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Introduction In the 20th century, Sir John Charnley and Sir John Insall successfully introduced modern total joint replacements for hips (THA) and knees (TKA), respectively. In order to prevent implant fixation failure and accelerated
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that it allows accurate prediction of prosthesis size, shape and position and this enables the aforementioned aims of THA to be achieved. 1 – 7 With a single templating software package, multiple implants from different manufactures can be templated
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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cement’) hip (and legacy knee) system ( Fig. 8 ) (DePuy Synthes, Warsaw, IN, USA). As such, cement-on-cement, so-called ‘prosthesis-on-polyethylene’ (Hofmann), prosthesis-on-PMMA and metal-on-polyethylene articulations have all been described, and
IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Fondazione Livio Sciutto Onlus, Campus Savona – Università degli Studi di Genova, Savona, Italy
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Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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Fondazione Livio Sciutto Onlus, Campus Savona – Università degli Studi di Genova, Savona, Italy
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). The main aim of the follow-up visits is to detect the asymptomatic failure of the hip prosthesis. The diagnosis of asymptomatic failure can prevent extensive surgery such as the full revision of the acetabular component instead of the liner exchange to
Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
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Faculty of Medicine, University of Berne, Berne, Switzerland
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developments of well-established designs, nearly all still being available nowadays. A citation from Santana, a Spanish philosopher, aptly captures the development of the hip prosthesis: ‘Those who cannot remember the past are condemned to repeat it’ ( 4
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.9%. 1 , 2 Since life expectancy has exponentially grown in the last decades, it is believed that incremental functional demands of elderly patients will result in an increase of almost 500% of primary total hip and knee replacements by 2030. 3
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% Knee bend 140% Stumbling 870% Weight Lifting Jumping 550% Landing 600% Push Jerking 780% Jerk Catching 840% Alpine skiing Short
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responsible for anatomical changes in the lower extremity, both in the anteroposterior and rotational planes. 5 The pathological condition of the hip joint in patients with DDH results in developmental changes in the osseous anatomy of the knee joint
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implantation of THAs. This could mainly be due to the fact that the materials and coatings of the cementless prosthesis have improved significantly in quality due to scientific progress ( 32 ). For the long-term survival of such prostheses, a well
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A Putman S Pasquier G Migaud H Drumez E Girard J . Metallic ion release after knee prosthesis implantation: a prospective study . International Orthopaedics 2017 41 2503 – 2508 . ( https://doi.org/10.1007/s00264-017-3528-9 ) 10.1007/s
