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, survival rates of implants have improved over the last decades ( 22 ). In the past, the Swedish Hip Arthroplasty Register, in particular, has provided data that significantly reduced revision rates by offering annual feedback on outcome data from the
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Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands
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Dept. of Orthopaedics, Radboud University Medical Center, Nijmegen, The Netherlands
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Dept. of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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specific prosthesis information can be used to identify more generic implant characteristics across different implant types (e.g. hip, knee) which are (less) favourable to the outcome of these implants (i.e. implant survival). The importance of a uniform
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briefly. Implant longevity was primarily evaluated on the basis of papers with a cumulated implant survival of at least five years, and secondarily, on papers with a follow-up of a minimum of two years in each case. Function was evaluated using well
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-thickness cartilage loss at surgery, lateral osteophytes did not compromise long-term functional results or implant survival. Knifsund et al analysed the impact of the pre-operative grade of OA on the risk of re-operation after UKA. 15 They suggested that UKA
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literature on sports and THA is sparse. There are two main concerns: the risk of dislocation and periprosthetic fracture and survival of the implant. Recently, a Cochrane review 1 looked at the evidence of precautions taken to avoid dislocation after THA
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replacement components are only recommended if 5% or fewer need revision at 10 years’ ( 33 ). Long follow-up studies have shown that implant survival decreases steadily after 10 years. At 15 years follow-up, the cumulated survival rate of the ARPE prosthesis
Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK
South West of London Orthopaedic Elective Centre, Epsom, UK
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), type (clinical, cadaver or saw bones), age, number of patients/specimens, follow up (if applicable), the type of implant used, type of tibial prosthesis, and depending on the aims of the study: implant survival, functional outcome, implant alignment and
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, Leeds, UK
Leeds Teaching Hospitals Trust, UK
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The Lister Hospital, Chelsea Bridge, London, UK
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Leeds Teaching Hospitals Trust, UK
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of instruments, errors were frequent. Therefore, MA was introduced as a simple, reproducible method to maximize implant survival by creating a neutral limb axis. Although some studies 28 – 30 have suggested that outliers to neutral alignment have
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Lund University, Skåne University Hospital, Department of Orthopedics, Malmö, Sweden
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Centre for Hip Surgery, Wrightington Hospital, Wrightington, Wigan and Leigh NHS Trust, Lancashire, United Kingdom
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Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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. 11 Several underperforming implants associated with worse implant survival were identified resulting in change of practice. This study was among the first to demonstrate the importance of systematic implant surveillance through an arthroplasty
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Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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survival of implants, where the starting point is the date of the primary operation and the endpoint is the date of revision. Kaplan–Meier survival curves or plots present the proportion of patients who have not experienced the defined event (e.g. death or