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(29 to 55) after failed revision surgery. The ideal solution to instability is prevention, achieved using optimal index surgery 4 . This article outlines the aetiology of hip dislocation and provides the surgeon with an algorithm for the
IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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surgery (mostly on the acetabular side and uncemented), but one case out of four failed due to graft resorption, early loosening, infection or foreign body reaction. 45 On the other hand, Rosito et al reported similarly satisfactory clinico
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exceptionally promising. Furthermore, DMC may represent an excellent option in salvage THA for failed fixation of intertrochanteric fractures. In such patients, salvage THA often represents a technical challenge, and is associated with higher rates of
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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) The Gustilo and Pasternak classification ( 18 ) was developed to evaluate failed cemented stems ( Table 3 ) including four categories based to the extent of the defect. The type I was characterized by a minimal endosteal or inner cortical bone loss
Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via
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Department of Orthopaedics and Traumatology, IRCCS Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy
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Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
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Fondazione Livio Sciutto Onlus, Campus Savona - Università degli Studi di Genova, Via
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
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series of 163 patients (172 GTS stems) at a minimum follow-up of 10 years was published ( 7 ). In this study the authors observed a 99.6% survival rate for any cause of failure (96% CI: 1.06–1.97) with only six failed cases undergoing revision surgery for
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relevant articles, of which 883 were excluded with a reason after screening the titles and abstracts. The remaining 16 articles were reviewed. Nine of these failed to meet the inclusion criteria and were excluded. An additional study 23 was found in
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portion of the stem. Particle disease Particle disease, i.e. wear-particle-induced loosening, was proposed because wear particles and numerous macrophages and giant cells were observed in the periprosthetic tissue samples from failed hip prostheses
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history of the condition, with less favourable outcomes following a severe slip. 4 , 5 The mainstay of treatment includes activity and life-style modifications, anti-inflammatories and physiotherapy. When these measures fail, surgical intervention is
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arthroplasties fail at a higher rate than conventional THA using other bearing materials. 22 Limitations in the interpretation of registry data are indication bias and the clustering of different MoM devices. Design differences are often ignored in
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significantly predicted failure. Similarly, Bradbury et al reported that at a minimum follow-up of two years, DAIR with implant retention failed to eradicate the infection in 84% of cases with 19 cases of acute peri-prosthetic methicillin
