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Weekly News, Analysis, and Commentary

Large Joints Features & News

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Gehrke Debates Haidukewych: Mega Prostheses

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

“Mega prostheses can work in elderly patients and osteopenic patients with poor bone stock who need a quick procedure,” says Thorsten Gehrke. George Haidukewych isn’t quite so sanguine. “I do a mega prosthesis as a last resort, with a very distal fracture, with severe osteolysis, etc.” and “ORIF remains the gold standard for periprosthetic fractures.”

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Su v. Lombardi: Yay or Nay to Metal-on-Metal Surface Replacement?

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

“Surface replacement trumps THR because it preserves bone, offers greater stability, and allows a higher activity level,” advocates Ed Su. “Keep in mind,” says Adolph Lombardi, “resurfacing is a more difficult operation with a high learning curve. Few patients meet the criteria…and there is concern over metal ion toxicity.”

Lee Debates Barrack: Ceramic-Ceramic THA

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

“Ceramic-ceramic hips have a place in young, active patients,” advocates Gwo-Chin Lee. “And they have the lowest wear rate.” Robert Barrack counters, “The new ceramics are better, but standard metal-crosslinked poly has improved more. And the 10-15 year results cannot be improved upon. Ceramic-ceramic isn’t ready for prime time.”

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