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Pieter Bas de Witte Department Orthopedic Surgery, LUMC, Leiden, the Netherlands

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Christiaan J A van Bergen Department Orthopedic Surgery, Amphia, Breda, the Netherlands

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Babette L de Geest Knowledge Institute of Medical Specialists, Utrecht, the Netherlands

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Floor Willeboordse Knowledge Institute of Medical Specialists, Utrecht, the Netherlands

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Joost H van Linge Juliana Children’s Hospital, The Hague & Reinier HAGA Orthopaedic Centre, Zoetermeer and Delft, the Netherlands

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Yvon M den Hartog Department Orthopedic Surgery, MST, Enschede, the Netherlands

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Magritha (Margret) M H P Foreman-van Drongelen Department Hip Sonography, Diagnostiek voor U, Eindhoven, The Netherlands

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Renske M Pereboom Dutch Hip Patient Association “Vereniging Afwijkende Heupontwikkeling”, Nijkerk, the Netherlands

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Simon G F Robben Department Radiology, Maastricht University Medical Center, Maastricht, the Netherlands

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Bart J Burger Department Orthopedic Surgery, North West Hospital Group, Alkmaar, the Netherlands

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M Adhiambo Witlox Department Orthopedic Surgery, CAPHRI Care and Public Health Research Institute, Maastricht University Medical Center, Maastricht, the Netherlands

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Melinda M E H Witbreuk Department Orthopedic Surgery OLVG, AUMC Amsterdam, the Netherlands

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, including pain and severe disabilities in the activities of daily living due to early onset osteoarthritis or a dislocated hip ( 2 ). Nevertheless, diagnostic and treatment methods are highly variable in clinical practice and often depend on local agreements

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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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, microinstability, labral retear, or adhesions. Imaging in the form of a computerized tomography (CT) scan may therefore be useful for diagnostic and therapeutic planning especially when open surgery or revision arthroscopy is being considered ( 1 ). This is mostly

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Sylvain Steinmetz Geneva University Hospitals, Geneva, Switzerland

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Anne-Laure Rougemont Geneva University Hospitals, Geneva, Switzerland

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Robin Peter Geneva University Hospitals, Geneva, Switzerland

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monitoring. Radiograph images, CT and MRI are useful to achieve these objectives. Scintigraphy provides no useful information as the binding is diffuse and non-specific. 7 Plain film radiography remains the primary diagnostic examination. Radiographs

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Daniel Petek Clinic of Orthopaedics and Trauma Surgery, HFR-Fribourg District Hospitals, Fribourg, Switzerland

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Didier Hannouche Clinic of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland

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Domizio Suva Clinic of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland

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abnormalities which participate in the occurrence of OFNH. 14 However, until now there are no screening markers available ( Fig. 1 ). Fig. 1 Different pathways participating in ONFH. Whatever the underlying cause, all forms of ON of the

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Philippe Hernigou Hôpital Henri Mondor, University Paris East, Paris, France

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Victor Housset Hôpital Henri Mondor, University Paris East, Paris, France

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Jacques Pariat Hôpital Henri Mondor, University Paris East, Paris, France

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Arnaud Dubory Hôpital Henri Mondor, University Paris East, Paris, France

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Charles Henri Flouzat Lachaniette Hôpital Henri Mondor, University Paris East, Paris, France

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infections in THAs related to SCD as compared with other causes of THA. The defective activation of complement’s pathway is facilitated by a non-functioning or absent spleen. This increases the risk of infection by encapsulated bacteria. 8 Therefore

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Dongmei Wu School of Medicine, University of St. Andrews, St. Andrews, Fife, United Kingdom

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Rohan M Bhalekar ExplantLab, The Biosphere, Newcastle Helix, Newcastle-upon-Tyne, United Kingdom

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Jordan S Marsh School of Medicine, University of St. Andrews, St. Andrews, Fife, United Kingdom

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David J Langton ExplantLab, The Biosphere, Newcastle Helix, Newcastle-upon-Tyne, United Kingdom

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Alan J Stewart School of Medicine, University of St. Andrews, St. Andrews, Fife, United Kingdom

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in blood ( 79 , 80 ). It is reported to be a rare complication with a prevalence of around 5% in MoM hip replacements ( 79 ). However, it cannot be used as a diagnostic terminology to define implant failure as it fails to distinguish the complexity

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