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The requirement for maximum primary stability with uncemented off-the-shelf stems also applies to customized stems.
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The aim of surgical treatment of acute Achilles tendon rupture is to obtain the maximum primary mechanical stability of the sutured tendon, which is crucial to ensure a low rate of postoperative re-rupture and to allow early rehabilitation.
The primary stability was estimated from the maximum insertion torque.
The maximum pull-out force (Fmax) of implanted cadaver femora representing primary stability [ 12] ranged from 68.42 N to 625.13 N with a mean of 225.95 N (±266.84 N standard deviation).
Maximum pull-out forces of two of five biomechanically tested femora (414.55 N, 2008.83 N) exceeded mean values measured for primary stability as well as for cemented implantation [ 12] but did not reach mean secondary stability values of uncoated titanium stems.
Surface treatments improve the primary stability.
Primary stability is essential to the success of uncemented prostheses.
To reduce implant loss rate, sufficient primary stability is required.
The primary stability affects both the osseointegration and the long-term stability of cementless femoral prostheses.
Unlike primary stability of coated cementless implants, their secondary stability has been poorly studied.
High primary stability group.
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