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Alexei Buruian Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Francisco Silva Gomes Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Tiago Roseiro Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Claudia Vale Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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André Carvalho Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Emanuel Seiça Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Antonio Mendes Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Carlos Pereira Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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, morbid obesity, metastatic lesions, or suspected femoral pathology). 17 – 21 Different nails have been manufactured, although in a recent review no superiority was found for any model. 22 , 23 Distal locking provides length and rotational

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Christos Garnavos Orthopaedic and Trauma Department, ‘Evangelismos’ General Hospital, Athens, Greece

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been adopted and used by surgeons mainly for the management of fractures involving the proximal and distal metaphyseal areas of the tibia that could not be satisfactorily reduced by traction. The success of the reported outcomes contributed to the

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Mattia Loppini Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, Milan, Italy
IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, Milan, Italy
Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via Magliotto 2, Savona, Italy

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Francesco Manlio Gambaro Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, Milan, Italy
IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, Milan, Italy

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Marco di Maio Università degli Studi di Trieste, Piazzale Europa 1, Trieste, Italy

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Guido Grappiolo IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, Milan, Italy
Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via Magliotto 2, Savona, Italy

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Cortical circumferential Proximal femoral allograft A) Calcar, <3 cm in length distal to the lesser trochanter B) Proximal femur, >3 cm in length distal to the lesser trochanter A modified version of Gross classification

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Kavin Sundaram Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Ahmed Siddiqi Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Atul F. Kamath Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Carlos A. Higuera-Rueda Cleveland Clinic Florida, Department of Orthopedics Weston, Florida, USA

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Transfemoral osteotomy is especially useful in the removal of remaining cement fragments in the distal femur, extraction of broken femoral components and for significant anterior femoral bowing before revision stem insertion. 10 Trochanteric slide

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Mattia Loppini Department of Biomedical Sciences, Humanitas University, Italy; Hip Diseases and Joint Replacement Surgery Unit, Humanitas Clinical and Research Center, Italy

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Guido Grappiolo Hip Diseases and Joint Replacement Surgery Unit, Humanitas Clinical and Research Center, Italy

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preserving (CFP) The CFP (Waldemar Link) is an uncemented neck-retaining stem ( Fig. 1 ). It is made of a Tilastan® alloy with a 70-μm microporous surface provided with a 20-μm hydroxyapatite coating, but the distal third is smooth. The primary stability of

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Pablo A. Slullitel Hip Surgery Unit, Italian Hospital of Buenos Aires, Argentina

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José I. Oñativia Hip Surgery Unit, Italian Hospital of Buenos Aires, Argentina

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Martin A. Buttaro Hip Surgery Unit, Italian Hospital of Buenos Aires, Argentina

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Marisa L. Sánchez Infectology Department, Italian Hospital of Buenos Aires, Argentina

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Fernando Comba Hip Surgery Unit, Italian Hospital of Buenos Aires, Argentina

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Gerardo Zanotti Hip Surgery Unit, Italian Hospital of Buenos Aires, Argentina

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Francisco Piccaluga Hip Surgery Unit, Italian Hospital of Buenos Aires, Argentina

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, 52 , 53 the authors concluded that this stain provided a useful visual index of surgical debridement in the treatment of PJI. Prior approach should be proximally and distally extended in order to augment the field of view and remove all of the

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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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his distal trochanteric osteotomy. A transfemoral approach, osteotomizing half of the proximal femur was advocated by Wagner to use with his revision stem. 17 In 1995 Younger et al published series of Paprosky of the ETO and advocated its use in

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Riccardo D’Ambrosi IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Nicola Ursino IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Carmelo Messina IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italy

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Federico Della Rocca Istituto Clinico Humanitas, Rozzano, Italy

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Michael Tobias Hirschmann Department of Orthopaedic Surgery and Traumatology Kantonsspital Baselland (Bruderholz, Liestal, Laufen) Switzerland

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Introduction The capsule of the hip joint is a cylindrical-shaped arrangement of dense fibres connecting the acetabulum and femur through firm proximal attachments to the acetabular periosteum and distal attachments to the inter

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Bengt Mjöberg Department of Orthopaedics, Lund University, Lund, Sweden

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increased about 4% for every 0.1-mm increase in distal migration at two years of cemented composite-beam femoral components. 23 Although the threshold values for early migration of various prosthetic components are not yet exactly determined, these

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Gregor Giebel Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Sebastian Hardt Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Carsten Perka Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Rudolf Ascherl Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany

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cement and a significant reduction in peak stresses on the proximal and distal cement mantle ( 3 , 4 , 5 ). The design features allow the stem to subside minimally into the cement mantle, which is crucial for this anchorage philosophy. This is the

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