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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 ]


Loosening can occur as a result of the wear process of polyethylene or just the mechanical repetitive loads on the interface.  This can cause fairly substantial bone loss around the lower part of the femur and upper part of the tibia and as a result of this it is no longer possible in many occasions to allow simple condylar or surface fixation and therefore it is necessary to use larger stems to go down the upper femur and down the tibia which are usually cemented in place although some cementless fixation is possible.  Bone loss can be addressed by using bone graft, particularly on the tibial side as it can on the hip(link to revision knee case examples)

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