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Jurek Rafal Tomasz Pietrzak Arthroplasty Unit, Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), Johannesburg, South Africa

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Zia Maharaj Arthroplasty Unit, Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), Johannesburg, South Africa

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Lipalo Mokete Arthroplasty Unit, Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), Johannesburg, South Africa

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Nkhodiseni Sikhauli Arthroplasty Unit, Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), Johannesburg, South Africa

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-AIDS-associated diseases commonly found in HIV-infected patients include cardiovascular disease, renal disease, liver disease, neurological complications and malignant conditions. 21 Pre-operative evaluation of HIV-positive patients must include appropriate blood work

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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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, malignant cellular transformation, neuropathy, cardiomyopathy and thyroid function disorders are reported. 52 - 55 Causal associations between MoM bearings and potential risks have not yet been established, and neither have safe levels for metal

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