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

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Francesco Benazzo Chirurgia Protesica ad Indirizzo Robotico, Fondazione Poliambulanza, Brescia, Italy

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Dante Dallari Reconstructive Orthopaedic Surgery and Innovative Techniques – Musculoskeletal Tissue Bank, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Francesco Falez Department of Orthopaedics and Traumatology, ASL Roma 1, S. Filippo Neri Hospital, Rome, Italy

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Giuseppe Solarino Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic & Trauma Unit, School of Medicine, University of Bari Aldo Moro, AOU Consorziale ‘Policlinico’, Bari, Italy

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Rocco D’Apolito Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Claudio Carlo Castelli FROM, Research Foundation Papa Giovanni XXIII Hospital, Bergamo, Italy

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provides an overview of the hip–spine relationship and its implications for patients undergoing total hip arthroplasty (THA). A crucial step in THA is to position the cup in such a way to obtain a stable joint without neck-cup impingement or edge loading

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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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Introduction Since its introduction in the 1960s, total hip arthroplasty (THA) has proved to be an excellent and reliable treatment procedure for the end stages of hip pathology, with satisfactory clinical outcomes at 15- to 20-year follow

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William G. Blakeney Department of Surgery, CIUSSS-de-L’Est-de-L’Ile-de-Montréal, Hôpital Maisonneuve Rosemont, Montréal, Québec, Canada
Department of Surgery, Albany Health Campus, Albany, Australia

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Jean-Alain Epinette Clinique Médico-chirurgicale, Bruay la Buissière, France

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Pascal-André Vendittoli Department of Surgery, Albany Health Campus, Albany, Australia
Department of Surgery, Université de Montréal, Montréal, Québec, Canada

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should be supra-hemispheric (as shown in b), to ensure an optimal retention of the liner inside the metallic shell. Hip instability remains the major challenge after total hip arthroplasty (THA) Hip instability after THA has become a major

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Bart G. Pijls Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands

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Jennifer M. T. A. Meessen Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands

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Keith Tucker Implant Performance Committee, England and Wales National Joint Registry, ODEP, Beyond Compliance and MHRA Expert Advisory Group for MoM Prostheses, London, UK

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Susanna Stea Istituto Ortopedico Rizzoli, Bologna, Italy

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Liza Steenbergen Dutch Arthroplasty Register (Landelijke Registratie Orthopedische Implantaten, LROI), 's- Hertogenbosch, The Netherlands

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Anne Marie Fenstad The Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway

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Keijo Mäkelä Department of Orthopedics and Traumatology, Turku University Hospital, Turku, Finland

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Ioan Cristian Stoica Foisor Orthopaedics Clinical Hospital, Bucharest, Romania

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Maxim Goncharov VJRR, Russian Scientific Research Institute of Traumatology and Orthopedics, St Petersburg, Russia

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Søren Overgaard Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark

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Jorge Arias de la Torre Departament de Salut, Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Instituto de Biomedicina (IBIOMED). Universidad de León, León, Spain

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Anne Lübbeke Division of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Geneva, Switzerland
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

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Ola Rolfson Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

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Rob G. H. H. Nelissen Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands

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Introduction Metal-on-metal (MoM) bearings have been used since the early years of total hip replacement (THR). Early historical MoM prostheses from the 1960s, 1970s and 1980s include the McKee Farrar hip and the Ring hip prostheses. 1

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James R Satalich VCU Health Department of Orthopaedic Surgery, Richmond, Virginia, USA

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Daniel J Lombardo VCU Health Department of Orthopaedic Surgery, Richmond, Virginia, USA

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Simon Newman Nuffield Orthopaedic Center, University of Oxford, Oxford, UK

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Gregory J Golladay VCU Health Department of Orthopaedic Surgery, Richmond, Virginia, USA

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Nirav K Patel VCU Health Department of Orthopaedic Surgery, Richmond, Virginia, USA

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Background Sir John Charnley’s low friction total hip arthroplasty (THA) revolutionized the management of hip osteoarthritis. His design featured a low frictional torque head, a high-density polyethylene-bearing surface, and fixation of

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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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Introduction Total hip arthroplasty (THA) is a beneficial surgical procedure that relieves pain, restores hip function, and improves quality of life in most patients with end-stage hip osteoarthritis or other hip diseases. 1 However, the

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Bülent Atilla Hacettepe University Faculty of Medicine, Ankara, Turkey

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the success of total hip arthroplasty. Pre-operative patient evaluation Young females with limping and postural deformity related to a marked inequality in lower limb length characterises the DDH patient with a high dislocated hip. Assessment

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Rory Cuthbert The Royal London Hospital, London, UK

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James Wong Barking, Havering and Redbridge University Hospitals, Romford, UK

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Philip Mitchell South West London Elective Orthopaedic Centre, Epsom, UK

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Parag Kumar Jaiswal Royal Free London NHS Foundation Trust, London, UK

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Introduction Total hip arthroplasty (THA) is one of the most successful surgical procedures – reducing pain and providing functional improvement to enhance patients’ quality of life. As healthcare continues to evolve and life expectancy rises

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Eustathios Kenanidis Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Hellas, Greece
Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece
Hôpital de la Tour, Geneva, Switzerland

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Konstantinos Kapriniotis Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece

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Panagiotis Anagnostis Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece

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Michael Potoupnis Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Hellas, Greece
Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece

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Panayiotis Christofilopoulos Hôpital de la Tour, Geneva, Switzerland

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Eleftherios Tsiridis Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Hellas, Greece
Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece

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probability of progressing to hip osteoarthritis (OA), usually in the third or fourth decade of life; 1 bilateral hip involvement reaches 20–30%. 2 , 8 The initial studies of total hip arthroplasty (THA) for the management of end-stage hip OA in SCD

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Georgios Kyriakopoulos Hôpital de la Tour, Geneve, Switzerland

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Lazaros Poultsides New York University Langone Orthopedic Hospital, New York University School of Medicine, USA

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Panayiotis Christofilopoulos Hôpital de la Tour, Geneve, Switzerland

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extensibility. Materials and methods A systematic review of the literature was conducted in Medline and the Cochrane database ( Fig. 1 ) Searches were carried out using the following terms: “anterior approach hip”, “anterior approach total hip”, and

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