Hip implant using bone. Medical search. Frequent questions

And although bioengineers have been very successful, we still have to ensure that new implants and replacements last as long as possible. (anton-paar.com)
Interested in materials selection for bearing longevity and corrosion of implants, particularly spinal fusion devices and hip, knee, shoulder, and ankle replacements. (ncl.ac.uk)
On August 31, 2012, a new lawsuit was filed by Robert Edwards against manufacturers DePuy Orthopedics and Johnson & Johnson accusing the companies of selling defective hip replacements devices. (injurylawyer-news.com)
Patients need hip replacements when their natural hips begin to fail because of conditions such as osteoarthritis. (injurylawyer-news.com)
Most of these replacements are designed to work by affixing a metal ball to a femoral stem that is placed in the hollowed out femur bone. (injurylawyer-news.com)
November 4, 2014 - Two years after recalling defective Rejuvenate and ABG II hip replacements, Stryker Corp. has announced a $1 billion settlement in 4,000 lawsuits pending in federal court. (schmidtlaw.com)
Like many new hip implants, Stryker's Rejuvenate Modular and ABG II modular-neck hip replacements were approved through the FDA's 510(k) clearance program. (schmidtlaw.com)
It also connects with bone, so it has found surgical applications such as in joint replacements - especially hip joints - and tooth implants. (rsc.org)
Lascelles hopes that the implant will address some of the issues involved with total joint replacements in young and active patients. (sflorg.com)
Multiple different materials throughout history have been tested as replacements for bone. (medscape.com)
MONDAY, July 9, 2018 (HealthDay News) -- Bacteria and fungi grow on medical implants, such as hip and knee replacements, pacemakers and screws used to fix broken bones, researchers report. (healthday.com)
Consider then the consequences of such surgical procedures as hip and knee replacements or dental implants. (womensinternational.com)
This test trial was the third straight win for plaintiffs with injuries from the metal-on- metal hip replacements, which Johnson & Johnston and Depuy failed to warn consumer patients about. (inserra.com)
While typical knee and hip replacements rely on x-rays and placing joint implants manually, CT scans guide robot-assisted surgery. (upmc.com)
Meet Mako, a robotic arm assisted technology used by surgeons to perform total hip replacements. (uchicagomedicine.org)
As a result titanium is used by the medical and dental fields in surgical implants, bone screws, hip replacements, heart valves and more. (acemagnetics.com)
Tissues adjacent to hip replacements consist of synovial and fibrous tissue, lymphocytes, and foreign body inflammatory cells. (medscape.com)
The number of total hip replacements is expected to increase over the next few decades. (cdc.gov)

A textile-based implant containing cartilage derived from stem cells reduced pain and restored hip joint function to baseline levels in a study of dogs with symptoms of moderate osteoarthritis. (sflorg.com)
That tiny cap of cartilage is what protects joint surfaces and allows the bones to glide over one another smoothly. (sflorg.com)
Farshid Guilak, the Mildred B. Simon Professor of Orthopedic Surgery at Washington University and Shriners Hospitals for Children, along with Bradley Estes and Frank Moutos, founded Cytex Therapeutics to develop an implant that could replace damaged or missing cartilage. (sflorg.com)
In the study, cartilage was allowed to grow on the implant for several weeks before surgery. (sflorg.com)
Four months post-surgery, the group that received the cartilage implant had returned to baseline levels for both function and pain, while the control group never improved. (sflorg.com)
An estimated 27 million people in the United States suffer from osteoarthritis of the hip, a chronic and often painful joint condition that occurs when cartilage inside the hip breaks down. (mhs.net)
Over time, cartilage that cushions the bones can wear away, cause pain and discomfort, and make simple pleasures like walking and gardening unbearable. (mhs.net)
In this procedure, the surgeon removes the damaged bone and cartilage and replaces it with prosthetic implants. (co.ke)
Commonly known as wear-and-tear arthritis, osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly. (mayoclinic.org)
Caused by an overactive immune system, rheumatoid arthritis produces a type of inflammation that can erode cartilage and occasionally underlying bone, resulting in damaged and deformed joints. (mayoclinic.org)
Then the surgeon guides the robotic arm to remove the arthritic bone and cartilage from the hip. (uchicagomedicine.org)
During a hip replacement operation, the surgeon removes damaged cartilage and bone from your hip joint and replaces them with new, man-made parts. (medlineplus.gov)
This happens when a "loose body" in the joint (usually a piece of cartilage or bone) gets stuck. (lu.se)
Total hip replacement, in which both the head of the femur and its socket are replaced, is done to restore movement to hips damaged by osteoarthritis, late-stage degenerative bone and cartilage disease, or other injuries and disease. (cdc.gov)

Much of Harris' research focuses on osteolysis, the deterioration of bone tissue around joint replacement implants, and developing highly cross-linked polyethylene to counter the issue of osteolysis. (wikipedia.org)
In the first part of the webinar, Jiri Nohava, PhD, will show how surface mechanical testing can be used for tissue engineering, understanding the anisotropy of bone and the tribology of joint implants. (anton-paar.com)
This can cause tissue breakdown, bone loss, and even the formation of non-cancerous tumors. (yourlawyer.com)
Some patients suffer inflammatory reactions, tissue damage, bone loss, extreme pain, and progressive loosening of the hip implant, which requires revision surgery. (schmidtlaw.com)
Olabisi and her lab focus on tissue engineering and regenerative medicine to replace or repair bone, skin, muscle and the retina. (newswise.com)
Tissue engineering could repair hip fractures, saving lives. (newswise.com)
This can happen from trauma (like a hip dislocation or fracture), a blood clot blocking blood flow, or high blood pressure at the level of the bone tissue from excessive alcohol or corticosteroid use. (eorthopod.com)
Over time, the implant dissolved, ultimately leaving only the patient's own natural tissue in the repaired hip joint. (sflorg.com)
In a new study, Danish investigators examined 106 implants of different types and the surrounding tissue in patients. (healthday.com)
Infections can occur at the site of the incision and in the deeper tissue near the new hip. (mayoclinic.org)
Individuals injured by the hip device implants suffered problems such as tissue death, bone erosion, and other injuries. (inserra.com)
Assess your unique bone structure, joint alignment, and surrounding bone and tissue. (upmc.com)
Less bone and soft tissue damage. (upmc.com)
The DePuy hip recall occurred on August 26th 2010 after the U.S. Food & Drug Administration (FDA) received hundreds of complaints from angry DePuy hip implant patients whose ASR hip implant devices failed shortly after surgery or caused them problems such as severe inflammation, pain in the groin, tissue death in the hip joint and loss of surrounding bone. (disabled-world.com)
The FDA said: "It is known that over time, the metal particles around some implants can cause damage to bone and/or tissue surrounding the implant and joint. (stromlaw.com)
The design concept of these short (hip) stems promises better bone and soft-tissue preservation without negatively affecting implant survival. (aofoundation.org)
To address the need of younger and more active patients, short femoral stems were originally developed based on a bone- and soft-tissue-sparing implantation approach, with the primary concept of metaphyseal anchoring [3]. (aofoundation.org)
The pain and inflammation reported by patients implanted with the hips is usually caused by tiny metal particles that seep into the joint, damaging the surrounding tissue and bone. (mantecabulletin.com)
There is wide range of specialists at the University of Chicago who specialize in simple arthritic issues, also complex arthritic issues, such as total hip and knee revisions, oncological issues, such as tumors of the bone, soft tissue tumors and more. (uchicagomedicine.org)
The proximity of the screws supports optimal capture of bone chips, while the locking mechanism allows micromotion that helps the fragments fuse while vascular tissue stays intact. (orthoworld.com)
[ 2 ] Contributing factors are the susceptibility to falls and underlying osteoporosis, which is characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to increased bone fragility. (medscape.com)

[ 1 ] Interprosthetic fractures are fractures that occur between two prostheses or implants (usually a femur fracture between a total knee replacement and a total hip replacement. (medscape.com)
The number of orthopedic implants placed in the femur is increasing. (medscape.com)
Fixation of Periprosthetic Femur Fractures Around Total Hip. (lww.com)
Another consideration is for patients with previous hip surgery as it is not possible to remove plates that are on the side of the hip or femur with this technique. (eorthopod.com)
Until now, hip fractures are generally treated by systems of plates and hip screws, or intra medullary nails and hip screws, connecting the femur to the capsule. (israel21c.org)
In the first type, the head of the femur is replaced with a metal implant and leads to partial or total hip replacement. (israel21c.org)
We compared equivalent stress and strain energy density (SED) to bone mineral density (BMD) in the femur after total hip arthroplasty (THA) using subject-specific finite element analysis (FEA). (intechopen.com)
Equivalent stress in the medial side of the proximal femur was significantly lower in the stovepipe model implanted with large tapered wedge-type stems than in the champagne flute and intermediate models, and there was a significant loss of BMD in the stovepipe model. (intechopen.com)
Dr. Kiran Bhokry an orthopaedic surgeon at Diani Beach Hospital says that one of his patients (Jecinta) required a total hip replacement because once there's a fracture in the head of the femur the blood supply is cut off. (co.ke)
Kaplan-Meier survival analysis predicted 100 % survival at 5 years when a radiolucent line at the bone-cement interface of the femur was used as the endpoint, 98.8 % when re-operation was required for any reason. (researchgate.net)
[ 3 ] Fractures of the vertebrae (spine), proximal femur (hip) and distal forearm (wrist) have long been regarded as 'typical' osteoporotic fractures with a substantial variation in their incidence between populations, sexes, different age groups and even between urban and rural areas. (medscape.com)

Is Training With Gym Machines Safe After Hip Arthroplasty? (charite.de)
Known as anterior hip replacement or the direct anterior approach to the hip for total hip arthroplasty, this muscle-sparing alternative can be a viable option for patients who are candidates for total hip replacement. (mhs.net)
Dalury et al followed 96 patients for 5 years who had undergone total hip arthroplasty (THA) with single titanium stems. (medscape.com)
Grupp et al reported their experience regarding failed modular titanium neck adapters, in combination with a titanium alloy modular short hip stem, after hip arthroplasty, as a result of fretting or corrosion. (medscape.com)
Total Hip Replacement is also called Hip Arthroplasty. (co.ke)
Also called total hip arthroplasty, hip replacement surgery might be an option if hip pain interferes with daily activities and nonsurgical treatments haven't helped or are no longer effective. (mayoclinic.org)
The Influence of Contamination and Cleaning on the Strength of Modular Head Taper Fixation in Total Hip Arthroplasty. (haw-hamburg.de)
Over the past two decades, short, cementless hip stems have increasingly been used in total hip arthroplasty (THA). (aofoundation.org)
Are short stems in total hip arthroplasty really necessary? (aofoundation.org)
Total hip arthroplasty is one of the most popular and successful surgeries that leads to reduced pain and improved function and quality of life for patients. (aofoundation.org)
Lifetime risk of surgical revision after total hip arthroplasty [2]. (aofoundation.org)
We used molecular detection methods to evaluate the incidence of E . cuniculi among patients who had total hip or knee arthroplasty revision. (cdc.gov)
Arthroplasty is the most common surgical procedure for patients with knee and hip osteoarthritis (OA). (lu.se)
However, only about 1 in 10 patients with knee or hip OA require an arthroplasty. (lu.se)
All knee and hip arthroplasties in Sweden are registered in the Swedish Arthroplasty Register ( the Swedish Knee Arthroplasty Register and the Swedish Hip Arthroplasty Register have since 2020 merged and formed one common arthroplasty register). (lu.se)

The Hip Society granted Dr. Harris a record ten honorary awards for outstanding contributions to hip surgery, and he has twice won the Kappa Delta Award of the American Academy of Orthopedic Surgeons for outstanding orthopedic research. (wikipedia.org)
In October, the American Academy of Orthopaedic Surgeons issued a warning about the devices, while the FDA recently launched a website to provide information about metal-on-metal hip implants and their potential problems. (yourlawyer.com)
Surgeons have resorted to the use of cerclage cables to fix the plate to the bone and allograft cortical struts to improve the strength of the fixation construct. (lww.com)
Sulzer has reported to the Food and Drug Administration that it is conducting "ongoing investigations" of knee implants made between July and December 2000 and reporting its findings to surgeons using Sulzer knee implants. (alexanderlaw.com)
Our team of highly skilled, board-certified orthopaedic surgeons, have extensive experience with anterior hip replacement surgery. (mhs.net)
Surgeons select the implant they believe will work best for their patient's needs, which is based on a number of factors including age, activity level, the implant's track record, and his or her comfort with the instruments associated with the particular implant. (mhs.net)
A team of Orthopedic surgeons and nurses and take a patient through a hip replacement surgery at Nanyuki hospital. (co.ke)
In 2021 The Kenya Medical Practitioners and Dentists Council (KMPDC) however said that surgeons in public hospitals should not charge more than Sh80,000 as a professional fee for hemiarthroplasty, the replacement of one hip joint, and not more than Sh180,000 for the total hip replacement. (co.ke)
Surgeons take steps to avoid the problem, but occasionally a new hip makes one leg longer or shorter than the other. (mayoclinic.org)
By using Mako SmartRobotics™ technology, our skilled surgeons can perform a robotic-assisted partial or total knee or total hip replacement. (upmc.com)
The majority of queried surgeons 8 stated that the aMace solution brought ease to even the most complex hip revision surgery. (materialise.com)
This meant that any other angle of implantation, which surgeons would have adjusted for different-sized patients, would cause the device to grind against itself in such a way that the implant would fail quickly, and release metal pieces into the blood stream, potentially causing metallosis. (stromlaw.com)
But a decade ago many surgeons began to favor all-metal implants based on laboratory tests suggesting the devices would be more resistant to wear and reduce the chances of dislocation. (mantecabulletin.com)
With this state-of-the-art robotic system, our orthopaedic surgeons can improve the accuracy of the hip implant placement, with a faster recovery and better results. (uchicagomedicine.org)
Collectively, this helps provide more accurate placement of the implant to the surgeons preoperative plan. (uchicagomedicine.org)

In addition, has interest in the implant-bone interface and how to improve that long-term fixation. (ncl.ac.uk)
More than 300,000 hip fractures occur yearly, and almost all are treated operatively with internal fixation or prosthetic replacement. (medscape.com)
[ 2 ] Furthermore, the number of implants placed in other bones is increasing, with expanding indications for shoulder, elbow, and ankle replacement, and internal fixation continues to be used in all the long bones, especially the tibia and the humerus. (medscape.com)
Improvements in cancer treatment also have resulted in longer life spans with increased likelihood of metastatic bone lesions and impending or actual pathologic fractures that require internal fixation. (medscape.com)
The ability of tumor to "outgrow" a fixation device and the reduced ability of irradiated or tumor-replaced bone to heal fractures also result in an increasing frequency of peri-implant fractures. (medscape.com)
Fractures around implants pose unique fixation challenges. (medscape.com)
The original placement of the implant may predispose to later fracture, the long-term presence of the device may change the structure of the bone and increase susceptibility to fracture, and the implant itself may interfere with healing or the placement of other fixation devices. (medscape.com)
Stems and rods also block screw fixation through the medullary canal to hold plates on bone. (medscape.com)
Periprosthetic fractures around total hip stems are challenging fractures because it is difficult to gain proximal fixation in the area of the femoral stem. (lww.com)
The bone is often osteoporotic and locking fixation is preferred over conventional fixation. (lww.com)
With the advent of polyaxial locking screws and a plate that is wider at the proximal end of the plate, it is now possible to gain bicortical locking fixation around most total hip stems. (lww.com)
This paper describes the implants and techniques to accomplish this fixation and stabilize these complex fractures in a more biologically friendly manner. (lww.com)
They drew from a large sample of hip surgeries and found that results hinged on the fixation failure rate and the implant cost itself. (eorthopod.com)
Finite Element Evaluation of the Femoral Neck System as Prophylactic Fixation to Prevent Contralateral Hip Fractures LaMonica J, Rhee B, Milligan K, Leslie M , Tommasini S, Wiznia D. Finite Element Evaluation of the Femoral Neck System as Prophylactic Fixation to Prevent Contralateral Hip Fractures. (yale.edu)
The incidence of hip fractures requiring fixation surgery is steadily increasing in the Western world, chiefly due to osteoporosis (decrease of bone mass). (israel21c.org)
OrthoMechanics' solution for fixation of broken bones, specifically the hip, is based on a novel creation invented by fellow Israeli Avraham Shekalim. (israel21c.org)
Our SHS solution provides more reliable bone fixation. (israel21c.org)
To ensure fixation and to facilitate rotation, the company's novel SHS design is a double-edged anchor fixed to the bone in such way as to hold the broken parts in their original position until the body heals. (israel21c.org)
Up to 27% of hip revisions are re-revisions due to a suboptimal fixation and biomechanical reconstruction 1 . (materialise.com)
aMace implants are designed to optimize fixation with crossed screw trajectories. (materialise.com)
The integrated augment mimics bone properties and is designed to improve secondary fixation through bone ongrowth. (materialise.com)
Krull A, Bishop NE, Steffen NM, Lampe F, Püschel K, Morlock MM. Influence of the compliance of a patient's body on the head taper fixation strength of modular hip implants. (haw-hamburg.de)
Nagel K, Bishop NE, Schlegel UJ, Püschel K, Morlock MM. The Influence of Cement Morphology Parameters on the Strength of the Cement-Bone Interface in Tibial Tray Fixation. (haw-hamburg.de)

X-ray of a knee joint with osteoarthritis (left) and a knee joint with a knee replacement implant (right). (lu.se)

Stryker has announced a hip implant recall for its Rejuvenate Modular and ABGII modular-neck hip stems. (schmidtlaw.com)
July 4, 2012 , Stryker recalled the Rejuvenate Modular and ABGII modular-neck hip stems . (schmidtlaw.com)
Note, ceramic or metal femoral heads are used on composite hip stems because composites have relatively poor wear properties. (medscape.com)
[ 4 ] The average Harris Hip score was 96 points (range, 73-100) at final follow-up, and radiographically, all stems were ingrown. (medscape.com)
Since then, owing to excellent clinical results, the number of stems used has increased year by year and more than 2000 stems were implanted in 2009. (researchgate.net)
In the event of a revision, the cementless feature can lead to an easier surgery, and the retention of proximal bone stock allows anchoring and osseointegration of the revisional THA stems [1, 4-8]. (aofoundation.org)
Other potential advantages of short stems include more anatomical reconstruction of the hip joint [4, 9, 10], as well as preventing impingement of the femoral cortex and thigh pain by avoiding the extension of the stem into the diaphysis [6]. (aofoundation.org)

[ 9 ] Abdel et al reported a 12% incidence of intraoperative fracture in revision total hip replacement. (medscape.com)
The implant may impair fracture healing because of endosteal ischemia. (medscape.com)
Such low-gravity environments slow wound and fracture healing and accelerate bone loss, muscle loss and certain aspects of aging. (newswise.com)
The low bone mass that characterizes osteoporosis causes an increased susceptibility to spontaneous or a traumatic bone fracture. (cdc.gov)
Bone mass can decrease without symptoms for a significant period of time before fracture occurs, and since fracture is the main clinical sign of the disease, many clinicians and researchers limit the definitions of osteoporosis to the presence of an atraumatic fracture. (cdc.gov)
However, not all osteoporotic individuals suffer atraumatic fractures, and the association between bone mass and fracture incidence has yet to be clearly defined. (cdc.gov)
Because of the high costs associated with the care and recovery from a hip fracture, the type of implants being used are under scrutiny. (eorthopod.com)
Implant type is traditionally determined by the hip fracture. (eorthopod.com)
An "unstable" hip fracture is often fixed using an intramedullary nailing, which is a rod that is driven into the middle of the bone to help hold the fragments together. (eorthopod.com)
These intramedullary nails are more costly than the sliding screws used for a stable hip fracture correction. (eorthopod.com)
Unfortunately, hip fractures are not often straight-forward and the determination of whether the fracture is stable or not and which screw to use is left up to the surgeon. (eorthopod.com)
For a stable hip fracture, the obvious choice of using an extramedullary sliding hip screw proved cost effective. (eorthopod.com)
This also proved cost effective for a questionably stable hip fracture for about 70 per cent of the cases. (eorthopod.com)
Presently, about one out of every six American women will suffer a hip fracture, mostly after the age of 50. (israel21c.org)
If there isn't enough blood supplied to the ball portion of the hip joint, such as might result from a dislocation or fracture, the bone might collapse and deform. (mayoclinic.org)
During surgery, healthy portions of the hip joint might fracture. (mayoclinic.org)

We're introducing a product designed to replace the screws that are currently used, improving performance significantly and preventing a situation in which the screw rotates or breaks out of the bone," explains Meller. (israel21c.org)
The second, which pertains to more than 50% of the cases, requires that the fractured bone be reconstructed and fixated with nails and screws. (israel21c.org)
Sometimes the fractures are small enough to heal on their own, but larger fractures might need to be stabilized with wires, screws, and possibly a metal plate or bone grafts. (mayoclinic.org)
The V-Duo Monoaxial/Polyaxial locking hole is intended to increase the stability of polyaxial screws in fractures that occur close to an implant after a hip replacement. (orthoworld.com)

Patients who have experienced problems such as these with their hip implant are encouraged to contact an attorney to find out if they're eligible to file a lawsuit to achieve compensation. (injurylawyer-news.com)
In some cases, patients with metal-on-metal hip implants may develop an inflammatory reaction, known as metallosis, to these metal particles. (yourlawyer.com)
In the US, 300,000 hip operations are reported each year, most of which involve female patients. (israel21c.org)
Sulzer has not announced any plan to compensate patients with its defective knee implants that now need to be replaced. (alexanderlaw.com)
The researchers designed a study to test the implant for resurfacing joints in dogs, a critical step in translating this technology into use for both canine and human patients. (sflorg.com)
Memorial Joint Replacement Center offers a minimally invasive option for patients in need of total hip replacement. (mhs.net)
15 to 20 percent of hip replacement patients in the United States currently receive their hip replacement using this anterior approach. (mhs.net)
Not all patients are candidates for direct anterior approach total hip replacement. (mhs.net)
However, none of the patients with bacteria or fungi on implants showed signs of infection, according to the team at the University of Copenhagen, Denmark. (healthday.com)
It is estimated that 12% of DePuy hip implant patients may need to undergo additional hip replacement surgery within just five years - an unacceptable percentage by any standard. (disabled-world.com)
The recall has prompted hundreds of DePuy hip lawsuits alleging that the company knew about high failure rates and metal toxicity issues long before it initiated the recall and failed to warn patients about DePuy hip replacement side effects, injuries and the need to undergo another painful, time-consuming and expensive surgery. (disabled-world.com)
The aMace implant offers the possibility to regain full quality of life for patients with complex acetabular defects and lowers the risk of re-revisions, immobility, and permanent care. (materialise.com)
The objective of this study was to prove the efficacy of the Exeter stem for Japanese patients by evaluating the short-term results of four major dedicated hip centers. (researchgate.net)
We performed a retrospective study of clinical and radiographic results of 1000 primary total hip arthroplasties (THA) performed using the Exeter stem on 881 patients who were followed-up for at least 2 years after surgery. (researchgate.net)
These two metals are the most common found in the blood of patients with all-metal hip implants, due to the cup and socket parts of the device grinding together and releasing metal shavings into the bloodstream. (stromlaw.com)
Although national registries have shown that the 10-year implant survival rate for patients older than 75 years is about 98%, it is about 88% for patients younger than 50 years [4]. (aofoundation.org)
Bayliss et al [2] showed an even more concerning trend: When analyzed according to the age of the patient at the time of primary THA, the lifetime risk of implant revision (LTRR) for patients 75 years or older was about 4% or lower (Figure 1). (aofoundation.org)
Such results caution us that patients who receive their primary THA at a younger age are more likely to require a revision surgery during their lifetime-not just because they have a longer life expectancy, but also because they are likely to be more active, and therefore, implants in young patients will have more cycles of usage and need to sustain higher load in comparison to implants in older patients. (aofoundation.org)
WASHINGTON (AP) - Johnson & Johnson said late Tuesday that it will pay $2.5 billion to settle thousands of lawsuits brought by hip replacement patients who accuse the company of selling faulty implants that led to injuries and additional surgeries. (mantecabulletin.com)
It resolves an estimated 8,000 cases of patients who had to have the company's metal ball-and-socket hip implant removed or replaced. (mantecabulletin.com)
MUSIC PLAYING] For more than 100 years, joint replacement surgery has been used to treat patients with chronic hip pain. (uchicagomedicine.org)
JOURNEY II ◊ BCS sets a new standard in knee implant performance, designed to empower patients. (smith-nephew.com)
10% of patients mainly because of prosthetic joint infection caused by bacteria or aseptic implant loosening caused by chronic inflammation. (cdc.gov)
Out of 49 patients, E. cuniculi genotypes I, II, or III were confirmed in joint samples from 3 men and 2 women who had implant loosening. (cdc.gov)
10% of those patients because of implant failure caused mainly by prosthetic joint infection and aseptic implant loosening from inflammation ( 13 , 14 ). (cdc.gov)
Methods: 37 patients were randomised to either clodronate or saline as local adjunct to the morsellised allograft bone. (lu.se)
Most patients with symptomatic end-stage OA who undergo knee or hip replacement, experience great symptom relief. (lu.se)
[ 7 ] In the UK, over 300,000 patients present to hospitals with fragility fractures, with a medical and social cost of approximately £2 billion each year, most of which is the result of hip fractures. (medscape.com)

Sulzer has offered to pay for hip replacement surgery as part of the recall of its defective hip joints, but that's all. (alexanderlaw.com)
The researchers also saw evidence that the implant had successfully integrated into the hip joints, effectively resurfacing them. (sflorg.com)
Affects the larger joints like knees and hips but can also be seen in the smaller joints of the hands. (co.ke)

More than 123,000 total hip arthroplasties (THAs) and 150,000 total knee arthroplasties (TKAs) are completed each year in the United States, with the numbers expected to increase as the population ages. (medscape.com)
A retrieval study from 27 failed Rejuvenate bimodular hip arthroplasties (2015) Bone and Joint Journal, 97B (10), pp. 1350-1357. (haw-hamburg.de)
Between 25,000-30,000 knee and hip arthroplasties are performed each year in Sweden. (lu.se)

Intraoperative X-ray imaging throughout the procedure facilitates appropriate implant placement before the patient leaves the operating room, which decreases the risk of dislocation and prolongs the life of the implant when compared to total hip replacement surgery. (mhs.net)

In addition, Harris is known for developing the Harris Hip Score which rates a patient's progress on pain and function following surgery. (wikipedia.org)
Unfortunately, over time, this piece can cause fretting and/or corrosion, which releases toxic particles of metal into the patient's hip. (schmidtlaw.com)
The implant is made using a unique combination of manufacturing techniques that result in a part textile, part 3D-printed structure, which can be seeded with the patient's own stem cells. (sflorg.com)
According to The Medical Director at Diani Beach Hospital, Dr Rajgopal V, they are different kinds of implants depending on the patient's budget. (co.ke)

Materials as diverse as ivory, wood, rubber, acrylic, and Bakelite have been used in the manufacture of prosthetic implants. (medscape.com)

He received his PhD at the same university in 2016 and has since become an expert in experimental orthopedics, with a specialization in joint implants. (anton-paar.com)
Fractures around joint replacement prostheses are commonly called periprosthetic fractures, whereas fractures around plates, rods, or prostheses can be more generally termed peri-implant fractures. (medscape.com)
This ball-the femoral head-forms a hip joint when it is placed inside a polyethylene liner and acetabular shell. (injurylawyer-news.com)
For the DAA a space in the front of the hip, known as the Heuter interval , is utilized to access the hip joint. (eorthopod.com)
The Bone & Joint Journal 2017, 99-B: 128-133. (yale.edu)
Meller elaborates: "The screw inserted into the bone protrudes and breaks into the hip joint. (israel21c.org)
Combining 3D printing with advanced textiles enabled us to engineer an implant that mimics the function of native, healthy tissues in the joint from day one after implantation," Estes says. (sflorg.com)
Then the implant was placed into the damaged area of the hip's ball joint. (sflorg.com)
What we saw is that with the implant these dogs were doing as well as or better than they would be after a total joint replacement," Lascelles says. (sflorg.com)
Hip replacement is a surgery where part of the hip joint is replaced with implants. (co.ke)
Total hip Replacement- The hip joint is removed and replaced with a hip implant. (co.ke)
The socket of the hip joint is not replaced Instead, the ball of the joint is replaced. (co.ke)
Hip resurfacing- surgery that takes less bone from the joint. (co.ke)
Hip prostheses are designed to mimic the ball-and-socket action of your hip joint. (mayoclinic.org)
During hip replacement surgery, your surgeon removes the diseased or damaged parts of your hip joint and inserts the artificial joint. (mayoclinic.org)
During hip replacement, a surgeon removes the damaged sections of the hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. (mayoclinic.org)
Although this complication is rare with newer implants, the new joint might not become solidly fixed to the bone or might loosen over time, causing pain in the hip. (mayoclinic.org)
Sometimes doctors will ask you to consider postponing knee replacement surgery, since the patient may well "outlive" the original implant, necessitating a repeat surgery for the same joint. (timelymedical.ca)
Precise joint implant placement and alignment. (upmc.com)
Unique to robotic-assisted joint replacement surgery, your doctor will also request a CT scan of your knee or hip. (upmc.com)
2018) Bone Joint Res. (haw-hamburg.de)
For people suffering from painful degenerative hip joint disease that is controlled by medication, UChicago Medicine orthopaedic experts deliver advanced robotic arm-assisted technology treatment for a total hip replacement surgery. (uchicagomedicine.org)
It begins with a CAT scan or CT scan of the hip joint. (uchicagomedicine.org)
With the diseased bone gone, a total hip implant is inserted in the joint space. (uchicagomedicine.org)
And that Mako Total Hip is transforming joint replacement. (uchicagomedicine.org)
and Enterococcus faecalis ) and pathologic growth around the prosthetic joint ( 15 ), aseptic implant loosening results from chronic inflammation caused by activation of resident immune cells in contact with implant wear debris or allergic reactions to metal ions derived from implant materials ( 16 ). (cdc.gov)
The quality of contact within the implant-bone, cement-bone, or implant-cement interface determines the limits of the effective joint space. (medscape.com)
Finally, the effective joint space can also expand into soft tissues as well as bone. (medscape.com)
Because a man-made hip is smaller than the original joint, the ball can come out of its socket. (medlineplus.gov)
Wider hips pull the joint from a different angle. (medscape.com)

The Stryker Rejuvenate Modular Hip System and the Stryker ABG II Modular-Neck implants have a metal-on-metal component between the stem and neck junction (most other hip implants have a single piece of metal). (schmidtlaw.com)
Therefore, FEA can assess the effects of stem geometry on bone remodeling after THA. (intechopen.com)
The main goal of a short-stem design is to preserve proximal bone stock and to allow more physiological proximal loading, which should lead to reduced stress shielding. (aofoundation.org)
We examined the effect of locally applied bisphosphonate to allografts on prosthetic micromotion and bone density in femoral stem revision with impaction grafting. (lu.se)

Harris is also recognized for performing the world's first successful total hip replacement in a patient with a total congenital dislocation of the hip and for developing the first effective cement-free acetabular component. (wikipedia.org)
Have You Received A Hip Replacement? (injurylawyer-news.com)
This latest DePuy Pinnacle hip replacement lawsuit , which was filed in the U.S. District Court for the Eastern District of Louisiana, involves five Pinnacle implant recipients. (yourlawyer.com)
The DePuy Pinnacle device is, like the ASR hip replacement, a metal-on-metal hip implant. (yourlawyer.com)
Total hip replacement surgery commonly performed with one of two methods, direct lateral (from the side) or posterior (from the back). (eorthopod.com)
This is argued to decrease pain and improve the speed of recovery following a total hip replacement. (eorthopod.com)
In summary the DAA technique is a viable option, especially with recent improvements in surgical tools for a successful hip replacement. (eorthopod.com)
Although the actual pathology behind femoral osteonecrosis is not yet understood, the disease typically follows a progression to eventual femoral collapse, which results in the need for a total hip replacement. (eorthopod.com)
Defective implants by Sulzer were sold to hospitals and doctors covered with an oil that prevents bone from bonding to the replacement implant. (alexanderlaw.com)
If non-surgical treatments aren't effective, you may need to have hip replacement surgery. (mhs.net)
Depending on your condition, total hip replacement through a posterior, lateral or anterolateral approach may be recommended by your surgeon. (mhs.net)
Total hip replacement is a surgical procedure where the worn out surfaces of the hip are replaced with man-made components. (mhs.net)
Hip replacement may reduce or eliminate pain, allow easier movement and get you back to leading a normal life. (mhs.net)
Even though hip replacement surgery is considered a successful procedure, it is major surgery, and as with any surgery, there are risks. (mhs.net)
How Successful is Hip Replacement? (mhs.net)
Total hip replacement is recognized as one of the most successful procedures in all of medicine. (mhs.net)
Partial hip replacement -Common in the elderly. (co.ke)
The hip replacement surgery can be total where the Femoral (the bone in the thigh) head and the part of the hip bone are replaced or partial (hemiarthroplasty) where just the Femoral head is replaced by a prosthetic implant. (co.ke)
If a patient is younger, we use a long lasting hip replacement. (co.ke)
This came after the former Nairobi Governor who was admitted at Nairobi Hospital under stringent police protection needed to be released to go for hip replacement surgery in South Africa. (co.ke)
Dr Kiran says that arthritis is another condition that might require a hip replacement. (co.ke)
However, hip replacement is not the only answer for arthritis we have different kinds of treatment depending on the type of arthritis and the stage they are in. (co.ke)
Arthritis damage is the most common reason to need hip replacement. (mayoclinic.org)
The artificial hip parts might wear out eventually, especially for people who have hip replacement surgery when they're relatively young and active. (mayoclinic.org)
If this happens, you might need a second hip replacement. (mayoclinic.org)
Good afternoon, It's been 3 weeks since my hip replacement, and it has been wonderful to walk normally again for the first time in a couple of years. (timelymedical.ca)
What Are the Benefits of Robotic-Assisted Knee or Hip Replacement? (upmc.com)
DePuy Orthopedics recalled two of its metal-on-metal hip replacement systems the ASR Hip Resurfacing System and the ASR XL Acetabular System. (disabled-world.com)
DePuy Orthopedics recalled two of its metal-on-metal hip replacement systems in August 2010 due to high failure rates. (disabled-world.com)
If you received a DePuy hip replacement, it's important to understand what the recall means to you. (disabled-world.com)
If you're one of the 93,000 Americans who received a DePuy hip replacement, it's important to understand what the recall means to you. (disabled-world.com)
If you've been injured by a DePuy hip replacement system, contact a DePuy hip recall attorney to discuss your injuries and legal options. (disabled-world.com)
Also on Thursday, January 31st, a DePuy engineer, Graham Isaac, testified that the company only tested the ASR all-metal hip replacement device at one angle. (stromlaw.com)
When pressed for comment on why DePuy's ASR hip replacement device had been recalled, Ekdahl answered "because it did not meet the clinical standards we wanted in the marketplace. (stromlaw.com)
The metal hip replacement devices manufactured by DePuy are dangerous. (stromlaw.com)
In August 2010, DePuy recalled a number of their metal hip replacement devices . (stromlaw.com)
The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. (aofoundation.org)
The artificial hip, known as the Articular Surface Replacement, or ASR, was sold for eight years to some 35,000 people in the U.S. and more than 90,000 people worldwide. (mantecabulletin.com)
For patient education resources, see Total Hip Replacement . (medscape.com)
Hip replacement is surgery for people with severe hip damage. (medlineplus.gov)
If other treatments such as physical therapy, pain medicines, and exercise haven't helped, hip replacement surgery might be an option for you. (medlineplus.gov)
With a hip replacement, you might need to avoid certain activities, such as jogging and high-impact sports. (medlineplus.gov)

[ 13 ] Rates of nonunion for supracondylar fractures proximal to total knee prostheses are higher than those for supracondylar fractures without the implant. (medscape.com)

Real-time images and information from the robotic system assist the surgeon with accurate implant placement. (uchicagomedicine.org)
Prior to surgery, the surgeon reviews the plan, size and placement of the implant. (uchicagomedicine.org)

Pinnacle hips have yet to be recalled, but after a rise in lawsuit claims against DePuy ASR, certain version of the ASR were recalled in 2010. (injurylawyer-news.com)
Another lawsuit has been filed against DePuy Orthopaedics involving its metal-on-metal Pinnacle hip implant. (yourlawyer.com)
In a separate development, another DePuy Pinnacle hip implant victim is seeking to have the growing litigation surrounding the device consolidated in a single federal court. (yourlawyer.com)
All of the plaintiffs in the latest lawsuit - three men and two women - claim the DePuy Pinnacle hip implant failed prematurely, and resulted in elevated levels of cobalt in the blood, permanent disability, severe and prolonged pain, and other complications. (yourlawyer.com)
The lawsuit also alleges that the DePuy Pinnacle hip implant is substantially equivalent to the defective DePuy ASR hip implant , which was recalled last August. (yourlawyer.com)
Since the ASR recall was announced, more than 1,300 people have filed an adverse event report with the U.S. Food & Drug Administratio n (FDA) involving problems with a DePuy Pinnacle hip. (yourlawyer.com)
It is very possible that the litigation surrounding the DePuy Pinnacle device could become as large as that involving the ASR hip implant. (yourlawyer.com)
Recently, a motion was filed with the U.S. Judicial Panel on Multidistrict Litigation to consolidate all pending and future federal DePuy Pinnacle hip implant lawsuits in a multidistrict litigation (MDL). (yourlawyer.com)
The plaintiff who made the motion asked the panel to consolidate the Pinnacle hip implant lawsuits in a their own MDL, or make them part of the DePuy ASR hip implant MDL currently underway in the U.S. District Court for the Northern District of Ohio. (yourlawyer.com)
The company's DePuy subsidiary stopped making the Pinnacle implants devices in 2013 due to tighter federal regulations, according to Bloomberg. (mahoneylaw.com)
Depuy continues to claim the hip implants are effective, as per strong clinical data. (inserra.com)
The first bellwether case in the DePuy hip implant MDL against the ASR model is going forward. (stromlaw.com)
DePuy will continue to defend against remaining claims and believes its actions related to the ASR Hip System have been appropriate and responsible," the company said. (mantecabulletin.com)

If you or somebody you know has been injured by a defective hip implant, you should contact our lawyers immediately for a free case consultation. (schmidtlaw.com)

The findings showed that 70 percent of the implants had been colonized by bacteria, fungi or both. (healthday.com)

Titanium hip implants do not last forever - they gradually loosen, sooner or later losing their hold on the bone as it recedes over time. (fraunhofer.de)
The biomimetic, antimicrobial material is applied to the titanium surface of the implant, which then connects with the bone and naturally adheres to the bone. (fraunhofer.de)
The authors noted that by the end of 2008, 1.4% (68/~5000) of the implanted titanium alloy neck adapters failed at an average of 2 years (range, 0.7-4.0) postoperatively. (medscape.com)
Grupp et al concluded that failure of modular titanium alloy neck adapters can be initiated by surface micromotions due to surface contamination or highly loaded implant components. (medscape.com)

February 16, 2015 - Stryker Orthopedics is facing a growing number of lawsuits as more people experience failure of the defective Rejuvenate and ABG II hip implants. (schmidtlaw.com)

The Cobalt (Co)-Chromium (Cr)-Molybdenum (Mo) (Co-Cr-Mo) alloy and Ultra High Molecular Polyethylene are the important materials used in the biomedical applications and Bio-inerts lime hip implants, ophthalmological implants and dental implants are increasing day by day due to their unique wear resistance characteristics. (amrita.edu)
How are dental implants made and fitted? (thenakedscientists.com)

If you have knee or hip problems and need surgery, the orthopaedic care experts at UPMC East can help. (upmc.com)

Dr Rajgopal says that implants never grow old, in most cases implants outlive people. (co.ke)

Fragility fractures, broken bones related to osteoporosis, affect more than 2 million people over the age of 50 in the US each year. (uchicagomedicine.org)

Using this space allows the surgeon to avoid cutting through muscle or nerves while replacing the hip. (eorthopod.com)
If you have questions regarding implants, your surgeon will be happy to answer them for you. (mhs.net)
During surgery, a robotic arm guides the surgeon in preparing the hip socket for positioning the hip implant. (uchicagomedicine.org)
If necessary, the surgeon modifies the preoperative plan to help control important measures of hip stability. (uchicagomedicine.org)
During surgery, the surgeon locates points on the hip in order to register the anatomy and the Mako system. (uchicagomedicine.org)
A virtual boundary provides tactile resistance to prevent the surgeon from removing more than just the arthritic bone identified in the preoperative plan. (uchicagomedicine.org)
Mako assists the surgeon in performing controlled and accurate preparation of the hip socket. (uchicagomedicine.org)
As the surgeon prepares to place the implant into its final position, the robotic arm guides the cup at the desired angle defined in the surgical plan. (uchicagomedicine.org)

Metal has been used extensively in the manufacturing of orthopedic implants in a multitude of different forms. (medscape.com)
Clinical studies have demonstrated that such metallic alloys can be used safely and effectively in the manufacturing of orthopedic implants that are left in vivo for extended periods. (medscape.com)

Stress shielding may result in periprosthetic bone loss from a reduction in the load transmitted to bone. (medscape.com)
Periprosthetic bone loss may also occur as a result of an inflammatory reaction due to particulate wear debris as generated in the various wear modes (see Presentation , Modes of Wear). (medscape.com)

His work inspired surgical techniques, implant design, development of new operations, prevention of blood clot formation, and other leading advances in hip surgery. (wikipedia.org)
Dr. Harris is the author of some 520 scientific publications and three textbooks dealing with hip surgery, arthritis and diseases of the skeleton. (wikipedia.org)
Each has suffered from the loosening, breaking, or dislocation of the implants to possibly cause them to require revision surgery. (injurylawyer-news.com)
An Alternate Technique for Total Hip Surgery: The Direct Anterior Approach. (eorthopod.com)
California law provides compensation for pain and suffering caused by a defective product, the pain you again will suffer as a result of another hip surgery, past and future medical expenses, physical therapy and lost wages caused by the company's misconduct. (alexanderlaw.com)
Most infections are treated with antibiotics, but a major infection near the new hip might require surgery to remove and replace the artificial parts. (mayoclinic.org)
If the hip keeps dislocating, surgery may be needed to stabilize it. (mayoclinic.org)
At the court hearing was Richard Stark, of Erie, Mich., who said he received one of the all-metal implants five years ago and began feeling pain soon after the surgery. (mantecabulletin.com)
After the third year, I was in so much pain I couldn't take it," said Stark, who underwent another surgery in February to fix the implant. (mantecabulletin.com)
The most common problem after surgery is hip dislocation. (medlineplus.gov)

Re-operations for infection and dislocation were performed in 8 and 6 hips, respectively. (researchgate.net)

Edwards filed the case, but there are multiple plaintiffs in this Pinnacle hip lawsuit. (injurylawyer-news.com)
Do I have a Stryker Hip Implant Lawsuit? (schmidtlaw.com)
As the lawsuit moves forward, witnesses are being called to testify about DePuy's hip implant model ASR. (stromlaw.com)

Bone loss due to excessive metal debris caused by fretting and/or corrosion. (schmidtlaw.com)
Magnesium and its alloys have been the subject of interest and appear promising as biodegradable implant materials, though their fast corrosion rate in biologic environments has limited their clinical application. (medscape.com)
Alloys that provide for a long-term stable implant need to have a high level of corrosion resistance as well as certain mechanical properties (see Immune Response to Implants ). (medscape.com)

Also, according to a deposition from a J&J official, a 2011 company review of a patient registry concluded that more than one-third of the implants were expected to fail within five years of their implantation. (mantecabulletin.com)
Recent data from patient registries show the devices actually fail at a higher rate than older implants, however. (mantecabulletin.com)

[ 4 ] In 2000, there were an estimated nine million new osteoporotic fractures worldwide, with approximately 1.7 million forearm fractures, 1.6 million hip fractures and 1.4 million vertebral fractures. (medscape.com)

They claim that if the had known the risks of the devices, they would not have agreed to have them implanted. (injurylawyer-news.com)
Plaintiffs in these cases, however, contend they were not warned of the risks and the defendant companies hawk their metal-on- metal products by stating they are longer lasting than plastic or ceramic implants and commonly utilized in treatment. (inserra.com)
Compared to standard implants with multiple components that need to be pieced intra-operatively, our one-piece solution eliminates the entire process of selection and assembly as well as the risks of intercomponent movements. (materialise.com)

The decision to include assessments of bone density in the survey was based on the recognition of the growing problem of osteoporosis, or decreased bone mass. (cdc.gov)
The purpose of the bone density component is to obtain estimates of the prevalence of low bone density of the hip in the U.S. population over 20 years of age, and in various subpopulation groups. (cdc.gov)
Also, because bone density values overlap between normal and osteoporotic individuals, clear criteria for definitions of abnormality have not been established. (cdc.gov)
In addition, bone loss occurs at different rates in different types of bone, so it is possible for individuals to have bone loss in the spine, but normal bone density in the forearm. (cdc.gov)
Estimates of low bone density derived from NHANES III data will offer unique information regarding bone loss and osteoporosis. (cdc.gov)
The distribution of bone density at the hip that is collected in the survey will provide reference data for clinicians and researchers in assessing bone mass in individuals. (cdc.gov)
NHANES III will provide the first reference data on bone density from a nationally representative sample and will permit an examination of bone mineral density in black and Hispanic population subgroups, for whom prevalence of low bone mass is poorly defined. (cdc.gov)
Background: Bisphosphonates have previously been shown to increase the density of impacted graft bone. (lu.se)
Results: There were no significant differences neither in bone density, nor in. (lu.se)
Conclusion: Clodronate as a local addendum to allograft bone in hip revision did not increase bone density or reduce micromotion of the implant. (lu.se)

Polymethylmethacrylate (PMMA) bone cement in 5 g/L concentration is used as third body particles. (amrita.edu)

Extension of this foreign body response may infiltrate into the cement-bone or bone-implant interface and may result in loosening. (medscape.com)

A Texas jury determined last week that Johnson & Johnson should pay over $1 billion in damages for defective Pinnacle hip implants . (mahoneylaw.com)
If you or a loved one has already suffered damages from the Pinnacle metal-on- metal hip implants, do not hesitate to bring questions regarding your personal situation and possible claim to the caring legal experts at Inserra Kelley Sewell, where your health and safety is priority one. (inserra.com)

The osteoporosis component will also include assessment of risk factors for low bone mass and for falling, since both are related to the occurrence of osteoporotic hip fractures. (cdc.gov)
Some menopausal women start to lose their bone mass and become increasingly osteoporotic. (womensinternational.com)

It is also cost-effective with a high implant survival rate [1-3]. (aofoundation.org)

Influence of trabecular bone quality and implantation direction on press-fit mechanics. (haw-hamburg.de)

Plaintiffs alleged the "metal-on-metal" devices had to be surgically removed after causing bone erosion, bloodstream poisoning and other injuries. (mahoneylaw.com)
Let's detour for a moment to discuss another bone-loving metal called gadolinium. (womensinternational.com)
Like lead, this metal stores in bones, only to be released to cause further damage as bones are damaged. (womensinternational.com)
Harrison added that the medical community has known about the dangers of metal implants causing metal poisoning since the 1970's. (stromlaw.com)
Last year a panel of government advisers said there are few, if any, cases where metal-on-metal hip implants should be recommended. (mantecabulletin.com)

In general, you can say that when something is implanted in the body it simply increases the likelihood of bacteria development and the creation of a new environment,' Jakobsen said. (healthday.com)

For decades nearly all orthopedic hips were coated with plastic or ceramic. (mantecabulletin.com)

Bones, muscle and other tissues gradually break down in space, posing major problems for anyone wanting to go to Mars and beyond, said Olabisi, who works in the School of Engineering . (newswise.com)

The rate of osteolysis increases with time, and osteolytic bone defects are stress risers, which predispose the patient to fractures. (medscape.com)

The Total System, introduced in 1983, was designed by Harris and was the first integrated system offering an entire range of cemented and cementless implants. (wikipedia.org)

Anatomy47

Organisms1

Diseases49

Chemicals and Drugs47

Analytical, Diagnostic and Therapeutic Techniques and Equipment86

Psychiatry and Psychology4

Phenomena and Processes25

Disciplines and Occupations2

Technology, Industry, Agriculture17

Named Groups1

Health Care9

Replacements18

Cartilage14

Tissue21

Femur11

Arthroplasty15

Surgeons15

Fixation23

Osteoarthritis1

Stems7

Fracture16

Screws4

Patients28

Joints3

Arthroplasties3

Life of the implant1

Patient's4

Prosthetic implants1

Joint30

Stem4

Replacement42

Prostheses1

Placement2

DePuy13

Defective hip1

Colonized by bacteria1

Titanium4

Lawsuits1

Dental implants2

Orthopaedic1

Outlive1

Broken Bones1

Surgeon8

Orthopedic implants2

Periprosthetic bone2

Surgery10

Infection1

Lawsuit3

Corrosion3

Fail2

20001

Risks3

Density10

Particles1

Loosening1

Pinnacle2

Osteoporotic2

Survival rate1

Implantation1

Metal5

Likelihood1

Plastic or ceramic1

Tissues1

Defects1

Cementless1