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Tannast M et al. – Uncemented, machined, fluted titanium canal–filling femoral components achieve reliable fixation in this young patient population. They have a decreased incidence of activity–related thigh pain, lower rate of intraoperative femur fractures and cortical hypertrophy with comparable bone–ingrowth in comparison to other second–generation uncemented femoral components described in literature. Bearing wear and the need for bearing exchange was the only limitation of these constructs.

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