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It was used with either an Oxinium or a cobalt-chrome 28-mm femoral head and articulated with either a cemented Reflection All-Poly or a Reflection All-Poly XLPE acetabular cup (Smith and Nephew) (n = 120).
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Wear of the cemented all-polyethylene Reflection cup was high and comparable to that found in other studies.
Only the Charnley/Charnley (DePuy) cemented, Exeter/Exeter (Stryker) cemented, and Lubinus or IP (Link)/SP II (Link) cemented cup/stem combinations were on the top-ten list in all 3 countries, and of the rest, only the combination of Reflection cemented cup/ Spectron EF stem (Smith and Nephew) was among the top 10 in more than one of the countries.
The acetabular osteolysis required bone grafting and placement of a cage with a cemented liner (Contour Cage, Reflection cemented Cup, Oxinium head; Smith & Nephew, Memphis, TN).
The implants used in the study were selected since we used the Reflection cemented all-polyethylene cup in combination with either the cemented Spectron EF stem or the cementless Taperloc stem without HA in our department.
High wear rates for the Reflection all-poly cemented cup might hypothetically contribute to osteolysis and increased revision rates for the Spectron stem.
Interpretation We observed clinically important differences between cemented prosthesis brands and identified inferior results for previously largely undocumented prostheses, including the commonly used prosthesis combination Reflection All-Poly/Spectron-EF.
Everything's cemented for us.
Death and dentistry became entwined, forever cemented.
Contemplative reflection?
For reflection?
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