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Sheryl de Waard Specialized Centre of Othopedic Research & Education (SCORE) and Xpert Orthopedie, Amsterdam, Netherlands
Academic Medical Centre (AMC), Amsterdam, Netherlands

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Jacqueline van der Vis Specialized Centre of Othopedic Research & Education (SCORE) and Xpert Orthopedie, Amsterdam, Netherlands

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Pascale A.H.T. Venema Specialized Centre of Othopedic Research & Education (SCORE) and Xpert Orthopedie, Amsterdam, Netherlands

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Inger N. Sierevelt Specialized Centre of Othopedic Research & Education (SCORE) and Xpert Orthopedie, Amsterdam, Netherlands

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Gino M.M.J. Kerkhoffs Academic Medical Centre (AMC), Amsterdam, Netherlands

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Daniël Haverkamp Specialized Centre of Othopedic Research & Education (SCORE) and Xpert Orthopedie, Amsterdam, Netherlands

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around the greater trochanter and calcar region. 12 , 13 Other types of implants, such as short and anatomical stem designs, are based on a more proximal anchoring principle. Short stems in total hip arthroplasty were designed to restrict the physical

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Adrian J. Cassar-Gheiti Cappagh National Orthopaedic Hospital, Dublin, Ireland

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Rosie McColgan Galway University Hospital, Galway, Ireland

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Martin Kelly Connolly Hospital, Orthopaedic Department, Dublin, Ireland

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Theresa M. Cassar-Gheiti Cappagh National Orthopaedic Hospital, Dublin, Ireland

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Paddy Kenny Cappagh National Orthopaedic Hospital, Dublin, Ireland
Connolly Hospital, Orthopaedic Department, Dublin, Ireland

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Colin G. Murphy Galway University Hospital, Galway, Ireland

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a line-to-line broaching technique often referred as the ‘French paradox’ with a cement mantle of 1 mm or less. Type 4 are anatomical stems and have mixed features when compared to the other types and have a consistent cement mantle of 2 mm along the

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Gregor Giebel Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Sebastian Hardt Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Carsten Perka Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Rudolf Ascherl Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany

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surrounding the stem must be present, this class of implants follows a different approach. This technique is also referred to as the ‘French paradox’ (see above under cementation technique) ( 2 , 5 ). The fourth type includes curved and anatomical stems

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Joris Duerinckx Ziekenhuis Oost-Limburg, Genk, Belgium

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Frederik Verstreken Monica Hospital, Antwerp, Belgium

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cementless hydroxyapatite-coated anatomical stem in the thumb metacarpal. Longer-term follow-up studies are needed to evaluate if these results are maintained over time. Figure 1 Resection of the volar beak at the base of the thumb metacarpal

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Didier Hannouche Department of Orthopaedic Surgery and Traumatology, Geneva University Hospital, Switzerland

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Matthieu Zingg Department of Orthopaedic Surgery and Traumatology, Geneva University Hospital, Switzerland

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Hermes Miozzari Department of Orthopaedic Surgery and Traumatology, Geneva University Hospital, Switzerland

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Remy Nizard Department of Orthopaedic Surgery, AP-HP, Hôpital Lariboisière, Paris University, Paris, France

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Anne Lübbeke Department of Orthopaedic Surgery and Traumatology, Geneva University Hospital, Switzerland

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a pure titanium core with a titanium alloy mesh; the femoral component was a smooth and collared titanium cemented stem in 14 patients, a cementless anatomical stem with a trochanteric wing in 26 cases and a cementless straight tapered-wedge stem in

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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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(Ceramconcept) – 30 hips Schiffner et al . (10) 116 116 69.2 (50-91) 40 76 Primary OA: 116 hips (39 patients with flexion contracture) Uncemented Allofit pressfit cup (Zimmer): 116 hips Fitmore short stem (Zimmer) SPP II anatomical stem

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Ashoklal Ramavath Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK

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Jonathan N. Lamb Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK
University of Leeds, Leeds, UK

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Jeya Palan Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK

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Hemant G. Pandit Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK
University of Leeds, Leeds, UK

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Sameer Jain Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK

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Sayed-Noor A Sköldenberg O . Substantially higher prevalence of postoperative peri-prosthetic fractures in octogenarians with hip fractures operated with a cemented, polished tapered stem rather than an anatomic stem . Acta Orthop 2016

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Mattia Loppini Department of Biomedical Sciences, Humanitas University, Italy; Hip Diseases and Joint Replacement Surgery Unit, Humanitas Clinical and Research Center, Italy

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Guido Grappiolo Hip Diseases and Joint Replacement Surgery Unit, Humanitas Clinical and Research Center, Italy

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and an ultra-short non-anatomic stem. 59 In both studies, there were no significant differences between the two groups in terms of validated functional outcomes scores, incidence of thigh pain, revision rates, aseptic loosening rate and

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Patrick Goetti Division of Orthopaedics and Trauma Surgery, Centre Hospitalier |Universitaire Vaudois, Lausanne, Switzerland

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Patrick J. Denard Denard Department of Orthopaedic & Rehabilitation, Oregon Health & Science University, Portland, Oregon, United States

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Philippe Collin Collin Centre Hospitalier Privé Saint-Grégoire (Vivalto Santé), Saint- Grégoire, France

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Mohamed Ibrahim Mohamed Ibrahim, Department of Orthopaedics and Trauma Surgery, Faculty of Medicine, Fayoum University, Fayoum, Egypt

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Adrien Mazzolari Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland

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muscle fibres to perform abduction. 99 The original design with a 155-degree non-anatomic stem further enhanced the deltoid lever arm by distalization of the humerus. 100 The anterior deltoid becomes consecutively an important contributor to flexion and

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