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We have proposed that long-lived multi-cellular organisms have evolved highly fit stem cell populations, not only as a means of efficiently maintaining tissues but also because a highly fit cell population should oppose somatic cell evolution (DeGregori 2011).
For the HXLPE group, the Secure Fit stem, Super Secure Fit stem, or CentPiller stem systems (Stryker Orthopaedics, Mahwah, NJ, USA) were used for 46 hips, and the VerSys fiber metal midcoat stem system (Zimmer International, Warsaw, IN, USA) was used for 16 hips.
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On the humeral side, noncemented press fit stems were preferentially used, with grafting of the metaphysis using some cancellous bone from the humeral head.
Hybrid fixation with cemented tibial tray and press-fit stem has shown good results.
The press-fit stem presented a minor effect of strain shielding but was more extensively throughout the stem.
An increase of strains closely to the distal tip of the cemented and the press-fit stem augment was observed.
The aim of this study was to evaluate BMD changes of the distal femur following cemented rTKA with a 100-mm press-fit stem.
The aim of this study was to evaluate bone mineral density (BMD) changes of the distal femur following cemented rTKA with a 100-mm press-fit stem.
Therefore, a question can be raised: can a novel press-fit stem concept minimize bone strain changes at the stem tip?
A consecutive series of 100 primary total hip arthroplasties were performed at a single institution on 87 patients using a cementless collared titanium press-fit stem.
Three tibias were implanted with cemented and press-fit stem augments and solely with a tibial tray (short monobloc stem) of the P.F.C. Sigma Modular Knee System.
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