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Konrad Sebastian Wronka Department Of Orthopaedics, Prince Philip Hospital, Hywel Dda University Healthboard, Llanelli, UK

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Michell Gerard-Wilson Department Of Orthopaedics, Prince Philip Hospital, Hywel Dda University Healthboard, Llanelli, UK

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Elizabeth Peel Department Of Orthopaedics, Prince Philip Hospital, Hywel Dda University Healthboard, Llanelli, UK

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

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Peter Herman Johan Cnudde Department Of Orthopaedics, Prince Philip Hospital, Hywel Dda University Healthboard, Llanelli, UK
Department Of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden

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. Trochanteric osteolysis in the presence of metallosis In cases of revisions for big head Metal on Metal (MoM) THAs, an ETO can facilitate the access and removal of implants. 40 Debridement of the debris caused by the MOM articulation will be made easier

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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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answered; PL, posterolateral; AL, anterolateral; C, cemented; U, uncemented; H, hybrid; pc, porous-coated; H-G, Harris-Galante; AML, anatomic medullary locking; CoC, ceramic on ceramic; CoP, ceramic on polyethylene; MoM, metal on metal; MoP, metal on

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Petra Izakovicova HELIOS Klinik Zerbst/Anhalt, Germany

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Olivier Borens Service of Orthopaedics and Traumatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland

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Andrej Trampuz Charité – Universitätsmedizin Berlin, Corporate Member of Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Center for Musculoskeletal Surgery (CMSC), Berlin, Germany

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around the prosthesis (if other causes such as adverse tissue reaction related to a metal-on-metal bearing, crystal arthropathy, reactive arthritis etc. are excluded). Imaging studies Examination of serial conventional radiographs may be helpful

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

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. Strong association between smoking and the risk of revision in a cohort study of patients with metal-on-metal total hip arthroplasty . J Orthop Res 2014 ; 32 : 762 - 8 . 32. Ranstam J Cook JA . Kaplan-Meier curve . Br J Surg

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Didier Hannouche Department of Orthopaedic Surgery and Traumatology, Geneva University Hospital, Switzerland

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Matthieu Zingg Department of Orthopaedic Surgery and Traumatology, Geneva University Hospital, Switzerland

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Hermes Miozzari Department of Orthopaedic Surgery and Traumatology, Geneva University Hospital, Switzerland

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Remy Nizard Department of Orthopaedic Surgery, AP-HP, Hôpital Lariboisière, Paris University, Paris, France

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Anne Lübbeke Department of Orthopaedic Surgery and Traumatology, Geneva University Hospital, Switzerland

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years before. Cobalt and chromium ions were not elevated and there was no sign of trunnion corrosion. The pseudotumour observed in this patient was similar to the adverse local tissue reaction seen in patients with metal-on-metal bearings, and was

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Hanna Wellauer Department of Orthopaedic Surgery and Traumatology, HFR Fribourg Hospital, University of Fribourg, Fribourg, Switzerland
Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland

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Roman Heuberger RMS Foundation, Bettlach, Switzerland

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Emanuel Gautier Department of Orthopaedic Surgery and Traumatology, HFR Fribourg Hospital, University of Fribourg, Fribourg, Switzerland

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Moritz Tannast Department of Orthopaedic Surgery and Traumatology, HFR Fribourg Hospital, University of Fribourg, Fribourg, Switzerland

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Hubert Steinke Institute for the History of Medicine, University of Bern, Bern, Switzerland

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Peter Wahl Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
Faculty of Medicine, University of Berne, Berne, Switzerland

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parameter to improve range of motion (ROM) in total hip arthroplasty . In Bioceramics in Joint Arthroplasty , pp. 149 – 155 . Springer 2004 . 51. Tardy N Maqdes A Boisrenoult P Beaufils P & Oger P . Small diameter metal-on-metal total hip

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Alan G. Fraser Department of Cardiology, University Hospital of Wales, Cardiff, UK

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

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Per Kjærsgaard-Andersen Department of Orthopaedics, Vejle Hospital, South Danish University, Vejle, Denmark

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Piotr Szymański Centre of Postgraduate Medical Education, MSWiA Central Clinical Hospital, Warsaw, Poland

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Tom Melvin Healthcare Products Regulatory Authority, Earlsfort Terrace, Dublin 2, Ireland

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Paul Piscoi Health Technology Unit B6, Directorate General for Health (DG SANTE), European Commission, Brussels, Belgium

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On behalf of the CORE–MD Investigators (see Appendix) Alan Fraser, Piotr Szymański, Chris Gale, Aldo Maggioni, Elisabetta Zanon, Christina Dimopoulou, Cinzia Ceccarelli, Polyxeni Vairami, Anett Ruszanov, Per Kjærsgaard-Andersen, Rob Nelissen, Adrian Ott, Elizabeth Macintyre, Loredana Simulescu, Marieke Meijer, Berthold Koletzko, Sarah Wieczorek, Adamos Hadjipanayis, Stefano Del Torso, Perla Marang-van de Mheen, Lotje Hoogervorst, Ewout W. Steyerberg, Bas Penning De Vries, Peter McCulloch, Martin Landray, Daniel Prieto Alhambra, James Smith, Anne Lubbeke-Wolf, Stefan James, Sergio Buccheri, Robert Byrne, Laurna McGovern, Stephan Windecker, Andre Frenk, Georgios Siontis, Christoph Stettler, Arjola Bano, Lia Bally, Frank E. Rademakers, Jan D‘hooge, Anton Vedder, Elisabetta Biasin, Erik Kamenjasevic, Petra Schnell-Inderst, Felicitas Kühne, Ola Rolfson, Joel Jakobsson, Amanda Tornsö, Enrico G. Caiani, Lorenzo Gianquintieri, Cinzia Cappiello, Maristella Matera, Tom Melvin, Niall MacAleenan, Ria Mahon, Michèle Meagher, Gearóid McGauran, Thomas Wejs Møller, Ann-Sofie Sonne Holm-Schou, Jan Szulc, Robert E. Geertsma, Jantine W.P.M. van Baal, Joëlle M. Hoebert, Susana L.F. Cabaço, Paola Laricchiuta, Marina Torre, Filippo Boniforti, Eugenio Carrani, Stefania Ceccarelli, Claudia Wild, Sabine Ettinger, Juan Antonio Blasco Amaro, Juan Carlos Rejón Parrilla, Agnieszka Dobrzynska, David Epstein, Valentina Strammiello, Hannes Jarke, Kaisa Immonen, Françoise Schlemmer, Sabina Hoekstra, Marianna Mastroroberto, Christoph Ziskoven, Michael Hahn, Erman Melikyan, Richard Holborow, Suzanne Halliday, Alexey Shiryaev, Gero Viola, Harry van Vugt

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being applied 2 and concerns that some devices had been granted access despite insufficient clinical evidence, contributed to agreement that new EU regulations were needed. 3 That perception was reinforced by problems relating to heart valves, metal-on-metal

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Philip F. Dobson Trauma and Orthopaedic Surgery, Royal Victoria Infirmary, Newcastle, UK

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Michael R. Reed Trauma and Orthopaedic Surgery, Royal Victoria Infirmary, Newcastle, UK

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metal-on-metal (MoM) over the whole study period of 15 years. However, the authors recommend caution in interpretation of these results due to a lack of data on American Society of Anaesthesiologists class (ASA) and BMI. Analysis of the Emilia

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Bernd Grimm AHORSE Research Foundation, Zuyderland Medical Center, Heerlen, The Netherlands.

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Stijn Bolink AHORSE Research Foundation, Zuyderland Medical Center, Heerlen, The Netherlands.

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. Block-step asymmetry 5 years after large-head metal-on-metal total hip arthroplasty is related to lower muscle mass and leg power on the implant side . Clin Biomech (Bristol, Avon) 2014 ; 29 : 684 - 90 . PMID: 24935131. 34 Yang S

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Alexis Nogier Service de Chirurgie Orthopédique, Clinique Trenel, Sainte-Colombe, France
Service de Chirurgie Orthopédique, Clinique Maussins-Nollet, Paris, France
Clinique Nollet, Paris, France

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Idriss Tourabaly Service de Chirurgie Orthopédique, Clinique Maussins-Nollet, Paris, France
Clinique Nollet, Paris, France

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Sonia Ramos-Pascual ReSurg SA, Nyon, Switzerland

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Jacobus H. Müller ReSurg SA, Nyon, Switzerland

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Mo Saffarini ReSurg SA, Nyon, Switzerland

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Cyril Courtin Service de Chirurgie Orthopédique, Clinique Trenel, Sainte-Colombe, France

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evaluation with eight year follow-up . J Arthroplasty 2015 ; 30 : 600 – 606 . 20167056 47. Sandiford NA Muirhead-Allwood SK Skinner JA Hua J . Metal on metal hip resurfacing versus uncemented custom total hip replacement

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