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of the hip: at an advanced stage, the destructive nature of PVNS results in multiple and dispersed subchondral cysts. We find these osteolytic alterations again in the femoral neck or the cup, more specifically along the axis of the joint
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. Augmentation of the fixation with extra screws is usually required. Autografting is preferred over allowing superior migration in the acetabular component position to achieve better cup coverage. Wear and the long-term outcome are sensitive to acetabular
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by the orthopaedic community, frequently resulting in discontinuation. Figure 1 Massive osteolysis around the acetabular cup and the femoral stem of an uncemented total hip arthroplasty due to PE wear 7 years after implantation
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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Similarly, periprosthetic acetabular fractures are relevant to uncemented press-fit elliptical cups; however, they may also occur postoperatively following high- or low-energy trauma. 17 , 30 Initial assessment Good clinical history and
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further research are still needed. Table 1 Design and metallurgy features of different implants. Implant Manufacturer Year introduced and discontinued (If it is not in current use) Cup size range (mm) Bearing metallurgy, processing
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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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Registry combined both hip and knee data and introduced a similar method of evaluating acetabular cups and femoral stems as SKAR had previously done. The Swiss National Hip and Knee Joint Registry uses similar methodology to the AOANJRR with the
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Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands
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Dept. of Orthopaedics, Radboud University Medical Center, Nijmegen, The Netherlands
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Dept. of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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• Resurfacing Set 1 - Set 2 - - Hip acetabulum • Monoblock (complete cup) • Mobile backing • Cemented • Press-fit • Screw cup Set 1 Set 1 Set 2 Set 3 - Hip liner - • Standard Set 1 Set 1 - Set 3
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Exeter 285, Charnley 209 CPT 190 Aesculap 103 Lubinus 50 Mayo 21 ABG I 17 Biomet 2 ABG II 1 Birmingham Resurfacing 1 Not recorded 316 Exeter polyethylene cup 160 Trilogy 149 Aesculap 102 ZCA 78 Ogee 38 ABG II 15 TOP 13 Charnley Elite plus Ogee 5
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cup or screw holes, and therefore limiting use for complex revision surgery. More recently, modular dual-mobility (MDM) constructs have been developed (for example MDM by Stryker Ltd, Berkshire, UK, and the Delta TT system by Lima Orthopaedics UK Ltd
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Department of Orthopaedics, Prince Philip Hospital, HDUHB, Wales
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Finnish Arthroplasty Register, Helsinki, Finland
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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dual mobility cups . Int Orthop 2012 ; 36 : 2411 - 2418 . 10. Caton JH Prudhon JL Ferreira A Aslanian T Verdier R . A comparative and retrospective study of three hundred and twenty primary Charnley
