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Journal of Bone and Joint Surgery - British Volume, Vol 62-B, Issue 2, 174-179
Copyright © 1980 by British Editorial Society of Bone and Joint Surgery

Articles

The Monk "soft top" endoprosthesis. Clinical, biomechanical and histopathological observations

PJ Webb, KW Wright, and GD Winter

This paper presents a prospective trial carried out using the Monk "soft top" endoprosthesis in 33 patients. Two years after operation 70 per cent of the remaining patients had pain. A biomechanical and histopathological analysis of the endoprosthesis and the surrounding tissue, obtained from a further two patients at the time of revision, is presented. It is concluded that the prosthesis has inherent design faults which result in excessive wear of the polyethylene component. The wear debris produced stimulates a prolific fibrous tissue reaction which is associated with progressive clinical deterioration.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General