In two years we treated four women with ununited stress fractures of their proximal tibial diaphyses. They all had arthritis and valgus deformity. The stress fractures had been treated elsewhere by non-operative means in three patients and by open reduction and internal fixation in one, but had failed to unite. After treatment with a modular total knee prosthesis with a long tibial stem extensi...

INTRODUCTION: Modular neck total hip arthroplasty (THA) devices afford the surgeon increased intra-operative flexibility in terms of the degree of head version and offset, as well as allowing more controlled stem positioning. Strains on the outer cortical bone surface have been shown to be strongly dependent on the orientation of a THA. These strains can be a potential cause for mechanical fail...

graham higman has defined coset diagrams for psl(2,ℤ). these diagrams are composed of fragments, and the fragments are further composed of two or more circuits. q. mushtaq has proved in 1983 that existence of a certain fragment γ of a coset diagram in a coset diagram is a polynomial f in ℤ[z]. higman has conjectured that, the polynomials related to the fragments are monic and for a fixed degree...

Nine uncemented hip prostheses of modular design were revised because of late infection (2 cases), femoral stem loosening or fracture (2), loosening of threaded cups (3) and protrusion of bipolar cups (2). At surgery we found tissue discoloration and macroscopic corrosion in four of the nine prostheses, located at the head-neck junction. Histological examination in most cases showed extensive n...

Background In recent decades, the popularity of modular necks in total hip arthroplasty (THA) has increased since modular necks offer the potential to restore the patient's native anatomy, and thus improve stability. Unfortunately, modular necks are associated with higher complication rates, including implant fracture and modular junction corrosion with adverse local tissue reaction to metal de...