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This would leave only 7 out of 26 who had 28 mm head diameter.
All subjects' had less than 1.5 mm head motions and less than 1.5° rotation in any direction.
Cement containing gentamycin and a Charnley stem (DePuy, Leeds, UK) with 22.225 mm head diameter was used in all cases.
Ceramic on ceramic (CoC) bearings in total hip arthroplasty (THA) with 32 or 36 mm head sizes have good reported long-term track record.
The 36 mm head diameter was used in 4/26 patients while the dual mobility heads were inserted in another 4/26.
Nine all-UHMWPE acetabular cups of the same cemented design, 32 mm head size, and manufacturer were retrieved after an average implantation time of 14.1 years (range: 11.5 16.4 years).
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Eighty-eight (91.6%) patients received a 28-mm femoral head, four (4%) received a 32-mm head and four (4%) received a 22.2-mm head.
In a previous study multivariate analysis showed a moderate effect in favor of a 32-mm head compared with a 28-mm head [30].
The prostheses studied by Verberne [26] had a 32-mm head.
The findings from the recent previous study carried out at our unit showed increased Co levels in patients with a 36-mm head in comparison to patients with a 28-mm head in Trident-Accolade MoP THRs [28].
A 28-mm head was used in 38 patients (twenty male and eighteen female with a mean age of 76.7 years), a 36-mm head in 45 (25 male and 20 female with a mean age 74.5 years).
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