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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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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
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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IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, Milan, Italy
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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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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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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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, 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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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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Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italy
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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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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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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