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Sep21
Posted by Dr. N N Rai on Tuesday, 21st September 2010
Three major variables namely; selection of implant,skill of the surgeon & selection of the patients, affect the outcome.
Market is flooded with varieties of implants.which implant to choose? Meta Analysis of available literature shows, Charnley's cemented total hip system has longest survival in terms of survivorship analysis. Surgeons using this system needs to be trained in its surgical techniq..
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Posted by Dr. N N Rai on Wednesday, 21st October 2009
Metal on metal hip replacement is in news again.It was launched few year ago with fanfare & was advocated by group of surgeons for consideration in younger patients.Bone preservation was the main aim. Complications associated with metal on metal are now in news especially,"ALVAL"(asymtomatic lymphocytic vasculities associated lesions.This is unique to metal on metal hip replacements.It is time t..Mar14
Posted by Dr. N N Rai on Saturday, 14th March 2009
Arthrogroup from France have reported outcome of their cementless hip system, Corail stem & Pinnacle cup, 98.5% 10 year survival. It appears to be a promising hip for our Indian population.I had the oppurtunity to perform 15 such hips so far.I admire its biological principle & simplicity of instrumentations.
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