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Joseph J Ruzbarsky Steadman Philippon Research Institute, Vail, Colorado, USA
Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA

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Rui W Soares Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA

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Spencer M Comfort Steadman Philippon Research Institute, Vail, Colorado, USA

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Justin W Arner Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

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Marc J Philippon Steadman Philippon Research Institute, Vail, Colorado, USA
Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA

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common reason for revision is postoperative scarring between the capsule and the labrum or a postoperative adhesion ( 2 , 3 ). Histologically, adhesions are characterized as an excessive accumulation of fibrous connective tissue, which in itself consists

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Donald J. Davidson Research Department of Orthopaedics and Musculoskeletal Sciences, University College London, London, UK
Department of Microbial Diseases, UCL Eastman Dental Institute, University College London, London, UK

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David Spratt Department of Microbial Diseases, UCL Eastman Dental Institute, University College London, London, UK

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Alexander D. Liddle Department of Microbial Diseases, UCL Eastman Dental Institute, University College London, London, UK
MSK Lab, Imperial College London, London, UK

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on medical devices are formed by S. aureus, S. epidermidis or Pseudomonas aeruginosa . 22 The establishment of a bacterial biofilm on an implant surface occurs in stages; there is an initial adhesion of the free-floating bacteria in

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Markus S. Hanke Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Till D. Lerch Department of Diagnostic, Interventional and Pediatric Radiology University Hospital of Bern, Inselspital, University of Bern, Bern, Switzerland

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Florian Schmaranzer Department of Diagnostic, Interventional and Pediatric Radiology University Hospital of Bern, Inselspital, University of Bern, Bern, Switzerland

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Malin K. Meier Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Simon D. Steppacher Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Klaus A. Siebenrock Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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. 69 Insufficient correction of the femoral and acetabular deformity, advanced osteoarthritis and intraarticular adhesions 70 are causes of persistent groin pain after FAI surgery. 71 Patients often report no or only a short pain

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Arya Nicum Institute of Orthopaedics and Musculoskeletal Science, University College London, UK

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Harry Hothi Royal National Orthopaedic Hospital, Stanmore, UK.
Department of Mechanical Engineering, University College London, UK

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Johann Henckel Royal National Orthopaedic Hospital, Stanmore, UK.

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Anna di Laura Royal National Orthopaedic Hospital, Stanmore, UK.
Department of Mechanical Engineering, University College London, UK

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Klaus Schlueter-Brust Department of Orthopaedic Surgery, St. Franziskus Hospital Köln, Köln, Germany

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Alister Hart Institute of Orthopaedics and Musculoskeletal Science, University College London, UK
Royal National Orthopaedic Hospital, Stanmore, UK.
Cleveland Clinic London, London, UK

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affect the biological performance, including adhesion, osteogenic behaviour, and ultimately the fixation and improved ability of the implant ( 11 ). This is because pore size determines the type of cell that will proliferate and colonise within the porous

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Akintunde George Centre for Integrated Bioprocessing Research, Department of Chemical Engineering, University of Bath, Bath, UK

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Marianne Ellis Centre for Integrated Bioprocessing Research, Department of Chemical Engineering, University of Bath, Bath, UK

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Harinderjit Singh Gill Department of Mechanical Engineering, University of Bath, Bath, UK

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disease. 25 Kaul et al noted in their review of the pathophysiology of vascular obstruction in sickle cell syndromes that red cell destruction leads to enhanced cell vascular adhesion which invariably led to more vascular occulsion. 26 Bone

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J R W Crutsen Department of Orthopaedic Surgery, VieCuri Medical Center, Venlo, the Netherlands

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M C Koper Department of Orthopaedic Surgery, Reinier HAGA Orthopaedic Center, Zoetermeer, the Netherlands

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J Jelsma Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen-Heerlen, the Netherlands

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M Heymans Zuyderland Academy, Centre of Knowledge and Information (KIC), Zuyderland Medical Centre, Sittard-Geleen, the Netherlands

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I C Heyligers Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen-Heerlen, the Netherlands
School of Health Professions Education (SHE), Maastricht University, Maastricht, the Netherlands

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B Grimm Luxembourg Institute Health, Human Motion, Orthopaedics, Sports Medicine, Digital Methods (HOSD), Luxembourg, Luxembourg

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N M C Mathijssen Department of Orthopaedic Surgery, Reinier HAGA Orthopaedic Center, Zoetermeer, the Netherlands

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M G M Schotanus Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen-Heerlen, the Netherlands
School of Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands

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wear particles (adhesion). Another source of significant metal particle release is the application of a metal component for the revision of a fractured ceramic head and/or a fractured ceramic acetabular liner. In this scenario, massive three

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Zeng Li Department of Orthopedics, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong, China
Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China
These authors contributed equally to the manuscript

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Shuai Xiang Department of Joint Surgery, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China
These authors contributed equally to the manuscript

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Cuijiao Wu Department of Histology & Embryology, Qingdao University Medical School, Qingdao, Shandong, China

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Yingzhen Wang Department of Joint Surgery, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China

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Xisheng Weng Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China

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polyethylene used in total joint replacement and adhesion of Staphylococcus aureus and Escherichia coli . J Bone Joint Surg [Br] 2014 ; 96-B : 497 – 501 . 32. Banche G Bracco P Allizond V Bistolfi A Boffano M

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Pengqiang Lou Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Guangzhi Zhou Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Bo Wei Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Xiaolei Deng Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Decai Hou Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, China

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Miyamoto Y Nakamaki T Tomoyasu S Kadono Y Tanaka S Inoue T & Kamijo R . Cell adhesion signaling regulates RANK expression in osteoclast precursors . PLoS One 2012 7 e48795. ( https://doi.org/10.1371/journal.pone.0048795 ) 43. Chen G

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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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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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. Likewise, peri-articular tissues, including the synovial membrane, must also be resected to prevent further bacterial adhesion onto inert metal and plastic components. 55 , 56 The ideal type and quantity of fluid used for irrigation still remains

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