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Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA
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success depends on thoughtful patient selection. 10 In parallel, surgical improvements, new prosthetic solutions and personal demands for higher activity levels accompanied with modern measurement instruments such as gait analysis and patient
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situations. Peri-prosthetic fractures around the knee are on the rise. The distal femur is most commonly affected, followed by the proximal tibia and the patella. Peri-prosthetic fractures involving both the distal femur and proximal tibia have been
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in the management of FNFs. Infections and peri-prosthetic joint infection (PJI) The peri-prosthetic joint infection (PJI) rate in FNF arthroplasty is 2–17%, and higher than in elective THA. 46 Older age, increased comorbidities and
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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prosthetic revision. The current trend favours usage of short fully cemented stems associated with metaphyseal reconstruction using a cone or a sleeve, to optimize control of rotational stresses and to avoid stem tip impingement. In cases using a tumour
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) Resection of prox femur and prosthetic reconstruction A trochanteric fracture (Group B) occurred intraoperatively but did not require further intervention. Two complications were early postoperative: one post-surgical hematoma (Group B) treated
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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function. 90 Allograft prosthetic composites can be used with either uncemented, cemented or partially cemented techniques. 92 , 93 They can be a valuable option in the presence of massive bone loss, especially in young patients. 90 , 94
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Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
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, studies with unipolar prostheses, total hip replacement or non-identified prosthetic implants as well as papers without an English abstract. Two researchers independently extracted the following data: mortality rate, blood loss, operative time, length of
King’s Global Health Partnerships, School of Life Course and Population Sciences, King’s College London, London, UK
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Department of Orthopaedics, University of the Philippines, Philippine General Hospital Manila, The Phillipines
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or has undergone surgical fixation with metalwork; this is important, particularly in low resource settings. The definition also allows a clear distinction between FRI and osteomyelitis or prosthetic infection. It also removes the ambiguity that
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screws may obstruct stability ( 9 ). For periprosthetic fractures, as the fracture continues around the prosthetic implant, the remaining small bone stock extremely limits the fixation of screws at the condylar area and may result in subsequent
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warfarin demonstrate significant differences, whether they have pharmacological reversal of the anticoagulant effect of warfarin or not. Patients at risk of cerebrovascular events, PE, atrial fibrillation, acute thromboembolism and those with prosthetic
