Exact(4)
The literature seems to indicate that the advantages (high union rate, less revisions, fewer non-unions) of the reamed nails are more important than the disadvantages (prolonged surgical time, blood loss) [9, 12, 13, 26].
The authors reported less revisions with smaller MOM THA articulations, but the rates were still significantly higher than for the metal-on-plastic LFA.
All patients were treated with a cemented (Sulfix; Sulzer AG, Winterthur, Switzerland) bipolar curved stem hemiprosthesis (Weber Trunion Bearing Rotation; Allo Pro AG, Sulzer AG) because we thought this would result in less pain and less revisions.
When analyzing all cemented prostheses separately, the results were very much the same as for all prostheses analyzed together, with an improved overall revision rate and particularly less revisions due to aseptic loosening (Table 5b, columns 1, 2, and 3).
Similar(56)
This suggests that, in a hypothetical scenario in which no patients have died by eight years, 67 patients (58 to 84) need to be treated with a cemented rather than uncemented procedure to result in one less revision by eight years.
Less extreme revisions take place every time an old album is remastered.
But I do so much revision in my head before I write something down that I probably do less actual revision than many other writers.
The clinical success of these implants in situations of serious bone deficiency is reason to extend their indications with success to less complex revision procedures.
Theoretical benefits compared to conventional total hip arthroplasty (THA) include bone stock preservation, particularly on the femoral side, improved stability due to the large diameter bearing, improved range of motion and proprioception and technically less difficult revision to a total hip arthroplasty if necessary.
Advocates of UKA have described its revision as less complicated than revision of TKA (McAuley et al. 2001, Newman et al. 2009) with acceptable survivorship following revision (Lai and Rand 1993, McAuley et al. 2001, Johnson et al. 2007, Dudley et al. 2008).
Modularity in shoulder arthroplasty provides surgical flexibility and facilitates less-complex revision surgery.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com