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protective load-bearing regimen. These conclusions are drawn based on overall medium-quality papers. Further research should focus on larger sample sizes, longer follow-up, and stronger study designs. Supplementary materials This is linked to the
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. Three main options that provide some protection against dislocation have emerged: constrained liners, dual mobility implants, and use of large diameter femoral heads. A literature review of each of these options follows with particular attention to the
Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
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Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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true in the long-term remains to be seen. Femoral head size The main argument for using larger heads in THA is that they are expected to decrease dislocation rates. On the other hand, bearing wear, taper-trunnion corrosion and groin pain may
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Institute of Microengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
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cause of disability by 2020 and affecting a third of the population by 2030. 2 , 3 The knee is the most frequently affected load-bearing joint, with disease developing more often in the medial than in any other knee compartment. An important element
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advantages of percutaneous treatments include lower invasiveness and morbidity, associated with better functional scores and faster return to full weight bearing. Moreover, they can be used in challenging locations ( 8 , 10 ). On the contrary, the morbidity
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. 59 CoC bearing combinations yield good clinical results and therefore remain a viable option in the younger and more active patient population. Due to its wear characteristics, CoC is particularly suitable for patients requiring large femoral head
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Department of Orthopaedics, Prince Philip Hospital, HDUHB, Wales
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Finnish Arthroplasty Register, Helsinki, Finland
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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speculated that the higher frictional torque associated with large diameter MoM bearings is transmitted along the taper junction and would thus be a contributing factor to wear and corrosion at this interface. 47 Irrespective of the bearing type, this
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progression (1.4%), aseptic loosening (1.3%), bearing dislocation (0.58%), pain (0.57%), and infection (0.47%). 3 Proper patient selection is key for success; ideal candidates present with painful isolated bone-on-bone anteromedial osteoarthritis with a
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: 27 - 31 . 70. McDonnell SM Boyce G Bare J Young D Shimmin AJ . The incidence of noise generation arising from the large-diameter Delta Motion ceramic total hip bearing . Bone Joint J 2013 ;95-B
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first mobile-bearing unicompartmental knee arthroplasty (UKA), the Oxford Knee (OUKA), was introduced, and in 1988 it was first reported. 8 UKA surgery has gained interest in recent years because it can diminish post-operative pain and has a