Secondary or definitive fixation largely relays on a biological anchoring in bone needed for the long term survival of the implants 2 now uncemented tha is the widely accepted sur gery for. Total hip arthroplasty tha is regarded as a salvage operation to restore hip joint function after fixation failure which remains somewhat controversial due to some clinical potential issues. Total hip arthroplasty with a short anatomical 80 mm femoral stem designed to achieve pure metaphyseal fixation a ream only technique was used for femoral canal preparation in all patients at each follow up radiological evaluation was performed for stem alignment proximal metaphyseal fill subsidence status of. Biological fixation in total hip arthroplasty charles a engh on amazoncom free shipping on qualifying offers book by engh charles a bobyn jdennis
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