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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jul 20, 2026

Mechanical Expansion of Steel Tubing as a Solution to Leaky Wellbores
09:32

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Published on: November 20, 2014

Removal of well-fixed cementless components.

William J Maloney1, Veronica M R Wadey

  • 1Department of Orthopaedic Surgery, Stanford University School of Medicine, Palo Alto, California, USA.

Instructional Course Lectures
|September 9, 2006
PubMed
Summary

Removing stable, osseointegrated cementless implants can be difficult. Preoperative planning and having the right surgical tools are key to minimizing complications during revision surgery.

Area of Science:

  • Orthopaedic Surgery
  • Biomaterials Science

Background:

  • Cementless orthopaedic implants rely on bone ingrowth or ongrowth for stable fixation.
  • Removal of these well-integrated components presents unique surgical challenges.

Purpose of the Study:

  • To highlight the difficulties associated with removing stable, osseointegrated cementless components.
  • To emphasize the importance of preoperative planning and surgical preparedness.

Main Methods:

  • Review of surgical considerations for revision arthroplasty involving cementless implants.
  • Discussion of preoperative assessment techniques and necessary instrumentation.

Main Results:

  • Stable osseointegration significantly increases the difficulty of component removal.

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  • Thorough assessment of bone-implant interface is crucial.

    • Conclusions:

    • Careful preoperative planning is essential for successful removal of cementless components.
    • Availability of specialized instrumentation can mitigate surgical risks and complications.