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humeral head into the glenoid fossa, forward pressure on the humeral head must be applied with the arm in the flexed, adducted and internally rotated position. The physician needs an assistant who will perform cross-body traction to the arm when the
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suggestion that graft fixation is also an important aspect of surgical failure. It is suggested that, depending on the graft used, the type of fixation should be adjusted accordingly. 53 - 57 Specifically, it was found that interference screws offer the
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distance for all positions and activities to occur with the dual-mobility bearing. The use of heads >32 mm has historically been limited by concerns about polyethylene wear. This shortcoming may be eliminated by using ceramic femoral heads on cross
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.4% † *Overall percentage, however, rates increased annually and were 9% in 2018; †Percentages for DOAC and VKA patients calculated from a cohort of all hip fracture patients. CCS, case–-control study; CRIF, closed reduction internal fixation; DOAC, direct
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modular designs in which a cobalt–chromium liner is inserted into a titanium shell to obtain the familiarity of a standard titanium cup, additional fixation with screws, and the advantages of modularity. Concern has been raised, however, about the
Department of Orthopaedic Surgery, University of Cape Town, SA
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Vitallium prosthesis secured with a single transfixing screw to resurface the patella alone, as described by McKeever in 1955, 17 reportedly showing good functional results, and offering an alternative to patellectomy in isolated patellofemoral
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presence of implants, such as screws, plates or even artificial joints that are frequently utilized in orthopaedic and trauma surgery. It is known that the presence of a foreign body reduces the amount of bacterial inoculum required to cause infection by a
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is more common in the tibial compartment due to its relation to the polyethylene insert, gravity and the use of screws for fixation which facilitate wear particle migration into the bone. 70 The access of the bone particles to the bone
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, without making a clear distinction between conventional and corrosion metallic wear and therefore adding uncertainty to its clinical significance. In addition, metallic debris can also be generated by fixation devices, such as broken metallic screws
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data and nested case-control studies fit best for prognostic modelling whereas cross-sectional and case-control study design fit better for diagnostic modelling. 62 The benefit of ML may be best realized with larger data sets, particularly those
