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Fabio D’Angelo Division of Orthopaedics and Traumatology, ASST Sette Laghi, Department of Biotechnologies and Life Sciences (DBSV), Università degli Studi dell’Insubria, Varese, Italy

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Luca Monestier Division of Orthopaedics and Traumatology, ASST Sette Laghi, Varese, Italy

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Luigi Zagra IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy

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Background Treatment of bacterial septic arthritis in the native adult hip poses distinct challenges. The yearly incidence is estimated at about 4–10 per 100,000 patients worldwide; however, its real incidence is difficult to quantify. 1 – 3

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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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12.76; 95% CI 2.47 to 66.16; p = 0.017). Local risk factors for deep infection include superficial surgical site infection, joint malignancy, history of native joint septic arthritis, history of prior PJI, skin ulcers within surgical approach and

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Theofilos Karachalios School of Health Sciences, Faculty of Medicine, University of Thessalia, University General Hospital of Larissa, Mezourlo Region, 41110 Larissa, Greece

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George Komnos Orthopaedic Department, University General Hospital of Larissa, Greece

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Antonios Koutalos Orthopaedic Department, University General Hospital of Larissa, Greece

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In the 1960s and 1970s THA pioneers noted a high incidence of septic complications which were occasionally lethal. 21 Advances in duration of surgery (reduction), surgical technique, the use of antibiotics and modern operating theatre settings

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Vasileios F Pegios Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou, Thessaloniki, Greece
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece

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Eustathios Kenanidis Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou, Thessaloniki, Greece
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece

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Stavros Tsotsolis Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece
Department of Trauma and Orthopaedics, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

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Michael Potoupnis Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou, Thessaloniki, Greece
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece

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Eleftherios Tsiridis Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou, Thessaloniki, Greece
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece

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( 3 , 4 ). The proper implants’ osseointegration is vital for a long-lasting THA, depending on multiple peri- and post- operative factors ( 5 ). Hip dysplasia, rheumatoid arthritis, avascular necrosis, younger age and male sex have been linked with

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Habeeb Bishi South West London Elective Orthopaedic Centre, Epsom General Hospital, Epsom, Surrey, UK

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Joshua B V Smith South West London Elective Orthopaedic Centre, Epsom General Hospital, Epsom, Surrey, UK

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Vipin Asopa South West London Elective Orthopaedic Centre, Epsom General Hospital, Epsom, Surrey, UK

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Richard E Field South West London Elective Orthopaedic Centre, Epsom General Hospital, Epsom, Surrey, UK

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Chao Wang South West London Elective Orthopaedic Centre, Epsom General Hospital, Epsom, Surrey, UK

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David H Sochart South West London Elective Orthopaedic Centre, Epsom General Hospital, Epsom, Surrey, UK

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Introduction Total hip replacement has been the definitive form of treatment for end-stage hip arthritis for several decades and offers significant benefit to these patients by alleviating their pain and improving their mobility. The goal of

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Thorsten Gehrke Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany

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Mustafa Citak Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany

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Mustafa Akkaya Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany

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extremely complex and demands extensive expertise, especially in treating high-risk groups such as women, individuals with rheumatoid arthritis, and patients with a history of radiation therapy to the pelvis ( 3 , 4 ). Due to the continuously increasing

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Eustathios Kenanidis Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Hellas, Greece
Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece
Hôpital de la Tour, Geneva, Switzerland

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Konstantinos Kapriniotis Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece

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Panagiotis Anagnostis Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece

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Michael Potoupnis Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Hellas, Greece
Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece

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Panayiotis Christofilopoulos Hôpital de la Tour, Geneva, Switzerland

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Eleftherios Tsiridis Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Hellas, Greece
Center of Orthopaedics and Regenerative Medicine (C.O.RE.) – Center of Interdisciplinary Research and Innovation (C.I.R.I.) – Aristotle University Thessaloniki, Balkan Center, Hellas, Greece

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head, osteoporosis, pathological fractures and infections, namely septic arthritis and osteomyelitis. 2 , 5 Bony deformities such as marrow hyperplasia, thinning of trabeculae and cortices, as well as sclerotic areas that obliterate the femoral

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Luca Pierannunzii Gaetano Pini Orthopedic Institute, Milan, Italy
IRCCS Galeazzi Orthopedic Institute, Milan, Italy

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Luigi Zagra Gaetano Pini Orthopedic Institute, Milan, Italy
IRCCS Galeazzi Orthopedic Institute, Milan, Italy

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-old woman affected by rheumatoid arthritis. b) Three years after revision with a cementless ‘bridging cup’ and IBG with fresh-frozen allograft, we observe perfect reconstruction of the bone stock, restoration of the hip geometry and healing of the medial

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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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Roussignol X Poignard A . Septic arthritis in adults with sickle cell disease often is associated with osteomyelitis or osteonecrosis . Clin Orthop Relat Res 2010 ; 468 : 1676 – 1681 . 37. Hernigou P Auregan JC

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