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National Joint Replacement for England, Wales, Northern Ireland, Isle of Man and the States of Guernsey (NJR)
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prosthesis selection in the absence of published evidence ( 30 , 31 , 32 ), and identification of specific outlier prostheses, as opposed to listing comparative rates of revision, highlights prostheses that are not performing as well as others within their
School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Australia
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identification of outlier prostheses . Acta Orthop 2013 ; 84 : 348 – 352 . 8. de Steiger RN Hang JR Miller LN Graves SE Davidson DC . Five-year results of the ASR XL acetabular system and the ASR hip
Department of Orthopaedic Surgery, Vejle Hospital, Vejle, Denmark
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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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Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland
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Department of Surgery, Epworth HealthCare, University of Melbourne, Melbourne, Australia
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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
Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
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. Surgeons use this information to improve the outcomes of THA; examples include the reduction in use after identification of outlier prostheses such as the ASR, 54 , 55 a reduction in the overall use of resurfacing hip replacement and its use largely in
Centre for Hip Surgery, Wrightington Hospital, UK
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Head of Health Registries, Northgate Public Services, Peoplebuilding 2, Hemel Hempstead, Hertfordshire, England
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Royal Derby Hospital, Derby, UK
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West Suffolk NHS Foundation Trust, UK
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University of Sheffield, Sheffield, UK
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identification of 4 Level 1 outliers and 12 Level 2 outliers. Some 2,806 different combinations of hip stem/cup implants have been monitored with 17 Level 1 outliers and 40 Level 2 outliers. Most of the larger suppliers have access to a monthly download about
Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
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Faculty of Medicine, University of Berne, Berne, Switzerland
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still in use nowadays ( Fig. 2 ) ( 15 ). Figure 2 Evolution of the Müller stem. In (A), the first model called ‘Setzholz’ (engl.: dibble) implanted in 1962; in (B) and (C), the ‘Setzholz’ prostheses from 1964 and 1965; in (D), the curved Müller
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, 20 , 21 ). Given that revision TJA requires more accurate preoperative planning and precise intraoperative identification of anatomical landmarks and resection of bone, robotic-assisted technology that combines accurate patient-specific preoperative
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; and lower inclination when standing; lower inclination and AI when seated Ike et al . ( 67 ) * RCS 41 200 Low-PI hips was the most predictive of the risk of impingement, and post-operatively these hips had the most outliers from