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and friction depend on the combined materials and sizes. The head and socket diameters are slightly different, and from this difference the bearing clearance is defined. In particular with hard-on-hard bearings the clearance is an important parameter
IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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these features are defined as bio-inert and are used in orthopaedics to manufacture arthroplasty hard bearings. 47 The most common bio-active bioceramics are bio-active glass, calcium carbonate, calcium sulphate and calcium phosphates. This last
Surgery Department, Hôpital Maisonneuve-Rosemont, Montreal University, Montreal, Québec, Canada
Clinique orthopédique Duval, 1487 Boul des Laurentides, Laval
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Bordeaux Arthroplasty Research Institute - Clinique du Sport Bordeaux-Mérignac 04-06 rue Georges Negrevergne, Mérignac, France
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Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland
Clinical Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, University of Basel, Basel, Switzerland
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Department of Surgery, University of California, San Francisco, California, USA
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-related biological reactions in young and active patients are no longer as much of a concern as they once were, with excellent survivorship offered by several modern bearings. For THA, ceramic-on-ceramic (CoC) implants offer greater scratch resistance and lower
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Levine BR Sporer SM Paprosky WG Jacobs JJ & Della Valle CJ . Do serologic and synovial tests help diagnose infection in revision hip arthroplasty with metal-on-metal bearings or corrosion? In Clinical Orthopaedics and Related Research 2015
Department of Orthopaedic Surgery, University of Cape Town, SA
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higher degrees of flexion within a deepening femoral sulcus, 13 and are at a disadvantage for wear, since bearings perform best when softer materials are concave rather than convex. 37 The modified dome or Gaussian shape with a convex centre and
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reduce the infective microbial load around the prosthesis and wound, including breaking down biofilm. 1 , 11 Surgical management involves open deep debridement of the joint and thorough wound irrigation and wherever possible modular bearings should be
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National Joint Replacement for England, Wales, Northern Ireland, Isle of Man and the States of Guernsey (NJR)
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over 30 orthopaedic registries and has performed multinational investigations of total hip replacement bearing surfaces, prosthesis fixation and total knee replacement outcomes with respect to mobile and fixed bearings and stabilization. This initiative
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. J Bone Joint Surg [Br] 1992 ; 74-B : 228 - 232 . 17 Psychoyios V Crawford RW O’Connor JJ Murray DW . Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16
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I pick? Bone Joint J 2013 ; 11 : 129 – 132 . 59. Peters CL Mulkey P Erickson J Anderson MB Pelt CE . Comparison of total knee arthroplasty with highly congruent anterior-stabilized bearings
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. 18. Collier MB , Engh CA Jr , McAuley JP , Engh GA . Factors associated with the loss of thickness of polyethylene tibial bearings after knee arthroplasty . J Bone Joint Surg [Am] 2007 ; 89–A : 1306 – 1314
