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Ceramics are vulnerable to fracture due to impact and from stress concentrations (point and line loading) such as those associated with impingement-subluxation. Thus, ceramic cup fracture propensity is presumably very sensitive to surgical cup positioning.
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Both cemented all-polyethylene cups and cementless sockets have benefited from improvements in surgical techniques, cup designs, and bearing surfaces.
We describe a novel surgical technique using cup and cone reamers, which were originally designed for metatarsophalangeal or metacarpalphalangeal arthrodesis.
Other study parameters: gender, age, BMI, severity of arthrosis, complications, size and inclination of the cup, surgical time and intraoperative blood loss.
All cooperating surgeons (three orthopaedic surgeons and nine residents) received a list on which the following data concerning the operation were recorded: fixation (cemented or uncemented), cup model, surgical approach, complications and the peroperative estimated anteversion and abduction of the acetabular component.
Examine the role of surgical orientation of the acetabular cup on posterior dislocation propensity for small-head-size total hip arthroplasty.
The surgical approach at the index cup revision was lateral in 99 cases (44%) and posterior in 124 cases (56%).
In contrast, sex, diagnosis, and surgical approach at the index cup revision did not have a clinically relevant effect on the risk of re-revision for any reason.
The surgical approach at the index cup revision was direct lateral in 99 cases (44%) and posterior in 124 (56%), with missing data in 5 cases.
In a recent retrospective study of 51 patients who received surgical management of MSCC from CUP, deterioration was observed only in 6% of patients [ 9].
Other factors like body mass index, sex, operated side, (un cemented fixation of the acetabular component, model of the cup and the surgical approach did not reveal any significant differences.
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