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  • Title: The relationship between increased hip range of motion, wear, and locking mechanism failure in the Harris-Galante acetabular component.
    Author: Imai H, Mashima N, Takahashi T, Yamamoto H.
    Journal: J Arthroplasty; 2009 Sep; 24(6):892-7. PubMed ID: 18848428.
    Abstract:
    We performed both clinical and radiographic evaluations of 178 patients (190 hips) who had undergone cementless total hip arthroplasties using Harris-Galante I/II porous cups after an average 12-year follow-up period (range, 8-18 years). We revised 15 Harris-Galante I/II porous cups (7.8%), and the locking mechanism was broken in 10 revised cups (67%). There was a significant association between locking mechanism failure and linear polyethylene wear. We observed a significant positive correlation between linear polyethylene wear and increased ranges of motion such as flexion, adduction, and external rotation at the last follow-up visit after the primary operation. Increased ranges of motion seen in Asians induced higher linear polyethylene wear and locking mechanism failure due to impingement of the neck and cup.
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