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David Lin Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Alexander Charalambous Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Sammy A. Hanna Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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the available English literature describing clinical and functional results of bilateral THA in patients with ankylosing spondylitis. Keywords used for the search were “bilateral” AND “total hip arthroplasty” OR “total hip replacement” AND “ankylosing

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Georgios Tsikandylakis Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden

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Maziar Mohaddes Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden

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Peter Cnudde Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Department of Orthopaedics, Prince Philip Hospital, HDUHB, Wales

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Antti Eskelinen Coxa Hospital for Joint Replacement, Tampere, Finland
Finnish Arthroplasty Register, Helsinki, Finland

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Johan Kärrholm Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden

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Ola Rolfson Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden

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argued that big heads are more anatomical since their size is closer to the original size of the native femoral head and this should provide better functional results. On the other hand, there are concerns about the use of big heads in terms of increased

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Eustathios Kenanidis Hôpital de la Tour, Geneva, Switzerland
Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece
Centre of Orthopaedics and Regenerative Medicine (CORE) – Centre of Interdisciplinary Research and Innovation (CIRI) – Aristotle University Thessaloniki, Greece

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George Kyriakopoulos Hôpital de la Tour, Geneva, Switzerland
Gennimatas General Hospital, Cholargos, Athens, Greece

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Rajiv Kaila Hôpital de la Tour, Geneva, Switzerland

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Panayiotis Christofilopoulos Hôpital de la Tour, Geneva, Switzerland

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augmented GMed. 76 Bucher et al 76 reported on clinical and functional results of 22 patients with GMed and GMin tears that were augmented with Ligament Augmentation and Reconstruction System (LARS) synthetic ligament following the previous failure

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Matthew Barrett Barts and the London School of Medicine & Dentistry, UK

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Anoop Prasad Department of Orthopaedics, Royal London Hospital, UK

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Louis Boyce Barts and the London School of Medicine & Dentistry, UK

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Sebastian Dawson-Bowling Department of Orthopaedics, Royal London Hospital, UK

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Pramod Achan Department of Orthopaedics, Royal London Hospital, UK

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Steven Millington Department of Orthopaedics, Royal London Hospital, UK

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Sammy A. Hanna Department of Orthopaedics, Royal London Hospital, UK

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answer the following two primary questions: (i) Is the revision rate of THA higher in morbidly obese patients? (ii) Do morbidly obese patients experience poorer functional results following THA? Methods Search strategy Our search strategy was

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Khaled M. Sarraf St Mary’s Hospital, Imperial College Healthcare Trust, London, UK

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Ravi Popat St Mary’s Hospital, Imperial College Healthcare Trust, London, UK

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Kathryn L. Kneale St Mary’s Hospital, Imperial College Healthcare Trust, London, UK

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Rajarshi Bhattacharya St Mary’s Hospital, Imperial College Healthcare Trust, London, UK

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Manoj Ramachandran The Royal London Hospital, Barts Health NHS Trust, London, UK

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Pramod Achan The Royal London Hospital, Barts Health NHS Trust, London, UK

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Sammy A. Hanna The Royal London Hospital, Barts Health NHS Trust, London, UK

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functional results of THA in patients following SCFE. Isolated case reports / series with five or fewer patients were excluded. The included articles met the PICO criteria for systematic reviews (Population, Intervention, Comparison and Outcomes). Data

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Philippe Chiron Orthopédie Traumatologie, Secteur A, Batiment riquet, étage 5, CHU Toulouse, Toulouse Cedex 9, France

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Nicolas Reina Orthopédie Traumatologie, Secteur A, Batiment riquet, étage 5, CHU Toulouse, Toulouse Cedex 9, France

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adductor muscles and a possible sensation of adhesion. Secondarily, the shape of the femoral head can still be regularised by a medial approach with good functional results ( 1 , 46 ) ( Fig. 13 ). Figure 13 Malunion; late medial approach resection

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Andy Craig Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK

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S W King Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK

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B H van Duren Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK

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V T Veysi Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK
Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK

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S Jain Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK
Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK

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J Palan Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK
Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK

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excellent inter-stage functional performance, simplified second-stage revision surgery and improved biomechanical outcomes ( 54 , 55 ). Use of CUMARS can lead to excellent outcomes and functional results; however, they can be costly due to the use of

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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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satisfactory functional results. Although the outcomes of THA in SCD patients have improved during recent decades, the revision rates remain high. In a recent meta-analysis, SCD was recognized as the leading risk factor of higher revision rate in patients

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Christiaan P. van Lingen Isala Clinics, Department of Orthopaedic Surgery and Traumatology, Zwolle, The Netherlands

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Luigi M. Zagra IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Harmen B. Ettema Isala Clinics, Department of Orthopaedic Surgery and Traumatology, Zwolle, The Netherlands

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Cees C. Verheyen Isala Clinics, Department of Orthopaedic Surgery and Traumatology, Zwolle, The Netherlands

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, Hol A , van Susante JL . Metal ion levels and functional results following resurfacing hip arthroplasty versus conventional small-diameter metal-on-metal total hip arthroplasty; a 3 to 5year follow-up of a randomized controlled trial

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