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Electronic Letters to:

Hip:
A. A. Shetty, R. Slack, A. Tindall, K. D. James, and C. Rand
Results of a hydroxyapatite-coated (Furlong) total hip replacement: A 13- TO 15-YEAR FOLLOW-UP
J Bone Joint Surg Br 2005; 87-B: 1050-1054 [Abstract] [Full text] [PDF]
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[Read eLetter] Letter from Wall, Dodd and Ricketts
Simon J Wall, Laurie Dodd, and David Ricketts.   (14 October 2005)

Letter from Wall, Dodd and Ricketts 14 October 2005
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Simon J Wall,
Orthopaedics SpR
Princess Royal Hospital, Haywards Heath, UK,
Laurie Dodd, and David Ricketts.

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Re: Letter from Wall, Dodd and Ricketts

drsimonwall{at}hotmail.com Simon J Wall, et al.

Sir,

We read this article with interest. We were impressed by the stability and fixation characteristics of the femoral and acetabular components, and by the survivorship of these implants. We were also interested to read that their experience with 112 threaded acetabular cups was excellent; this is in contrast with our own experience with such a design.

The paper states that all hips were operated upon by the same consultant surgeon (CR). Do the authors feel that much of the success in this series may have been favoured by a single experienced operating surgeon? There is no doubt that operative technique is paramount in a successful outcome.1 We doubt that this series would have had such impressive results if carried out by supervised Specialist Registrars undergoing training. What was the authors' assessment of these implants in less experienced hands?

S. J. WALL
L. DODD
D. RICKETTS
Princess Royal Hospital,
Haywards Heath, UK.

1. Herberts P, Malchau H. How outcome studies have changed total hip arthroplasty practices in Sweden. Clin Orthop Relat Res 1997;344:44-60.

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