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    Article

    To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty

    The management of the patellar articular surface at the time of primary total knee arthroplasty (TKA) is controversial. We used expected-value decision analysis to determine whether the patella should be resur...

    Naeder Helmy MD, Carolyn Anglin PhD in Clinical Orthopaedics and Related Research (2008)

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    Article

    Modular Tantalum Augments for Acetabular Defects in Revision Hip Arthroplasty

    Large acetabular defects can be reconstructed with various methods depending on size and location of the defect. We prospectively followed our first 37 patients in whom we reconstructed the acetabulum with a t...

    Alexander Siegmeth MD in Clinical Orthopaedics and Related Research (2009)

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    Article

    Femoral Revision Hip Arthroplasty: A Comparison of Two Stem Designs

    For various reasons the tapered, fluted, modular titanium (TFMT) stem has become our component of choice over cylindrical, nonmodular cobalt chrome (CNCC) components for THA revision. We therefore asked whethe...

    Corey J. Richards MD, MASc, FRCSC in Clinical Orthopaedics and Related Research® (2010)

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    Article

    The John Charnley Award: Metal-on-Metal Hip Resurfacing versus Large-diameter Head Metal-on-Metal Total Hip Arthroplasty: A Randomized Clinical Trial

    Resurfacing arthroplasty has become an attractive option for young patients who want to maintain a high activity level. One recent study reported modestly increased activity levels for patients with resurfacin...

    Donald S. Garbuz MD, MHSc, Michael Tanzer MD in Clinical Orthopaedics and Related Research® (2010)

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    Article

    Tranexamic Acid Reduces Allogenic Transfusion in Revision Hip Arthroplasty

    Revision THA is associated with high blood loss and a high probability of blood transfusion in the perioperative period. In November 2003, government legislation established the Blood Utilization Program at ou...

    Shahryar Noordin MB, BS in Clinical Orthopaedics and Related Research® (2011)

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    Article

    Quality of Life Following Proximal Femoral Replacement Using a Modular System in Revision THA

    Proximal femoral replacement using a segmental modular system is one option for revision THA in the presence of severe bone loss or periprosthetic fracture. While many papers report function in these patients,...

    Muhyeddine M. Al-Taki MD, Bassam A. Masri MD in Clinical Orthopaedics and Related Research® (2011)

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    Article

    Two-stage Total Hip Arthroplasty: How Often Does It Control Methicillin-resistant Infection?

    Methicillin-resistant hip infections are increasingly common. Reports of the surgical management of these patients using two-stage THA show variable control of infection, but all reports used static spacers.

    Fay Leung MD, FRCSC in Clinical Orthopaedics and Related Research® (2011)

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    Article

    Durable Infection Control and Function With the PROSTALAC Spacer in Two-stage Revision for Infected Knee Arthroplasty

    A two-stage revision total knee arthroplasty is recognized as the gold standard in the treatment of infection. However, traditional spacers limit function in the interval between the two stages and may cause i...

    in Clinical Orthopaedics and Related Research® (2011)

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    Article

    Predictors of Participation in Sports After Hip and Knee Arthroplasty

    While the primary objective of joint arthroplasty is to improve patient quality of life, pain, and function, younger active patients often demand a return to higher function that includes sporting activity. Kn...

    Daniel H. Williams MBBCh, MSc in Clinical Orthopaedics and Related Research® (2012)

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    Article

    The Frank Stinchfield Award: Dislocation in Revision THA: Do Large Heads (36 and 40 mm) Result in Reduced Dislocation Rates in a Randomized Clinical Trial?

    Dislocation after revision THA is a common complication. Large heads have the potential to decrease dislocation rate, but it is unclear whether they do so in revision THA.

    Donald S. Garbuz MD, MHSc in Clinical Orthopaedics and Related Research® (2012)

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    Article

    High Survival of Modular Tapered Stems for Proximal Femoral Bone Defects at 5 to 10 Years Followup

    Currently, the two most commonly used options for the revision of femoral components in North America are: cylindrical, nonmodular, cobalt-chromium stems and tapered, fluted, modular, titanium (TFMT) stems. Pr...

    Andrew P. Van Houwelingen MD in Clinical Orthopaedics and Related Research® (2013)

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    Article

    Patients Report Improvement in Quality of Life and Satisfaction After Hip Resurfacing Arthroplasty

    A number of reconstructive procedures are available for the management of hip osteoarthritis. Hip resurfacing arthroplasty is now an accepted procedure, with implant survivorship comparable to THA at up to 10 ...

    Wael A. Rahman MD in Clinical Orthopaedics and Related Research® (2013)

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    Article

    Outcomes of Minimally Invasive Anterolateral THA Are Not Superior to Those of Minimally Invasive Direct Lateral and Posterolateral THA

    There has been considerable interest in minimally invasive surgical (MIS) THA in recent years. The MIS anterolateral approach, or the MIS Watson-Jones approach, is a novel intermuscular abductor-sparing techni...

    Nelson V. Greidanus MD, MPH, Samir Chihab MD in Clinical Orthopaedics and Related Research® (2013)

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    Article

    Acetabular Liner With Focal Constraint to Prevent Dislocation After THA

    Dislocation continues to commonly cause failure after primary and revision total hip arthroplasty (THA). Fully constrained liners intended to prevent dislocation are nonetheless associated with a substantial i...

    Jacob T. Munro MBChB in Clinical Orthopaedics and Related Research® (2013)

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    Article

    Adverse Local Tissue Reaction Associated With a Modular Hip Hemiarthroplasty

    The local and systemic effects of wear debris and corrosion products remain a concern in arthroplasty and reaction to corrosion or wear products from modular junctions has been reported in primary and revision...

    in Clinical Orthopaedics and Related Research® (2013)

  16. No Access

    Article

    The Natural History of Inflammatory Pseudotumors in Asymptomatic Patients After Metal-on-metal Hip Arthroplasty

    Although pseudotumors have been reported in 32% of asymptomatic metal-on-metal hips, the natural history of asymptomatic pseudotumors is unknown.

    Sulaiman A. Almousa MBBS in Clinical Orthopaedics and Related Research® (2013)

  17. No Access

    Article

    Tapered Fluted Titanium Stems in the Management of Vancouver B2 and B3 Periprosthetic Femoral Fractures

    Surgeons have several implant choices when managing Vancouver B2 and B3 periprosthetic fractures about the hip. Few long-term studies have reported outcomes for tapered fluted titanium stems.

    Jacob T. Munro MBChB in Clinical Orthopaedics and Related Research® (2014)

  18. No Access

    Article

    The John Charnley Award: Diagnostic Accuracy of MRI Versus Ultrasound for Detecting Pseudotumors in Asymptomatic Metal-on-Metal THA

    The prevalence of pseudotumors in patients with large-head metal-on-metal (MOM) THA has been the subject of implant recalls and warnings from various regulatory agencies. To date, there is no consensus on whet...

    Donald S. Garbuz MD, MHSc in Clinical Orthopaedics and Related Research® (2014)

  19. No Access

    Article

    High Complication Rate After Revision of Large-head Metal-on-metal Total Hip Arthroplasty

    Previous studies have indicated poor outcomes in patients having revision of hip resurfacing resulting from adverse local tissue reaction and pseudotumor.

    Jacob T. Munro MBChB, Bassam A. Masri MD in Clinical Orthopaedics and Related Research® (2014)

  20. No Access

    Article

    Continued Good Results With Modular Trabecular Metal Augments for Acetabular Defects in Hip Arthroplasty at 7 to 11 Years

    Reconstruction of large acetabular defects remains a substantial challenge in hip arthroplasty. There remains a paucity of data on the long-term results of acetabular trabecular metal augments.

    in Clinical Orthopaedics and Related Research® (2015)

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