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Giuseppe Solarino Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Giovanni Vicenti Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Massimiliano Carrozzo Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Guglielmo Ottaviani Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Biagio Moretti Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Luigi Zagra IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy

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ALTR 73 (36%) Periprosthetic fractures 5 (2.5%) Pain 2 (1%) Ollivier et al 25 2015 170 Deep infections 3 (1.7%) Periprosthetic fractures 2 (1.1%) Impingement 2 (1.1%) Silverton et al 26 2014 152 2 taper corrosion 1 cup

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Kavin Sundaram Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Ahmed Siddiqi Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Atul F. Kamath Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Carlos A. Higuera-Rueda Cleveland Clinic Florida, Department of Orthopedics Weston, Florida, USA

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. ETO and transfemoral osteotomies may be utilized in aseptic loosening, revision for recurrent THA instability, resection arthroplasty for periprosthetic joint infection, periprosthetic fractures and during concomitant acetabular cup revisions. 9

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Martyn Porter The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Centre for Hip Surgery, Wrightington Hospital, UK

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Richard Armstrong The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Head of Health Registries, Northgate Public Services, Peoplebuilding 2, Hemel Hempstead, Hertfordshire, England

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Peter Howard The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Royal Derby Hospital, Derby, UK

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Matthew Porteous The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
West Suffolk NHS Foundation Trust, UK

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J. Mark Wilkinson The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
University of Sheffield, Sheffield, UK

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identification of 4 Level 1 outliers and 12 Level 2 outliers. Some 2,806 different combinations of hip stem/cup implants have been monitored with 17 Level 1 outliers and 40 Level 2 outliers. Most of the larger suppliers have access to a monthly download about

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Christiaan P. van Lingen Isala Clinics, Department of Orthopaedic Surgery and Traumatology, Zwolle, The Netherlands

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Luigi M. Zagra IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Harmen B. Ettema Isala Clinics, Department of Orthopaedic Surgery and Traumatology, Zwolle, The Netherlands

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Cees C. Verheyen Isala Clinics, Department of Orthopaedic Surgery and Traumatology, Zwolle, The Netherlands

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. Conclusions Discontinuation of use The future role of MoM HR and THA is uncertain. Some authors report good long-term results for HR 21 and emphasise the role of adequate surgical training, cup positioning and use of reliable HR implants

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Theofilos Karachalios School of Health Sciences, Faculty of Medicine, University of Thessalia, University General Hospital of Larissa, Mezourlo Region, 41110 Larissa, Greece

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George Komnos Orthopaedic Department, University General Hospital of Larissa, Greece

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Antonios Koutalos Orthopaedic Department, University General Hospital of Larissa, Greece

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. Acetabular cup position and risk of dislocation in primary total hip arthroplasty . Acta Orthop 2017 ; 88 : 10 - 17 . 19. Girard J . Femoral head diameter considerations for primary total hip arthroplasty . Orthop Traumatol Surg Res

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Manuel Saavedra Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile

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María Jesús Tuca Clinica Alemana, Santiago, Chile
Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland

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shape of a cup, an increase in the joint space to > 11 mm, and hypoplasia of the lateral tibial spine ( Fig. 2 ). 36 Ha et al estimated that the positive predictive value of these signs in children aged 10–16 years is of 76.2% (sensitivity, 65

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Fabio D’Angelo Division of Orthopaedics and Traumatology, ASST Sette Laghi, Department of Biotechnologies and Life Sciences (DBSV), Università degli Studi dell’Insubria, Varese, Italy

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Luca Monestier Division of Orthopaedics and Traumatology, ASST Sette Laghi, Varese, Italy

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Luigi Zagra IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy

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easier and more functional. 12 , 16 , 21 – 23 Antibiotics in spacers or beads should be based on culture result; the most commonly used are gentamicin and vancomycin. 4 , 6 , 16 , 21 – 24 , 26 , 27 Use of a spacer cup is reported in the case of

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Daniel Herren Schulthess Klinik, Zurich, Switzerland

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implants follows the principles of surface replacement with a two-component concept. 15 – 17 The proximal component replaces the bicondylar head of the proximal phalanx and the distal component has a sort of cup, which articulates with the head. Most

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Charles Rivière MSK Lab, Imperial College London, UK; South West London Elective Orthopaedic Centre, UK

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Guido Grappiolo Unit of Hip Diseases and Joint Replacement Surgery, Humanitas Clinical and Research Center, Italy

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Charles A. Engh Jr Anderson Orthopaedic Research Institute, USA

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Jean-Pierre Vidalain Artro Group, France

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Antonia-F. Chen Rothman Institute of Orthopaedics, USA

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Nicolas Boehler Orthopaedic Department, Kepleruniklinikum Linz, Austria

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Jihad Matta Hôpital Maisonneuve-Rosemont, Canada

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Pascal-André Vendittoli Hôpital Maisonneuve-Rosemont, Université de Montréal, Canada

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the acetabular cup shows that wear-related osteolytic lesions are restricted to the proximal zones of the femur. Discussion Bone remodelling around a stem is an unavoidable long-term physiological process highly related to implant

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Omar A. Al-Mohrej King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia

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Nader S. Al-Kenani King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia

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. Anterior ‘drawer’ test : helps to identify excessive anterior displacement of the talus on the tibia. The ankle should be placed in a neutral position and the leg should be stabilised over the distal tibia with the patient relaxed. The clinician cups the

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