Introduction LLD after THA remains extremely common and is one of the leading causes of dissatisfaction. It has been etched into orthopaedic folklore that LLD is an inherent risk of THA. On Feb. 27, 2009, the AAOS, Committee on Professionalism (COP) Hearing Panel conducted a hearing; The panel censured a surgeon whom provided an opinion

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Knee replacements have been implanted for over 50 years and in serious numbers since the 70s. The fundamentals of metal and plastic construction have not changed, nor will they for the foreseeable future. Advances in stem cell therapy and similar technologies have a long way to go to provide structural articular support in the knee.

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