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interface for static friction to keep the assembly together will be higher. Jamming of the liner can occur also producing vacuum mechanism of suction of the head during the manoeuvres of push and pull by the surgeon to check stability. Ceramic head
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to understand in the tribology of THA. A good understanding of tribological properties helps the orthopaedic surgeon to choose the most suitable bearing solution for each individual patient. Conventional polyethylenes The MoP first used for
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life expectancy, an ageing population and higher functional demand in the developed world. 3 Training future orthopaedic surgeons is clearly crucial if supply is to meet demand. However, such training raises several conflicting issues. Although
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Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
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Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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Introduction Increasing numbers of patients each year are undergoing total hip arthroplasty (THA) due to osteoarthritis (OA). 1 , 2 The procedure requires reliable implants and the involvement of competent surgeons to minimize the risk of
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for orthopaedists. Especially acetabular reconstruction and the management of acetabular bone loss can be demanding and challenging, even for the experienced revision arthroplasty surgeon. Perhaps of all the difficult scenarios that a surgeon can
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of surgeons have been using the anterior approach for hip arthroplasty, as well as resurfacing and femoral neck fractures. The muscle-sparing nature of the approach and the improved early results of the anterior approach as well as the favourable
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important to continue their sporting activities, and stopping them would mean a considerable loss of lust for life. The surgeon consulting the patient having a THA is perhaps not a rock climber. He is aware of dislocation and fracture risk as well as
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options are available to the surgeon when choosing the bearing surface in THA ( Table 1 ). The most common material for acetabular liners is polyethylene (PE), either ultra-high molecular weight PE (UHMWPE) (the so-called ‘standard’ or ‘conventional’ PE
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the correct indication and with an implant with a proven track record, the long-term results of HRA have been excellent, which has rekindled the interest of the public and surgeons in HRA. This review article will provide the reader with an up
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Introduction Acetabular component orientation and position are important factors in the short- and long-term outcomes of total hip arthroplasty (THA). Therefore, it is crucial that the surgeon has accurate and precise control over the