.8 preoperatively to 22.9 and 25.6 at the final follow-up, respectively (=0.465). Fifteen hips (Fitmore: 14 hips; M/L taper: one hip, <0.001) developed intraoperative cracks and were treated simultaneously with cerclage wiring. Radiography showed a radiolucent line in 24 hips in the Fitmore group and 12 hips in the M/L taper group (=0.125). Cortical hypertrophy was detected in 29 hips (Fitmore group: 28 hips; M/L taper group: one hip, <0.001). CONCLUSION: Similarly favorable clinical and radiographic outcomes were achieved with use of both short-curved stems and standard-length single wedged stems. However, higher cortical hypertrophy and a higher rate of femoral crack were observed with use of Fitmore stems.