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substantially lower than 1 mm 3 /year for 28 mm prosthetic femoral heads. 17 - 20 Since aseptic loosening after THA is rare, survival advantages of HXLPE will inevitably need to be determined in large cohorts, and long observation periods will be
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Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand
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School of Pharmacy, University of Wisconsin, Madison, Wisconsin, USA
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. Characteristics and outcomes of included studies Author (year) No. of knees Mean age (yr.) Average follow-up (yr.) Cause of CNA Staging Ataxia Prosthetic constraint (knees) Bone defect Rx Re-surgery (episodes) Total complication
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is the improvement of patients’ outcome in relation to post-surgery function as well as material changes in the long-term monitoring ( 12 ). The physical, biological, and chemical reactions integrated into the prosthetic and osteosynthesis implants
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Despite the development of several preventative measures, the annual incidence of peri-prosthetic joint infection (PJI) in THA is 1.17% and has a five-year mortality rate of 21.12%. 7 The annual cost for revisions due to PJI was US$566 million in 2009
Osteoarticular Surgery Research, La Paz Hospital Health Research Institute – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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bone with small metaphyseal bone defects (cavity or contained, measuring less than 5 mm). These bone defects do not jeopardize the stability of the prosthetic component of the revision. In type 2, there is a loss of cortical bone and damage to the
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the transverse cut. The proximal anterior limb is scored by passing an oscillating saw between the prosthetic neck and medial trochanter. A series of scoring holes are then developed between the proximal and distal extent of the anterior limb using
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. Specifically noted complications included soft tissue inflammatory reaction simulating infection, silicone particulate synovitis, osteolysis, prosthetic wear and fragmentation with proximal migration of silicone particles causing inguinal lymphadenopathy. 12
IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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morcellisd). Structural allograft Structural allografts are fixed to the peri-acetabular bone by press-fit or screws and act as support for the implantation of the new prosthetic socket. They not only restore the bone stock, but also provide a suitable
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2014, Skaggs et al. classified those growth-friendly surgical techniques as distraction-based, compression-based, and guided growth methods ( 48 ). Distraction-based implants include Traditional Growing Rods (TGR), Vertical Expandable Prosthetic
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using heads up to 36 mm diameter. Peri-prosthetic fracture In a register study, 27 the rate of periprosthetic fracture was 0.9% five years after primary THA (n = 52 136), and 1.7% after ten years. It is lower in males (0.6% and 1.2%) than
