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New Education and Heritage Centre Proposal
[ 30 August 2013 ]

Indian Orthopaedic Association 57th Annual Conference 2012
[ 16 January 2013 ]

International Revision Hip Arthroplasty Symposium November 2012
[ 30 November 2012 ]

Tim Board
[ 29 May 2018 ]

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[ 30 August 2013 ]

Which factors determine the wear rate of large-diameter metal-on-metal hip replacements? Multivariate analysis of two hundred and seventy-six components.
[ 12 July 2013 ]

Medical management of osteonecrosis of the hip: a review
[ 12 July 2013 ]


Osteoarthritis (OA) refers to degenerative (wear and tear) change that can occur in any joint in the body. When arthritis develops the articular catilage (lining cartilage) is slowly rubbed away eventually leading to bone on bone contact.

So called secondary OA can occur due to a misshapen joint which may follow from fracture or trauma or due to abnormalities of growth (eg dysplasia and perthes). Femoro-acetabular impingement is another condition that is thought to lead to OA. The abnormal shape causes abnormally high stresses in the joint and over time leads to cartilage damage and degeneration. Primary OA occurs in the absence of any trauma or shape abnormality. There may be hereditary (genetic) factors and/ or environmental factors that predispose to the development of primary OA. There is a great deal of research ongoing to try to understand the causes of primary OA.

With arthritis the articular cartilage wears away and quite commonly one side of the knee, usually the medial, is affected in which case if surgery is considered then partial or unicondylar replacement may be considered rather than replacing the whole knee (total knee replacement).

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