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    <loc>https://www.complexhipsurgery.com/cases</loc>
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    <priority>0.75</priority>
    <lastmod>2023-08-30</lastmod>
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  <url>
    <loc>https://www.complexhipsurgery.com/cases/custom-3d-printed-guides-used-to-remove-extra-poorly-healed-bone-after-trauma-of-the-pelvis</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-07-01</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/8f2b9b7f-b8f0-479f-bc57-73d7ebbaaf35/Lower%2Bprofile%2Bsciatic%2Bnerve.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis - Make it stand out</image:title>
      <image:caption>Lower position of the sciatic nerve - After plate removal and the ischial osteotomy, the sciatic nerve is sitting with a much lower profile than before.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/418341b4-0ae6-40e0-b82d-1521c7974b7a/Picture%2B1+%281%29.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/bc68ff91-c1d2-43f0-b00c-beded2cae187/Post-operative%2Blateral%2Bradiograph.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682353693854-DGCUEJ25DU6N4WM84PU5/Osteotomy%2Bplan.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682353692912-0102MNBMBFHZRWSEQJY4/Osteotomy%2Bguide%2Bsteps%2B1.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682353692766-QCLS3EX83ON6W12V9BSL/Osteotomy%2Bguide%2Bsteps%2B2.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/99acf91b-125d-4e39-8c66-c81e6b07f7ed/image-asset+%285%29.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis - Make it stand out</image:title>
      <image:caption>Screw removal - This image demonstrates the sciatic nerve (blue arrow) and removal of the screws from the existing ischial plate (white arrow).</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682353617599-G4TWSEI30AAPX5N5W5RK/Screen%2BShot%2B2019-10-22%2Bat%2B10.27.35.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682353617699-38PFE4Z1I85JVU7W2J4W/Screen%2BShot%2B2019-10-22%2Bat%2B10.27.04.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682353618453-TL1ADJ90GEH6DPSS6UK5/Screen%2BShot%2B2019-10-22%2Bat%2B10.25.56.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/175a5a26-fa9e-46e1-af15-558058b5afa2/image-asset+%286%29.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis - Make it stand out</image:title>
      <image:caption>3D model and anatomical variant - This image demonstrates the sciatic nerve once again (blue arrow) with an anatomical variant. A branch of the sciatic nerve (white arrow) is seen. This is present in 5% of people and care must be taken to prevent damage to the nerve. The 3D printed model with the ischial plate (red arrow) is also seen, used intraoperatively to map the patients anatomy.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/f45a5704-a33d-46dc-829f-e42eb5dd6282/Ace.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fa404136-fdf3-402d-ba56-d524339f5058/Picture%2B1.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis - Anteroposterior plain radiograph revealed crowding of the ischiofemoral space as a result of excessive callus healing of the ischial tuberosity and the plate</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e3facc64-6666-4b94-a096-aaf5741c1a3e/Post-operative%2Blateral%2Bradiograph%2B2.png</image:loc>
      <image:title>Cases - CASE 1: Custom 3D-printed guides used to remove extra poorly-healed bone after trauma of the pelvis - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/robotic-assisted-primary-hip-replacement-with-post-operative-ct-to-check-the-3d-implant-position</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-08-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a7a240d8-1d44-4f8c-a767-90a4361066b5/image-asset+%289%29.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position - Make it stand out</image:title>
      <image:caption>Post-op CT of the pelvis demonstrating good positioning of the new right sided implant.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/671eb74c-ccc7-461e-bc77-d7c1b8bc8ea4/image-asset+%2810%29.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position - Make it stand out</image:title>
      <image:caption>Post-op analysis of the implant position comparing pre- and post-op CT scans showed a near perfect positioning outcome. The femoral lengths demonstrated a 0mm discrepancy, with a 1mm discrepancy in the vertical and horizontal femoral offset.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682355615623-3Z5AVQ7LQMUVVWY4GAPZ/Planning%2Bimage%2B1.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682355614735-DVE06WJJIYV35A3O7FSI/Planning%2Bimage%2B3.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682355614759-JRTINEHI0G8W0X4V89IY/Planning%2Bimage%2B4.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a193c755-b0cc-4dca-b095-3cc8bf93b9e6/Screenshot%2B2021-01-12%2Bat%2B20.01.30.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6d6b6b5b-22db-4a72-aad0-5be90777fb63/image-asset+%288%29.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis demonstrating good positioning of the new right sided implant.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a5e50243-5052-4fe7-a9d4-15d8042acae4/Ace+Fem+Pri+L1.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/74c384e3-0612-40b8-aee3-52871f28d711/image-asset+%287%29.png</image:loc>
      <image:title>Cases - CASE 2: Robotic assisted primary hip replacement, with post-operative CT to check the 3D implant position - Anteroposterior plain radiograph demonstrating superior destruction of the right acetabulum with bone on bone contact secondary to loss of cartilage.</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-an-infected-hip-implant-with-pelvic-discontinuity-using-a-custom-triflange-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5f93de75-aa20-4a83-8114-832ec5471741/Post-op%2Bfirst%2Bstage%2BAP.png</image:loc>
      <image:title>Cases - CASE 3: Revision of an infected hip implant with pelvic discontinuity, using a custom triflange cup - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph taken after the first stage of Tanveet’s treatment. This demonstrates a cemented spacer in situ with a large METS head. Note the staples.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5ffc31e2-8376-495d-8d32-138e969c7cbe/Ace+Rev+L7+copy+4.png</image:loc>
      <image:title>Cases - CASE 3: Revision of an infected hip implant with pelvic discontinuity, using a custom triflange cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/21745c8f-f7da-41fc-bb97-cc889b54d10e/Pre-op%2BAP.png</image:loc>
      <image:title>Cases - CASE 3: Revision of an infected hip implant with pelvic discontinuity, using a custom triflange cup - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrated an uncemented left hip replacement with evidence of a subtrochanteric osteotomy. A fracture of the pelvic floor is present which has not healed.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/cd9d0ca2-0a73-4909-841a-22244f7d8a6c/Plan%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 3: Revision of an infected hip implant with pelvic discontinuity, using a custom triflange cup - Make it stand out</image:title>
      <image:caption>Planning image produced from the pre-operative CT demonstrating the design of the custom multiflange cup</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e04f1050-4bef-4427-9ed2-ff8820072b09/Pre-op%2BCT%2Breconstruction.png</image:loc>
      <image:title>Cases - CASE 3: Revision of an infected hip implant with pelvic discontinuity, using a custom triflange cup - Make it stand out</image:title>
      <image:caption>3D CT reconstruction further helped to characterise the bony pelvis surrounding the implant. Despite the metal artefact, the CT demonstrated pelvic discontinuity.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/0ee6de7e-069a-45d1-b8a0-06034cc3043e/image-asset.png</image:loc>
      <image:title>Cases - CASE 3: Revision of an infected hip implant with pelvic discontinuity, using a custom triflange cup - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph taken three and a half years after the second stage of Tanveet’s reconstruction. The acetabular construct remains stable.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/2c39d00b-8185-4bbc-8851-f1a30de40a25/Post-op%2Bstage%2Btwo%2BAP%2Bimmediate%2Bnot%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 3: Revision of an infected hip implant with pelvic discontinuity, using a custom triflange cup - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph taken immediately after the second stage of Tanveet’s procedure. The new CAD-CAM flanged cup is in situ and is being used to maintain pelvic stability as well as provide a new acetabulum. Multiple screws have been used to achieve a solid initial fixation.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-metal-on-metal-hip-with-leg-shortening-using-a-cup-augment</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1b668645-ac3d-4dd9-a6a6-68e8d1cfaad8/image-asset-1.png</image:loc>
      <image:title>Cases - CASE 4: Revision of a metal-on-metal hip with leg shortening using a cup augment - Make it stand out</image:title>
      <image:caption>Long leg plain radiograph showing that the patients leg length discrepancy has been corrected by revision surgery.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d7e140d8-71bb-488b-9a5d-473199799c59/image-asset.png</image:loc>
      <image:title>Cases - CASE 4: Revision of a metal-on-metal hip with leg shortening using a cup augment - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis shows a Corail stem and Pinnacle Gription acetabular socket with superior augment. The centre of rotation of the and cup angles have been optimised. A ceramic-on-polyethylene bearing surface was used.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/801ce443-da1c-4e5a-bc11-5f0e0d288744/Picture3.png</image:loc>
      <image:title>Cases - CASE 4: Revision of a metal-on-metal hip with leg shortening using a cup augment - Make it stand out</image:title>
      <image:caption>Augment allows the surgeon to reconstruct a socket that has poor underlying bone stock.  It is secured to the bone by screws, and acts as a buttress for the acetabular cup to fit in against.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/75112e24-97cf-47c4-9169-6ac73666b4b4/EXP0000.jpg</image:loc>
      <image:title>Cases - CASE 4: Revision of a metal-on-metal hip with leg shortening using a cup augment - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph taken at one year after Steven’s operation showing that the augment and the cup have not migrated or rotated.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1852fbb8-7e56-4f41-bfae-c73695f9a80b/Ace+Rev+L5+copy+2.png</image:loc>
      <image:title>Cases - CASE 4: Revision of a metal-on-metal hip with leg shortening using a cup augment - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/027ada37-5ea2-400d-86d5-c328bb024ff1/Pre-op%2BAP.png</image:loc>
      <image:title>Cases - CASE 4: Revision of a metal-on-metal hip with leg shortening using a cup augment - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis showing a well fixed Birmingham right hip resurfacing. The right component is slightly large and the cup inclination is low at 22 degrees. A CT scan revealed that the cup was anteverted at 40 degrees.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-for-implant-wear-of-the-polyethylene-liner-with-very-high-blood-titanium-levels</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/27ee8181-dff5-428a-82a4-5d2ba9fb145a/Ace+Rev+L4+copy+2.png</image:loc>
      <image:title>Cases - CASE 5: Revision for implant wear of the polyethylene liner with very high blood titanium levels - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a2d928fe-3c43-4d88-baab-46b559e277b7/Post-op%2BAP%2Bpelvis.png</image:loc>
      <image:title>Cases - CASE 5: Revision for implant wear of the polyethylene liner with very high blood titanium levels - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis demonstrating the bilateral revision with acetabular bone graft on the right hand side.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/f45371a1-18c7-46b1-9f98-3c36679da5d6/Pre-op%2BCoronal%2BCT.png</image:loc>
      <image:title>Cases - CASE 5: Revision for implant wear of the polyethylene liner with very high blood titanium levels - Make it stand out</image:title>
      <image:caption>Coronal CT demonstrates evidence of acetabular loosening with a periprosthetic lucency surrounding the superior acetabulum. Osteolysis is seen over the greater trochanter with fragmentation and surrounding heterotopic ossification (calcification of the surrounding soft tissue). Degenerative changes are seen in the left hip with subchondral cysts and a cortical breach. There is also some lumbrosacral degeneration.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/2cb52bbe-d3ba-4c49-80cc-fe02fc45024c/AP%2Bpelvis%2Bpre-op%2Bradiograph.png</image:loc>
      <image:title>Cases - CASE 5: Revision for implant wear of the polyethylene liner with very high blood titanium levels - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating a cracked right polyethylene liner within a titanium shell. The head is bearing onto the titanium shell.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/31ce110f-3f62-4075-bb54-20ee4bebe540/Post-op%2BCTL%2Bpelvis.png</image:loc>
      <image:title>Cases - CASE 5: Revision for implant wear of the polyethylene liner with very high blood titanium levels - Make it stand out</image:title>
      <image:caption>Lateral plain radiographs of the pelvis demonstrating the jumbo acetabular cup in situ with a long Restoration stem.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/0caf14c3-ed3f-490c-947c-8cb82e92b018/Pre-op%2BEOS%2Bsitting.png</image:loc>
      <image:title>Cases - CASE 5: Revision for implant wear of the polyethylene liner with very high blood titanium levels - Make it stand out</image:title>
      <image:caption>EOS scan showing the articulation of the femoral head within the titanium shell when Camila is sitting.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/24ef2011-3456-4bf3-91f9-3beafb12e9b8/Pre-op%2BMRI.png</image:loc>
      <image:title>Cases - CASE 5: Revision for implant wear of the polyethylene liner with very high blood titanium levels - Make it stand out</image:title>
      <image:caption>Coronal MRI demonstrates the femoral head articulating with the titanium cup. The MRI shows a small joint effusion with good surrounding musculature. Bony erosion of both the anterior and posterior columns of the pelvis and the anterior portion of the greater trochanter is seen on the right side.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-metal-on-metal-hip-using-bone-graft-and-a-porous-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4764ac54-fe01-4b3b-95be-8168ed098f69/Anteroposterior+plain+radiograph+-+SEVERE+ACETABULAR+AND+FEMORAL+OSTEOLYSIS+AROUND+RIGHT+HIP+AND+SOME+AROUND+THE+LEFT+HIP.png</image:loc>
      <image:title>Cases - CASE 6: Revision of a metal-on-metal hip using bone graft and a porous cup - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating bilateral metal on metal Birmingham hip resurfacings. There is osteolysis surrounding both of the implants, which was better quantified on the computer tomography (CT) scan.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/461741b3-e74f-4d7c-91ab-4cb7b6ce1ba1/Anteroposterior+plain+radiograph.png</image:loc>
      <image:title>Cases - CASE 6: Revision of a metal-on-metal hip using bone graft and a porous cup - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis demonstrating the bilateral revision with acetabular bone graft on the right hand side.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/564132fe-8609-42db-989f-c53491cfefde/Axial+CT.png</image:loc>
      <image:title>Cases - CASE 6: Revision of a metal-on-metal hip using bone graft and a porous cup - Make it stand out</image:title>
      <image:caption>Axial CT demonstrating severe osteolysis surrounding the right acetabulum (white arrow) compared to the contralateral side. There is marked loss of trabecular bone with cortical thinning</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/3bb7b079-9fa4-4d6c-a083-f47bb322b4a3/Ace+Rev+L3+copy+2.png</image:loc>
      <image:title>Cases - CASE 6: Revision of a metal-on-metal hip using bone graft and a porous cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-painful-hip-implant-due-to-synovitis-from-wear-of-the-polyethylene-bearing</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-05-24</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/9bb521e2-eb3f-46a9-a3b0-4e8e004c6835/CHS-AK27%2B-%2BPre-op%2Blateral%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 7: Revision of a painful hip implant due to synovitis from wear of the polyethylene bearing - Make it stand out</image:title>
      <image:caption>Lateral plain radiograph of the left hip showing a slightly retroverted cup.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/0835fa16-a57a-49bc-bb57-daf51d22b04a/Anteroposterior+plain+radiograph.png</image:loc>
      <image:title>Cases - CASE 7: Revision of a painful hip implant due to synovitis from wear of the polyethylene bearing - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating bilateral highly porous hemispherical (Gription) pinnacle acetabular cups with ceramic-on-ceramic bearings. The two Furlong stems are both well fixed and well positioned.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fa476caa-0f77-45dc-ab7f-15c986b83b7f/1.png</image:loc>
      <image:title>Cases - CASE 7: Revision of a painful hip implant due to synovitis from wear of the polyethylene bearing - Make it stand out</image:title>
      <image:caption>Coronal MRI demonstrating a large amount of scar tissue around the musculature of the left hip.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/9edcb86d-d365-44d7-91dc-a999d267fc48/Ace+Rev+L2+copy+2.png</image:loc>
      <image:title>Cases - CASE 7: Revision of a painful hip implant due to synovitis from wear of the polyethylene bearing - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a0a8eaf6-45b8-4f60-9b1c-08613c1b62cb/CHS-AK27%2B-%2BPre-op%2BAP%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 7: Revision of a painful hip implant due to synovitis from wear of the polyethylene bearing - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrates well fixed and well positioned bilateral Furlong hip replacements with threaded cups. The left has a ceramic head and the right has a metallic head. There radiolucent area surrounding the left cup is artefact with no evidence of osteolysis.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-metal-on-metal-hip-for-adverse-reaction-to-metal-debris-armd-using-a-bearing-exchange</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/716fe1f2-e4c7-4b31-a670-9f7f7b1622ec/ace+rev+1.png</image:loc>
      <image:title>Cases - CASE 8: Revision of a metal-on-metal hip for adverse reaction to metal debris (ARMD) using a bearing exchange - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c4faa029-efca-42fd-ab4f-877a4e561b8c/Pre-op%2BMARS%2BMRI.png</image:loc>
      <image:title>Cases - CASE 8: Revision of a metal-on-metal hip for adverse reaction to metal debris (ARMD) using a bearing exchange - Make it stand out</image:title>
      <image:caption>EOS imaging taken 18-months after Gail’s operation. When compared to the post-operative image, there is no migration of either implant and her legs remain the same length.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c143bee0-e1c7-4505-84cb-29db761fb1a8/Pre-operative%2BAP%2BPelvis-1.png</image:loc>
      <image:title>Cases - CASE 8: Revision of a metal-on-metal hip for adverse reaction to metal debris (ARMD) using a bearing exchange - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis demonstrates bilateral well fixed and well positioned S-ROM Pinnacle MOM hip replacements. Both cups and stems appear stable and well positioned.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6ecb0768-70ce-41d8-b126-16d8f1db9720/Anteroposterior+plain+radiograph.png</image:loc>
      <image:title>Cases - CASE 8: Revision of a metal-on-metal hip for adverse reaction to metal debris (ARMD) using a bearing exchange - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating the new liner of the right THR. The head bearing surface is visible on the right side because the right acetabular liner is now made of polyethylene.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/24a270b0-2584-465a-9a56-e85387fa141b/Metal+artefact+reduction+sequence+%28MARS%29+MRI.png</image:loc>
      <image:title>Cases - CASE 8: Revision of a metal-on-metal hip for adverse reaction to metal debris (ARMD) using a bearing exchange - Make it stand out</image:title>
      <image:caption>Metal artefact reduction sequence (MARS) MRI demonstrating a large pseudotumour posterior to her right hip. This is an area of inflammation secondary to metal debris which can mimic an infective process in the absence of infection (including raised inflammatory markers, despite no infection in some cases).</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/primary-hip-replacement-with-a-massive-acetabular-defect-from-trauma-using-a-custom-3d-printed-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588239443-44V9D2JQXN8X78X07X6H/Screen%2BShot%2B2019-02-24%2Bat%2B14.40.00.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588240303-8QXU0NLJXJJYTHU6SDG6/Screen%2BShot%2B2019-02-24%2Bat%2B14.39.40.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588240582-JZO63144AV2IUJGRF18S/Screen%2BShot%2B2019-02-24%2Bat%2B14.38.59.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588239624-GJ3MBGG49QJTIFSWJVMX/COR%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588614148-CQMKIXNV7SIY68HSJFE4/Standing%2Bsquare%2Bpost-op%2BEOS.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588614225-5PPYXNOXQ3VGZ9RE75P1/Sitting%2Bsquare%2Bpost-op%2BEOS.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588131954-WVXAX3G4MZ78FT7QGQ7J/Screen%2BShot%2B2019-02-24%2Bat%2B14.36.45.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588131154-1VNUO2VE2VZHJV7HETZ6/Screen%2BShot%2B2019-02-24%2Bat%2B14.38.00.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588130284-5SSUXH3CQB24TRBW89OV/Screen%2BShot%2B2019-02-24%2Bat%2B14.35.10.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588130277-OQQQ13XMPHO6QHUOUSQO/Screen%2BShot%2B2019-02-24%2Bat%2B14.35.39.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/35ec91d6-97a7-4b2d-a46d-cc2059e9878a/Pre-op%2BAP%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588453499-Y7H3CT0QTWHX8YFD9ELE/Post-op%2BAP%2Bradiograph%2Bacetabular%2Bview.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588452733-7PU2TT4VOD9KIWJGWIIK/Post-op%2BAP%2Bradiograph%2Bfemoral%2Bstem%2Bview.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588452513-JPKDKDA4FWVLS7S07GGU/Post-op%2BCTL%2Bradiograph.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588680802-K3DA5IJP15DQC8D5AVRM/Post-op%2BCTL%2BJanuary%2B2019%2B%286-months%29%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588680832-UHXCBM51YQZZIG6K1RFE/Post-op%2BAP%2BJanuary%2B2019%2B%286-months%29%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/493d9acd-101c-4264-a204-609c2218e54e/Ace+Pri+L4+copy.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/faa2b27e-85e9-4157-a1a8-0fdc0b3b2fd4/Pre-op%2BCTL%2Bleft%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682588044806-YWTBDCGFYRES2IFVR01T/EXP0080.jpg</image:loc>
      <image:title>Cases - CASE 9: Primary hip replacement with a massive acetabular defect from trauma, using a custom 3D-printed cup</image:title>
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      <image:title>Cases - CASE 10: Revision of a metal on metal hip with massive acetabular osteolysis and previous femoral osteotomy using a custom 3D-printed cup in a mid-life woman - Make it stand out</image:title>
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      <image:title>Cases - CASE 10: Revision of a metal on metal hip with massive acetabular osteolysis and previous femoral osteotomy using a custom 3D-printed cup in a mid-life woman - Make it stand out</image:title>
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      <image:title>Cases - CASE 10: Revision of a metal on metal hip with massive acetabular osteolysis and previous femoral osteotomy using a custom 3D-printed cup in a mid-life woman - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-loose-cup-due-to-massive-circumferential-acetabular-osteolysis-from-polyethylene-wear-using-a-custom-3d-printed-cup-1</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-08</lastmod>
    <image:image>
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      <image:title>Cases - CASE 11: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682581699418-85AZBAEIF8O7YIHO12OE/Right%2BHemipelvis%2BDefect.png</image:loc>
      <image:title>Cases - CASE 11: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup</image:title>
    </image:image>
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      <image:title>Cases - CASE 11: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup</image:title>
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      <image:title>Cases - CASE 11: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d664a6c1-508b-4d72-9a16-116cecd81185/1507812371169.png</image:loc>
      <image:title>Cases - CASE 11: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>This image shows the structure of the 3D printed trabecular titanium metal used to produce these implants. This is designed to contact the bone to allow for bony ingrowth to occur</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e936e5f5-cc32-4146-84b8-0264d55efe67/Pre-op%2BSquare%2BAP%2BRadiograph.png</image:loc>
      <image:title>Cases - CASE 11: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Pre-Op Radiograph shows loosening of both acetabular components. From the radiograph it is difficult to gauge the size of the acetabular defect</image:caption>
    </image:image>
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  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-loose-acetabulum-due-to-adverse-reaction-to-metal-debris-using-a-custom-3d-printed-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c2c1855f-2a1a-45ec-a6a7-cd39e3cbdadc/Square%2Bpre-op%2BSeptember%2B2013.png</image:loc>
      <image:title>Cases - CASE 12: Revision of a loose acetabulum due to adverse reaction to metal debris, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1a4d0c60-8486-461e-a6c6-1bdd63822348/Hemipelvic%2Bdefect.png</image:loc>
      <image:title>Cases - CASE 12: Revision of a loose acetabulum due to adverse reaction to metal debris, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Hemipelvic defect - This is a 3D model of the patients hemipelvis, which has been reconstructed from the CT scan shown above. This gives a better idea to both the biomechanics engineer and the surgeon about the size of the defect they are working with and allows them to design an implant to reconstruct the acetabulum.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/bc32f537-3f26-4622-a6ba-f62ce1d57f1f/Square%2Bpost-op%2B6-weeks.png</image:loc>
      <image:title>Cases - CASE 12: Revision of a loose acetabulum due to adverse reaction to metal debris, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>This radiograph was taken after the first stage operation, where the acetabular component was removed along with the femoral head from the revision stem</image:caption>
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      <image:caption>This image shows the structure of the 3D printed trabecular titanium metal used to produce these implants. This is designed to contact the bone to allow for bony ingrowth to occur</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Cases - CASE 13: Revision of a loose acetabulum with pelvic discontinuity due to polyethlene osteolysis, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 13: Revision of a loose acetabulum with pelvic discontinuity due to polyethlene osteolysis, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 13: Revision of a loose acetabulum with pelvic discontinuity due to polyethlene osteolysis, using a custom 3D printed cup</image:title>
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      <image:title>Cases - CASE 13: Revision of a loose acetabulum with pelvic discontinuity due to polyethlene osteolysis, using a custom 3D printed cup</image:title>
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  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-recurrently-dislocating-hip-with-large-acetabular-defect-using-a-custom-3d-printed-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5ffc31e2-8376-495d-8d32-138e969c7cbe/Ace+Rev+L7+copy+4.png</image:loc>
      <image:title>Cases - CASE 14: Revision of a recurrently dislocating hip with large acetabular defect, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b34e2a10-ca2c-4bbe-9a14-3f88519debf1/Sqaure%2Bpost-op%2B3D%2Bmodel.png</image:loc>
      <image:title>Cases - CASE 14: Revision of a recurrently dislocating hip with large acetabular defect, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>3D reconstruction of implant in pelvis - This is a 3D reconstruction produced from the post-operative CT scan shown to the right. The opacity of the pelvis has been reduced to highlight the custom implant and femoral stem. Note the metal artefact surrounding the right femur due to femoral fracture plate</image:caption>
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      <image:title>Cases - CASE 14: Revision of a recurrently dislocating hip with large acetabular defect, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/55510296-e122-4b7e-b57f-b4e88ab01bb7/Defect%2Bpelvis%2Band%2Bfemur.png</image:loc>
      <image:title>Cases - CASE 14: Revision of a recurrently dislocating hip with large acetabular defect, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/28d54eae-f97f-458f-9b27-833d98a6f2f2/Square%2B2%2Bmonths%2Bpost%2Bop%2Bradiograph.png</image:loc>
      <image:title>Cases - CASE 14: Revision of a recurrently dislocating hip with large acetabular defect, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Post-operative AP radiograph taken at the patient's 6-week follow-up review. The implant hasn't moved and is still sitting in an optimal position</image:caption>
    </image:image>
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      <image:title>Cases - CASE 14: Revision of a recurrently dislocating hip with large acetabular defect, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Post-op radiograph shows the custom made Trabecular Titanium implant in situ within the pelvis, taken directly post-operatively. This shows a good initial position of the implant</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5cce9ef4-5998-483e-82f9-e97b8ceea721/Defect%2Bhemi%2Bpelvis.png</image:loc>
      <image:title>Cases - CASE 14: Revision of a recurrently dislocating hip with large acetabular defect, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682516760816-1JWB0UIA4WYMXUXWYA26/Picture32.png</image:loc>
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      <image:caption>This image shows the Trabecular Titanium used with these implants. In order to manufacture this structure, rapid prototyping, better known as 3D printing is utilised. This is made using electron beam sintering, which means the structure is continuous. The pores within the material have been shown to encourage bony ingrowth</image:caption>
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      <image:title>Cases - CASE 14: Revision of a recurrently dislocating hip with large acetabular defect, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>A pre-operative scannogram demonstrating the dislocation of the right implant from the constrained acetabular liner</image:caption>
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  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-loose-cup-due-to-massive-circumferential-acetabular-osteolysis-from-polyethylene-wear-using-a-custom-3d-printed-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
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      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>A pre-operative radiograph demonstrating the medial migration of the acetabular cup into the pelvis</image:caption>
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      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Post-op radiograph - This is the immediate post-operative radiograph with the large acetabular implant in situ</image:caption>
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      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/30895a0d-e9e6-498c-ac92-c76adf4fccaf/Pre-op%2Bdefect%2Btwo.png</image:loc>
      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682509594538-M0YX89L1NUQZ63WTJ0KB/Implant%2Bin%2Bpelvis%2B1.png</image:loc>
      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682509594308-IMM2UCSLLEPF29587MTF/Implant%2Bin%2Bpelvis%2B2.png</image:loc>
      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682509593577-WNL157HCKZ1OOMQ0VG23/Implant.png</image:loc>
      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682509593527-7XFHL45M04H4E5I736RR/Implant%2B2.png</image:loc>
      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fa3d3633-8989-48e7-b209-97c40dbfc506/S7C2+6.png</image:loc>
      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>This image shows the 3D printed trabecular titanium material in detail</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b5c732d6-48f8-4e36-98fa-f614aeee75b9/Square%2Bpost-op%2B2%2Bmonths.png</image:loc>
      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/58afb131-bd38-4a82-9f37-b9f291fd6a47/Pre-op%2Bdefect.png</image:loc>
      <image:title>Cases - CASE 15: Revision of a loose cup due to massive circumferential acetabular osteolysis from polyethylene wear, using a custom 3D-printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/proximal-femoral-replacement-and-a-custom-3d-printed-acetabulum-for-severe-adverse-reaction-to-metal-debris</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/26102186-afd7-4f95-bd9c-f7a141fc38ef/image-asset+%2811%29.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>Anteroposterior radiograph of the pelvis from September 2016. The metal work has been removed on the right side.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c3774d86-63ef-4ed5-9755-30003b200c16/image-asset+%288%29.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a5075d85-c12f-41bb-b114-fe7539e0fc1e/image-asset+%2813%29.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>3D Reconstruction This is a computer generated 3D reconstruction of the proximal femoral replacement and custom acetabular implant in situ, produced from the post-operative computer tomography scan.</image:caption>
    </image:image>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>This 3D model of the patient’s right hemipelvis has been recreated from the post-operative first stage computer tomography scan demonstrating a Paprosky 3B pelvic defect.</image:caption>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/34497812-70c8-4d17-aef9-cb925b4a879f/Fem+Rev+L6+copy.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682365874031-CZV3Q2SE2RHUYE9AQSUZ/Post-op%2Blateral%2Bhigh%2Bquality%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682365874117-EOD5PSZX510PZC3MVP8J/Post-op%2Bhigh%2Bquality%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d79e1853-18ae-410b-8027-fff2a4e143a9/Screen%2BShot%2B2017-07-24%2Bat%2B16.20.19.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ccf1c452-64ea-44b9-b7f9-a62c2c924e53/image-asset+%2810%29.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/7a5f5f10-65a2-4f14-856c-61c646814f39/Post-op%2BEOS.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>Post-Op EOS Scan This is a full body post operative EOS scan which demonstrates the standing functional position of the implant.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/13609f79-3a35-4d9b-a587-1ccccf96c644/image-asset+%289%29.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682365514653-7SZL1E00SSZ2CMUEIYPL/Screen%2BShot%2B2017-07-24%2Bat%2B13.32.27.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
    </image:image>
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      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682365513897-25UIH44XMB6BW6AI9DQ0/Screen%2BShot%2B2017-07-24%2Bat%2B13.31.12.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682365513751-9LY0XPXE10LYMWN76G0F/Screen%2BShot%2B2017-07-24%2Bat%2B13.29.54.png</image:loc>
      <image:title>Cases - CASE 16: Proximal femoral replacement and a custom 3D-printed acetabulum, for severe adverse reaction to metal debris</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-surgery-for-a-dislocating-hip-replacement-using-a-modular-taper-fluted-stem</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-05-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ce862ef3-896f-4d6d-bd7b-980419299a64/image-asset+%285%29.png</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>The dissection of the dead tissue. An adverse reaction to the metal debris, released at the trunnion interface between the stem and the head of her original meta-on-polyethylene total hip replacement has caused this.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d980b6b8-5548-490c-9587-b8e7240cd925/image-asset+%284%29.png</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d5f9f0e6-dba1-4a96-bad8-857e64a78661/Fem+Rev+L4+copy.png</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363682018-DUKX77HALUQSFANU9GAW/IM-0001-0028.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363682929-R989983CEUFLIAUXFG26/IM-0001-0025.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363683588-X7VZRCNS4V3WZECKPT7F/IM-0001-0024.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363683656-GPVA9A8M828V6XY6SACL/IM-0001-0023.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363684468-ACSOVE1JSKA7GCYE5LX2/IM-0001-0022.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363686469-08VLK3XFTKF1IMXXERGN/IM-0001-0017.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363686812-ON94SE6751R3EYSLQ9PO/IM-0001-0016.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363687191-E89ZBWP20WPY1KBAGOK9/IM-0001-0015.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363687580-KI2L501SS1MQQI580126/IM-0001-0014.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363687924-KBJVBSUW4B19GG6C3RAO/IM-0001-0013.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363688411-2EUUCJKKDMG86HNSE6YQ/IM-0001-0012.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363688718-DVNGZLUX6XSS4SC25DZT/IM-0001-0011.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363689280-H40GVQIAPANVSBG61CGL/IM-0001-0010.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363689517-405MF7VKQIQ7NJKVN55C/IM-0001-0009.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363690233-QD2JBP1T9YKWC35V1ZZQ/IM-0001-0008.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363690335-CW30N4DXZTERE5ESO15P/IM-0001-0007.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682363690988-1EPBDLUU6DHDJ1C3O1KX/IM-0001-0006.jpg</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/7b9440df-cb2a-4922-93ec-041a0a3cf1de/image-asset+%287%29.png</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>This is the post-operative anteroposterior radiograph showing a long revision femoral stem with the head articulating in a dual mobility liner. An extended femoral trochanteric osteotomy was utilised to explant the old femoral stem, which is held with a plate and wires.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6df33232-53bf-4dd5-8ae0-f0a2a43e2737/image-asset+%286%29.png</image:loc>
      <image:title>Cases - CASE 17: Revision surgery for a dislocating hip replacement, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>The removed tissue.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-surgery-for-an-infected-and-well-fixed-hip-using-a-modular-taper-fluted-stem</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-05-24</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/78df7be1-c31a-457e-b627-d3de7e3552a7/Post-op%2Bfeb%2B2018%2BAP%2Bsquare%2B2.png</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1dc9c31d-42d9-46fd-b66e-aa9bb769fb93/Post-op%2BCTL%2Boctober%2B2018%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1f2942fc-84a2-4cd7-bec5-d40a3ee42050/Fem+Rev+L4+copy.png</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b8e437af-6193-4659-8f09-6363ecca24c9/Pre-op%2Bsquare%2BAP.jpg</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d832a67a-7174-4499-9655-7371894e0556/Post-op%2Bfeb%2B2018%2BCTL%2Bsquare%2B2.png</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1affe4af-a173-4795-9a1c-91049b6ef947/Post-op%2Bfeb%2B2018%2BCTL%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ff5bf3fe-92dc-4132-9de8-62c77cc9c4cd/Post-op%2BAP%2Boctober%2B2018%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4490d0f1-ab4d-47ee-9845-ac60b8dbe243/Post-op%2Bfeb%2B2018%2BAP%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/0cd893e6-aef2-4c67-9482-fa7bbdfe6568/Pre-op%2Bsquare%2BCTL.jpg</image:loc>
      <image:title>Cases - CASE 18: Revision surgery for an infected and well-fixed hip, using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/complex-primary-hip-replacement-for-severe-crowe-grade-4-hip-dysplasia-in-a-mid-life-woman</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-05-22</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/52d9f5e9-0354-4f10-9aff-9eb6f5d43dd9/image-asset+%282%29.png</image:loc>
      <image:title>Cases - CASE 19: Complex primary hip replacement for severe (Crowe Grade 4) hip dysplasia in a mid-life woman - Make it stand out</image:title>
      <image:caption>Long leg radiograph to allow the surgeon to determine the best method to attain a more symmetrical leg length.  In this case the hip centre needs to be brought equal to the other side, and will be achieved by use of a shortening femoral osteotomy.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/29481333-002d-421a-9072-0e053db200ad/image-asset+%283%29.png</image:loc>
      <image:title>Cases - CASE 19: Complex primary hip replacement for severe (Crowe Grade 4) hip dysplasia in a mid-life woman - Make it stand out</image:title>
      <image:caption>Image 1 (Trial components of S-ROM) This is a long modular stem, with the ability to vary the sleeve, stem length, proximal body type and head. This gives 10,398 combinations to suit the individual patient anatomy.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ae8c2cc1-8fb6-4d36-a376-8088c6e38a12/Fem+Pri+L3+copy.png</image:loc>
      <image:title>Cases - CASE 19: Complex primary hip replacement for severe (Crowe Grade 4) hip dysplasia in a mid-life woman - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e6a0522b-066c-481a-900e-d1790a0cc042/image-asset3.jpeg</image:loc>
      <image:title>Cases - CASE 19: Complex primary hip replacement for severe (Crowe Grade 4) hip dysplasia in a mid-life woman - Make it stand out</image:title>
      <image:caption>Image 3 (close-up of fluted distal segment).</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/326d6a18-842f-4a0d-8e4f-bde15b259ab4/Shortening-femoral-osteotomy.jpg</image:loc>
      <image:title>Cases - CASE 19: Complex primary hip replacement for severe (Crowe Grade 4) hip dysplasia in a mid-life woman - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/08de2d72-857b-4852-8397-c44a8728d9ca/image-asset.jpeg</image:loc>
      <image:title>Cases - CASE 19: Complex primary hip replacement for severe (Crowe Grade 4) hip dysplasia in a mid-life woman - Make it stand out</image:title>
      <image:caption>Image 2 (Final implant) The distal segment is fluted, providing stability in the distal bone.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/280b2363-8912-445c-aa59-f07c30d58794/post-op-radiograph.jpg</image:loc>
      <image:title>Cases - CASE 19: Complex primary hip replacement for severe (Crowe Grade 4) hip dysplasia in a mid-life woman - Make it stand out</image:title>
      <image:caption>Post-operative radiograph shows satisfactory positioning of the implant.  The cables help fix the osteotomy in place so that the bone heals.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b8a3ae6d-7103-4223-a19a-97ebb17ad168/CHS_LOGO_RGB.png</image:loc>
      <image:title>Cases - CASE 19: Complex primary hip replacement for severe (Crowe Grade 4) hip dysplasia in a mid-life woman - Anteroposterior plain radiograph shows developmental dysplasia of the right hip with a high hip centre.</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/proximal-femoral-replacement-following-multiple-failed-operations-to-treat-a-periprosthetic-fracture</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6d5032e1-d6c2-41c1-9588-f11d44dda067/image-asset+%285%29.png</image:loc>
      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c0120e03-c240-4442-855b-c80fc638ca30/Post-op%2BSquare%2B3.png</image:loc>
      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/34497812-70c8-4d17-aef9-cb925b4a879f/Fem+Rev+L6+copy.png</image:loc>
      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fa10da33-13be-4bfe-82d1-ac1d27248e0b/image-asset+%283%29.png</image:loc>
      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/04b38140-ae01-410a-84c1-d9afd62eda76/FOT5%2B12-month%2Bfollow-up%2Bradiograph%2BAP%2Bpelvis.png</image:loc>
      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/459322af-1a25-4faf-98ba-6393bc2824f1/image-asset.png</image:loc>
      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the left proximal femur demonstrating a break in the plate used to fix the periprosthetic fracture.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/9c58401a-870d-41de-a247-79b59e08151e/FOT5%2B12-month%2Bfollow-up%2Bradiograph%2BTFR%2Bstem.png</image:loc>
      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c731a1b6-f122-4ee7-ba11-1400f2b00909/image-asset+%281%29.png</image:loc>
      <image:title>Cases - CASE 20: Proximal femoral replacement following multiple failed operations to treat a periprosthetic fracture - Make it stand out</image:title>
      <image:caption>Lateral plain radiograph of the left proximal femur demonstrating the complexity of the reconstruction required.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/complex-primary-hip-replacement-to-reverse-an-arthrodesis-in-a-mid-life-woman</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682097946555-TOYLHQ0BD6NITZGR1WC0/5.png</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682097946525-9MHBCYBDIR5MMZP4QTXZ/4.png</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
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      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682097948505-54IU88MHX232F8V10VNW/1.png</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
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      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
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      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682097707202-SEAJ31E3D6TY6PJ427F4/3.png</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
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      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
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    <image:image>
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      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e3e26c26-abbd-4d50-8920-c8dd1b8adb17/image-asset.png</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman - Make it stand out</image:title>
      <image:caption>Trial components of the SROM</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e2738f5a-d6f0-48df-b98b-5696850c95c9/EXP0000.jpg</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph taken at Helen’s one year follow-up appointment. The implant hasn't moved from the immediate post-operative radiograph and there is evidence of bony healing.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c9552604-7b5e-4c34-afb5-6b88ccb7a9f5/Fem+Pri+L3+copy.png</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fb6593c4-e0d9-41db-915a-d7993c3c38de/Post-op%2Bimmediate%2Bradiograph.png</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph showing that the SROM is in a satisfactory position the day after her operation.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a8825ef1-5554-470e-9e1f-21e70a47cea6/CHS-OK130%2B-%2BPatient%2BTrendelenberg%2B1%2Byear%2Bafter%2Bconversion%2Bof%2Barthrodesis%2Bto%2BTHR.jpg</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman - Helen returned to our clinic one year after her procedure and with a lot of extensive physiotherapy to improve her muscle bulk, her mobility had improved massively. She was independently mobilising without any aids and her back pain had resolved. On clinical examination she had a very good range of motion and she was Trendelenburg test negative. We were both very happy with the final result.</image:title>
      <image:caption>Trendelenburg test performed when Helen returned to clinic one year after her operation. Her pelvis is level meaning the test is negative. This is a good clinical indicator that the muscle bulk around her right hip has vastly improved.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/40a052cd-f1c6-40f7-a2de-665a60ef0120/image-asset2.jpeg</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman - Final implant demonstrating a fluted distal segment for increased stability</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e6a0522b-066c-481a-900e-d1790a0cc042/image-asset3.jpeg</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman - Make it stand out</image:title>
      <image:caption>Close up of the distal stem</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fc8bb294-cc70-42b6-a76a-c6b4f8b178cf/image-asset-6.png</image:loc>
      <image:title>Cases - CASE 21: Complex primary hip replacement to reverse an arthrodesis in a mid-life woman - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating fusion of the right hip joint with an arthrodesis plate. Her left hip joint looks healthy with minimal degenerative change.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/complex-primary-hip-replacement-to-correct-extreme-leg-length-inequality</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c9552604-7b5e-4c34-afb5-6b88ccb7a9f5/Fem+Pri+L3+copy.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/89743b21-c27d-48ff-af11-6b9cbffa4bfb/Pre-operative%2Bradiograph.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating a severe deformity of the right hip, with pins in the right femur from previous surgery to repair his slipped upper femoral epiphysis.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a6e0f660-f43f-4b6c-a4cf-7ea7f1c4ced4/Screen%2BShot%2B2016-03-07%2Bat%2B09.57.28.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Long stem corail used in revision for Paprosky Type 2 &amp; 3A defects, or primary for osteoporotic bone, or very large femurs.</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/987ab362-0e57-4d08-a141-c4604d0afbca/Post-operative%2Bradiograph%2B12-months%2BAP%2Bpelvis.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiographs taken one-year after Liam’s procedure. They show that the implant hasn't moved since the post-operative image was taken.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a5f9b42d-2690-46b5-98c3-928fa2d02954/Pre%2BOp%2BLong%2BLeg.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ff3791c0-a76d-4acd-8776-44a79200b835/Sitting%2BEOS%2BSquare%2B18-months%2Bpost-op.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6cf92b3a-ea68-43e9-ba2a-16e31e37b7ba/Post-operative%2Bradiograph%2B12-months%2BCTL%2Bpelvis.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d4cc3095-8605-47b4-918f-77672aecc8a0/Standing%2BEOS%2BSquare%2B18-months%2Bpost-op.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6a958e11-670a-42c2-8258-feafe6543c53/Post%2BOp.png</image:loc>
      <image:title>Cases - CASE 22: Complex primary hip replacement to correct extreme leg length inequality - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph taken immediately after the procedure demonstrating satisfactory positioning of the long stem Corail implant. Intra-operatively, the hip was stiffer and tighter than a standard primary. the patient was happy with the leg length.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/complex-primary-hip-replacement-after-surgery-for-hip-dysplasia-in-a-mid-life-woman-using-a-primary-hip-stem</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b338865f-bc40-45a5-b0d2-91021fa082d0/image-asset.png</image:loc>
      <image:title>Cases - CASE 23: Complex primary hip replacement after surgery for hip dysplasia in a mid-life woman, using a primary hip stem - Make it stand out</image:title>
      <image:caption>A pre and post-op comparison EOS image. EOS imaging is a standing biplaner radiography system that can take full body low dose radiographs in functional positions. This can be used to assess leg length discrepancy.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/685823d8-d4e4-47c8-824c-9557011fce7f/Fem+Pri+L1+copy.png</image:loc>
      <image:title>Cases - CASE 23: Complex primary hip replacement after surgery for hip dysplasia in a mid-life woman, using a primary hip stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/bd051630-79d8-44fc-82af-33bebacd0356/Post-op%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 23: Complex primary hip replacement after surgery for hip dysplasia in a mid-life woman, using a primary hip stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the patient with a cemented C stem femoral component and a press-fit Gription Pinnacle cup with a single iliac screw.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/9f792b38-d601-4ade-88d5-dce19fec14d3/image-asset-2.png</image:loc>
      <image:title>Cases - CASE 23: Complex primary hip replacement after surgery for hip dysplasia in a mid-life woman, using a primary hip stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the patient’s pelvis shows end stage osteoarthritis in the left hip and deformity of the femoral head. The acetabular socket is in the correct place.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-well-fixed-femoral-stem-with-adverse-reaction-to-metal-debris-from-modular-neck-corrosion-using-a-non-modular-stem</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-05-22</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b87c0a4c-1247-46c5-925c-7b138d083f39/S2+C1.png</image:loc>
      <image:title>Cases - CASE 24: Revision of a well-fixed femoral stem with adverse reaction to metal debris from modular neck corrosion, using a non-modular stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of Inderpal’s pelvis demonstrating a left sided Corail stem in situ with a cable to protect the femur during impaction of a well fitting, uncemented stem into potentially vulnerable bone (after removal of a well-fixed stem).</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c5c40332-7767-493b-9be1-1e140d361555/Pre-op%2BAP%2Bsquare%2BNov%2B2014.png</image:loc>
      <image:title>Cases - CASE 24: Revision of a well-fixed femoral stem with adverse reaction to metal debris from modular neck corrosion, using a non-modular stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating bilateral hip replacements with modular necks. There is no radiographic evidence of stem loosening on either side</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/29e81c6f-4345-4bd9-bc7a-d4b7db72b3a7/2-years%2Bpost-op%2BAP.png</image:loc>
      <image:title>Cases - CASE 24: Revision of a well-fixed femoral stem with adverse reaction to metal debris from modular neck corrosion, using a non-modular stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis taken two years after the left revision procedure. Note that the right side has been revised. There is radiographic evidence of osseointegration surrounding the left sided Corail stem in Gruen zones 1, 2, 6 and 7.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5944eb6f-fc85-457f-a5a9-6da5e7feae45/Corail%2BStem.jpg</image:loc>
      <image:title>Cases - CASE 24: Revision of a well-fixed femoral stem with adverse reaction to metal debris from modular neck corrosion, using a non-modular stem - Make it stand out</image:title>
      <image:caption>Corail Stem</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/bf01beaf-c9f1-4682-8b98-6eb5d7a87af9/Fem+Rev+L1+copy.png</image:loc>
      <image:title>Cases - CASE 24: Revision of a well-fixed femoral stem with adverse reaction to metal debris from modular neck corrosion, using a non-modular stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/case-25-revision-surgery-using-custom-3d-printed-trabecular-titanium-implants-for-a-patient-with-rheumatoid-arthritis</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-07-05</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c4ffab12-88fe-46e5-8cc1-b9516b0cf33e/image-asset.jpg</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>3D model of the patients right hemipelvis. This demonstrates the scale of the acetabular defect. It has been 3D printed and then sterilised for intraoperative use.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a2660816-6b4f-477a-aa71-41c5b3176535/IMG_9703.jpeg</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>3D printed model of the hemipelvis with a 3D printed plastic prototype of the implant placed within the defect. Both are sterilised and used intraoperatively to help the surgeon picture the defect.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/3cf54298-f35e-4126-aa7b-38ad7280a8f2/Post-Op.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph showing the custom made Trabecular Titanium implant in situ within the pelvis, held in with three screws achieving a good initial fixation. The new stem has been cemented into the existing cement mantle. Note that only three of the seven planned screws were used.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/cdcc3783-f712-4e38-a589-81abe051593a/image-asset-1.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>3D reconstruction of the acetabular defect of this patient. Software was used to generate this model from his pre-operative CT scan. The 3D model makes it easier to visualise the extent of this patients large Paprosky 3B defect.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/078cc329-9f22-4c97-8780-b4362243ad27/Square%2BTT%2B2.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>Trabecular Titanium used with these implants. In order to manufacture this structure, rapid prototyping, better known as 3D printing is utilised. This is made using electron beam sintering, which means the structure is continuous. The pores within the material have been shown to encourage bony ingrowth.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/12f1831d-8932-4886-a708-225a94629a21/Screen%2BShot%2B2017-07-21%2Bat%2B14.46.59.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>Implant design - This image demonstrates the design of the custom implant, with the green highlighting areas that will be produced from trabecular titanium to encourage bone growth for implant fixation. It is designed using the 3D reconstruction of the patient's pelvis to be complementary to the patient's own defect.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/61ddb186-9f6a-4959-bc77-1a8d5da34be1/Screen%2BShot%2B2017-07-21%2Bat%2B14.46.11.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>Implant design - This image demonstrates the design of the custom implant, with the green highlighting areas that will be produced from trabecular titanium to encourage bone growth for implant fixation. It is designed using the 3D reconstruction of the patient's pelvis to be complementary to the patient's own defect.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/3b62f28e-ce03-446a-964a-f81d43f6ae48/image-asset.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph showed massive acetabular bone loss, proximal migration of the cup, erosion of the ilium by the femoral head and suspected loosening of the femoral stem.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/408d9e03-8283-400a-a0a6-8d2b3db21c78/Screen%2BShot%2B2017-07-21%2Bat%2B14.56.48.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>Implant in situ - This image demonstrates the design of the custom implant sat within a computer generated 3D model of the hemipelvis produced from a pre-operative CT.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e21ae14d-688c-4ad1-9ccb-bf985c9a51a7/3D+RECONSTRUCTION+OF+IMPLANT+IN+PELVIS.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>3D reconstruction produced from the post-operative CT scan. The opacity of the pelvis has been reduced to highlight the custom implant and femoral stem.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5ffc31e2-8376-495d-8d32-138e969c7cbe/Ace+Rev+L7+copy+4.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4d38d90c-8563-4cfe-b643-ed55972b5387/Model%2Bwith%2Bdrill%2Bguides%2B.png</image:loc>
      <image:title>Cases - CASE 25: Revision surgery using custom 3D-printed trabecular titanium implants, for a patient with rheumatoid arthritis - Make it stand out</image:title>
      <image:caption>3D printed model of the hemipelvis, prototype implant and drill guides. The drill guides are sterilised and used intraoperatively to help guide the trajectory of the screws.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-loose-cup-due-to-massive-osteolysis-from-polyethylene-wear-using-a-custom-3d-printed-cup-and-extreme-leg-length-correction</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-08-30</lastmod>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>One Year Post-Op Radiograph AP - This radiograph at one year demonstrates no implant migration. The function of the new hip joint was very good, with the patient able to walk without a leg length discrepancy.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/49c9741e-4be3-40ff-aee8-27c8a7f78d0d/Figure3.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>Five year post-operative AP radiograph – This radiograph shows no implant migration, there is direct contact between the implant and the adjacent bone confirming good fixation and stability.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ba0a3020-5721-4c13-a133-4a9f4535be6f/Figure1.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>Figure; (A) Anterior–posterior and (B) lateral views of the difference in centre of rotation between the Statistical Shape Model and the diseased hip - a significant difference in Y is observed.</image:caption>
    </image:image>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>One Year Post-Op Radiograph Lateral also demonstrates no implant migration.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ed2586b2-6dfb-4cc9-bcc0-ca2db24cf969/S7C3+1.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>Anteroposterior (AP) radiograph showed massive acetabular bone loss with superior migration of the right acetabular cup. This left the patient with a severe leg length discrepancy which is not quantifiable from this radiograph.</image:caption>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph taken post-operatively. The large custom implant is in situ filling the defect made by the superior migration of the old implant.</image:caption>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>The leg length discrepancy has been corrected using the 3D printed trabecular titanium implant</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fa3d3633-8989-48e7-b209-97c40dbfc506/S7C2+6.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>This image shows the Trabecular Titanium used with these implants. In order to manufacture this structure, rapid prototyping - better known as 3D printing - is utilised. This is made using electron beam sintering, which means the structure is continuous. The pores within the material have been shown to encourage bony ingrowth.</image:caption>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>A comparison using EOS of the pre-operative and post-operative leg length discrepancy</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5ffc31e2-8376-495d-8d32-138e969c7cbe/Ace+Rev+L7+copy+4.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682359362181-4T6POWJVT5N55WL9M0AX/Implant%2B1.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/abd09000-380a-4c99-a65f-85fef6813991/Post-op%2BEOS%2BSitting%2B.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>EOS image - a post operative sitting EOS image with the implant in situ.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/bab81f1b-31c1-45e8-842e-8ffd60dce36a/S7C3+2.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>Pre-op EOS - an EOS image of the patient sitting (in a functional position). This again highlights the superior migration of the implant.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/81bc7536-750b-49f6-af19-316901c99e8b/S7C3+3.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682359094121-TTWBS7C5QNO94EJDX9WO/EXP0055.jpg</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682359094717-YD8V0Z0W7TO4U415TDC1/EXP0050.jpg</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682359094894-U0JBVC3JTQLBXO8OH6MB/EXP0045.jpg</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/124d9b53-deff-4f1e-9f5e-5a011607b47f/Figure2.png</image:loc>
      <image:title>Cases - CASE 26: Revision of a loose cup due to massive osteolysis from polyethylene wear, using a custom 3D-printed cup and extreme leg length correction - Make it stand out</image:title>
      <image:caption>Three-dimensional models of the case showing the planned position of the component (green) and the post-operative location of the component (blue). Accurate pre-op planning and the adoption of custom 3D printed implants are viable options in the reconstruction of massive Paprosky-type acetabular defects showing promising short-and medium-term results in complex hip revision surgery. Although challenging, LLD and gait abnormalities can be greatly improved with the aid of accurate surgical planning. Surgeons and engineers should consider the integration of EOS imaging in surgical planning of reconstruction of large acetabular defects.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-loose-cup-due-to-massive-superior-acetabular-osteolysis-from-polyethylene-wear-using-a-custom-3d-printed-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fa3d3633-8989-48e7-b209-97c40dbfc506/S7C2+6.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>This image shows the Trabecular Titanium used with these implants. In order to manufacture this structure, rapid prototyping, better known as 3D printing is utilised. This is made using electron beam sintering, which means the structure is continuous. The pores within the material have been shown to encourage bony ingrowth.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/7bce0185-38c7-4e56-9cbf-05a3172fa519/S7C2+7.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph This is the post-operative AP plane film radiograph. The large custom implant is in situ with its superior and inferior flange.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5ffc31e2-8376-495d-8d32-138e969c7cbe/Ace+Rev+L7+copy+4.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/9b379e23-63fa-465e-81f0-d3279cb1ab36/S7C2+9.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/abb49819-1ca5-403e-b78c-492352c0c4de/S7C2+2.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>3D CT reconstruction - a 3D model of the patient’s left hemipelvis produced from her CT scan. This highlights the anterior column defect and erosion of the medial acetabular wall.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/cc2de777-7a33-4a30-ad75-6db3a599b9e1/S7C2+8.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/378df40d-213a-494c-8b3c-12c5cfc045d9/S7C2+1.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>Anteroposterior (AP) radiograph showed massive acetabular bone loss with superior medial migration of the left acetabular cup. The calculated centre of rotation recovery was 30mm to match the right hand side.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682084871752-IQBR1Q2CS3PLG55ROYRS/S7C2+5.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682084871961-0RENI0U0ZEO8DUS67BPS/S7C2+4.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1682084872604-EIVBXNBCBMAUVQ7SGBOI/S7C2+3.png</image:loc>
      <image:title>Cases - CASE 27: Revision of a loose cup due to massive superior acetabular osteolysis from polyethylene wear, using a custom 3D printed cup</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-loose-cup-using-an-anti-protrusio-cage</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/8716f1ed-f059-41d3-a90d-ef9450910861/image-asset.jpeg</image:loc>
      <image:title>Cases - CASE 28: Revision of a loose cup using an anti-protrusio cage - Make it stand out</image:title>
      <image:caption>Anteroposterior (AP) radiograph of both hips showing bilateral hip replacements with polyethylene liners (it is difficult to distinguish ceramic from metal heads). The right hip stem is radiographically loose with radiolucent lines in all 7 Gruen zones.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/329371a2-00d0-45e0-a9e5-d3ad50f111f7/Image.png</image:loc>
      <image:title>Cases - CASE 28: Revision of a loose cup using an anti-protrusio cage - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis post-revision. This demonstrates a left-sided anti-protrusio cage surrounded with bone graft and a cemented polyethylene cup . The stem was retained as this was well fixed.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/cb26eb8c-192c-4eef-9a6b-b1a47fae08e5/image-asset.png</image:loc>
      <image:title>Cases - CASE 28: Revision of a loose cup using an anti-protrusio cage - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis taken three years after the left hip reconstruction. There has been no migration of the cup-cage construct. Note that the right side has been revised.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/15c9d3b8-c87b-4d5d-86f6-66bf1506ef24/Pre-op%2BCT%2Bimage.jpg</image:loc>
      <image:title>Cases - CASE 28: Revision of a loose cup using an anti-protrusio cage - Make it stand out</image:title>
      <image:caption>Coronal CT demonstrated an intact posterior column on the left side.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ea9ce9be-2eea-48a6-b4a9-4d96deeb6c7b/ACE+Rev+L6.png</image:loc>
      <image:title>Cases - CASE 28: Revision of a loose cup using an anti-protrusio cage - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c5381e1a-1833-4286-9743-01950eb534e8/Square%2Bpre-op%2Blateral.jpg</image:loc>
      <image:title>Cases - CASE 28: Revision of a loose cup using an anti-protrusio cage - Make it stand out</image:title>
      <image:caption>Lateral plain radiograph of the left hip. The acetabular cage is loose and it is protruding into the pelvis. The stem on the left hand side is well fixed after her revision procedure.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/84bbc077-d8e9-4dfb-af98-47521ff748a2/DSC03949.jpg</image:loc>
      <image:title>Cases - CASE 28: Revision of a loose cup using an anti-protrusio cage - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/re-revision-of-a-intra-pelvic-cup-due-to-periprosthetic-fracture-using-a-custom-3d-printed-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1684945413478-0QLQGHGRUY961XKUARCX/Post-op%2Bpromade%2Bradiograph%2BCTL%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 29:  Re Revision of a intra-pelvic cup due to periprosthetic fracture using a custom 3D printed cup</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1684945413370-K2JGWNN2PSU15Q7ZGKZC/Post-op%2Bpromade%2Bradiograph%2BAP%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 29:  Re Revision of a intra-pelvic cup due to periprosthetic fracture using a custom 3D printed cup</image:title>
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      <image:title>Cases - CASE 29:  Re Revision of a intra-pelvic cup due to periprosthetic fracture using a custom 3D printed cup</image:title>
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      <image:title>Cases - CASE 29:  Re Revision of a intra-pelvic cup due to periprosthetic fracture using a custom 3D printed cup - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph showing collapse of the acetabular bone around the cup one day post-operatively.</image:caption>
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    <loc>https://www.complexhipsurgery.com/cases/revision-due-to-severe-adverse-reaction-to-metal-debris-armd-using-a-custom-3d-printed-cup</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/cb138350-235d-495a-8eb5-e395f32ac233/image-asset+%281%29.png</image:loc>
      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1684958665502-8LUZCWOO4G4NCYRVJME9/Picture20+%281%29.png</image:loc>
      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement</image:title>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement</image:title>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement</image:title>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement</image:title>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Above is a pre-operative long leg film. Note that there is a 4.5cm  block under the right foot.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/50aef42c-0b84-4395-8693-3b3fa1dfe2aa/image-asset+%282%29.png</image:loc>
      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Anteroposterior (AP) radiographs of the patient’s pelvis.  The top image shows a located proximal femoral replacement in a custom trial-flange-flange acetabulum. The bottom image shows that this has dislocated due to instability, causing the patient pain.</image:caption>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Anteroposterior radiograph of the pelvis from September 2016. The metal work has been removed on the right side.</image:caption>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>The METS proximal femoral replacement system is a modular proximal femoral replacement with a cemented stem and HA collar to achieve initial stability and encourage bony ingrowth.</image:caption>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement</image:title>
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      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/40e143a5-8cfa-4a10-a0ed-de09cee61f95/image-asset+%286%29.png</image:loc>
      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>This is a computer generated 3D reconstruction of the proximal femoral replacement and custom acetabular implant in situ, produced from the post-operative computer tomography scan.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/db83a5a4-ad72-4d30-bd1a-3651ae7470b6/image-asset+%285%29.png</image:loc>
      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>This 3D model of the patient’s right hemipelvis has been recreated from the post-operative first stage computer tomography scan demonstrating a Paprosky 3B pelvic defect.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/db025455-02ab-458b-af93-ad5c5250a08e/Post-op%2BEOS.png</image:loc>
      <image:title>Cases - CASE 31: Revision due to severe adverse reaction to metal debris (ARMD) using a proximal femoral replacement - Make it stand out</image:title>
      <image:caption>This is a full body post operative EOS scan which demonstrates the standing functional position of the implant.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-for-infection-using-a-non-modular-long-femoral-stem</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
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      <image:title>Cases - CASE 32: Revision for infection using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Pre-operative 3D reconstructed CT of the patient’s anatomy and implants. Image courtesy of LEXI Co., Ltd.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/9edcb86d-d365-44d7-91dc-a999d267fc48/Ace+Rev+L2+copy+2.png</image:loc>
      <image:title>Cases - CASE 32: Revision for infection using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1684960870909-I1VX2MXZ0U1SA67FFZKI/Post-op%2Bstage%2B1%2BLateral%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 32: Revision for infection using a non-modular long femoral stem</image:title>
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      <image:title>Cases - CASE 32: Revision for infection using a non-modular long femoral stem</image:title>
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      <image:title>Cases - CASE 32: Revision for infection using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph showing a well-fixed right hip replacement.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c1f6230e-919d-4eba-8399-d4b6be1c4c9a/Lexi%2BReconstruction%2BPlan%2BSquare.png</image:loc>
      <image:title>Cases - CASE 32: Revision for infection using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>3D plan of the acetabular and femoral components’ position and orientation (blue and red respectively, right side). Image courtesy of LEXI Co., Ltd.</image:caption>
    </image:image>
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    <lastmod>2023-06-14</lastmod>
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      <image:title>Cases - CASE 33: Revision for infection using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685037270738-AS7SJTSGPSTI3DX9WULW/3-months%2BPost-op%2BStage%2B2%2Blateral%2Bsquare.png</image:loc>
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      <image:title>Cases - CASE 33: Revision for infection using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Cases - CASE 33: Revision for infection using a non-modular long femoral stem</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685037229069-P9LGIQREGYXVCKCL2OZY/Post-op%2BStage%2B2%2Blateral%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 33: Revision for infection using a non-modular long femoral stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685037229042-0V79MYAUYY9NXE1QYBYD/Post-op%2BStage%2B2%2BAP%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 33: Revision for infection using a non-modular long femoral stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685036398115-CSF93GHCINV7CBB5NNNC/Pre-op%2BEOS.png</image:loc>
      <image:title>Cases - CASE 33: Revision for infection using a non-modular long femoral stem</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685036397893-NVPTYWL0J8QILX665P6M/Pre-op%2BEOS%2BSitting.png</image:loc>
      <image:title>Cases - CASE 33: Revision for infection using a non-modular long femoral stem</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-for-adverse-reaction-to-metal-debris-armd-using-a-non-modular-long-femoral-stem</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4c0c4813-3ffb-41e9-8ccb-210c044d399e/image-asset.png</image:loc>
      <image:title>Cases - CASE 34: Revision for adverse reaction to metal debris (ARMD) using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Pre-op AP Radiograph This anteroposterior (AP) pre-operative radiograph shows a well-fixed and well-sized metal on metal modular neck hip replacement with some proximal femoral osteolysis.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c5b045b5-395a-456e-8b78-986c211e8e2e/image-asset+%281%29.png</image:loc>
      <image:title>Cases - CASE 34: Revision for adverse reaction to metal debris (ARMD) using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Pre-op Lateral Radiograph shows a united fracture of the lesser trochanter, which may explain the crack the patient heard.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c6dd8457-20fb-4d2c-911b-0cdee6251789/fem+rev+2.png</image:loc>
      <image:title>Cases - CASE 34: Revision for adverse reaction to metal debris (ARMD) using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/12ac26e9-ebc2-494d-b9f8-c7e7ad6b940e/image-asset+%282%29.png</image:loc>
      <image:title>Cases - CASE 34: Revision for adverse reaction to metal debris (ARMD) using a non-modular long femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-for-infection-and-malalignment-using-a-ct-planned-femoral-stem</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d5f9f0e6-dba1-4a96-bad8-857e64a78661/Fem+Rev+L4+copy.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4a1757f1-f760-4fd7-af1b-1506e746cc49/3D%2BCT%2BPlan%2B.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ed71d896-f80d-4f03-89ad-2520f5e66d39/image-asset+%283%29.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/3ca8257b-7d16-465a-bb86-541a4ce13d4e/3D%2BCT%2BPlan.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e5b6f54c-c03f-4f96-8ed9-791ea6297203/image-asset+%287%29.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis pre-op for comparison to the post-operative radiograph. White arrow = Bone island. Red arrow = Lesser trochanters. Blue arrow = Greater trochanters.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/02d67ae3-9c7a-4b7d-8ff8-eeb2c630edd1/image-asset+%285%29.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/60c078b2-30e9-49d7-ac9a-217811429113/3D%2BCT%2BReconstruction%2B2.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a0a29bd7-fb38-4310-850e-3bda1a51d1d0/3D%2BCT%2BPlan%2B2.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/48fa89bc-cdd3-4a10-ab10-6f39b82523e4/Post-op%2BAP%2Bpelvis%2Bwith%2Barrows.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the pelvis post-op labelled with arrows. Here you can see that both the greater and lesser trochanters are sitting at the same levels bilaterally and the bony island has been shifted caudally.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/bd5f2b5f-4378-4909-ad43-943364a8e131/3D%2BCT%2BPlan+%281%29.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Planning image produced from the pre-operative CT scan for comparison to the post-operative 3D reconstruction.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e400e719-6d47-4a47-b505-c659027f5630/image-asset+%288%29.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Lateral plain radiograph of the right hip shows the healed peri-prosthetic fracture.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4afb4626-5f7a-4a2e-8c0f-06127a5d0703/3D%2BCT%2BReconstruction%2B3.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b626569a-0e7a-4270-9e4f-adb166ba8238/Post-op%2B3D%2BCT%2Breconstruction%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>3D reconstruction of post-operative CT scan demonstrated that the CT plan was achieved.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/693ad186-bf98-4404-a9fd-a160821a07b0/image-asset+%284%29.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/008a3327-fc32-4c02-b553-e6e3d25c1ade/Pre-op%2BAP%2Barrows.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/75785212-8106-47d8-85c5-e42aeed3a01b/image-asset+%286%29.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ab6f67fc-7ec5-49a5-abf0-43df6af828fd/Post-op%2BAP%2Bright%2Bhip%2Bradiograph%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 35:  Revision for infection and malalignment using a CT planned femoral stem - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of the right hip demonstrates the larger modular taper fluted stem in situ with evidence of healing of the previous peri-prosthetic fracture. Note how the cables and plate have been removed. This image shows a good position of the stem.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-for-adverse-reaction-to-metal-debris-armd-using-a-custom-internal-proximal-femoral-replacement</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/7800ab10-70d2-4e94-9a2a-a6f10cbf4712/Pre-op%2BAP%2Bpelvis%2B%28at%2Bpresentation%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Anteroposterior plain radiograph of Jim’s pelvis taken when Jim first presented to me. This radiograph was taken 3-years after Jim’s first revision (as seen on the left) and it demonstrates significant osteolysis surrounding the long cemented stem.</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4d5cb787-ee94-4537-a967-14e11e0d1d58/Post-op%2Bfirst%2Boperation%2BAP%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6dcd86e9-6fb4-4e65-9b14-ff98812f0b6b/Post-op%2Bsecond%2Boperation%2BCTL%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/7b562cd8-436d-4256-9b17-9fc97fec9265/One%2Byear%2Bpost-op%2Bfirst%2Boperation%2BCTL%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/14399e29-0468-40dd-805d-45592fa46783/image-asset+%2812%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Planning image reconstructed from the coronal CT scan. This image demonstrates the existing femoral stem within the proximal femur. The measurements have been used to work out the length of the custom internal proximal femoral replacement.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/9ca3f6e0-4824-40c3-acab-2edaf480b2eb/image-asset+%2814%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ca3bbf57-7f2b-4afd-ba51-e2bd2944fb29/image-asset+%2811%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Coronal CT used for planning and designing the custom internal proximal femoral replacement.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e8ee7741-334f-46f9-8061-04bdfda1ba8f/6-month%2Bpost%2Bsecond%2Boperation%2Bsitting%2BEOS%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e90c104b-1eec-4a02-9eef-f473d057b652/image-asset+%2813%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/3e1e57e5-582d-4a9e-8c4a-157a229555ca/Pre-op%2BAP%2Bradiograph%2Bsquare%2B%28long%2Bstem%2BCPS%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph showing Jim’s cemented long femoral stem (after revision of a large diameter stemmed MOM hip replacement). This was taken 6-weeks after the revision procedure at his local hospital. Compare this to the images to the left to see how the femur has remodelled around the cement mantle.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/23ccb8e9-8cb5-4700-b86a-871e4bf14d4e/Post-op%2Bfirst%2Boperation%2BCTL%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/cee89a8d-91d1-45d1-9bc5-3eb6284ae88b/Pre-op%2Bleft%2Bhip%2BAP%2Barrow%2B%28at%2Bpresentation%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph of Jim’s left proximal femur taken at the time of presentation. This close up image demonstrates the significant osteolysis laterally (red arrow) between the cement mantle and the endocortex of the femur.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ff061759-55a3-4e94-bc25-1fe8f4cef7ba/image-asset+%289%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4a49c2aa-b71f-4193-8e17-28b30bae3e61/One%2Byear%2Bpost-op%2Bfirst%2Boperation%2BAP%2Bdistal%2Bstem%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b205bbd0-2bfe-47d8-874b-cccac9c56a2e/Pre-op%2BCTL%2Bradiograph%2Bsquare%2Barrow%2B%28at%2Bpresentation%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Lateral plain radiograph of Jim’s left proximal femur taken at the time of presentation. There is evidence of osteolysis and fragmentation in the anterior femoral cortex in the subtrochanteric region (white arrow) which continues distally.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6d530073-a727-43ed-a29b-8249aee75341/image-asset+%2810%29.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/17352452-aed7-48f5-8f23-3838b25e81a6/fem+rev+L5.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/fde6bac4-ead7-4485-894c-3946615bae49/Plan%2B-%2BNew%2Bstem%2Bin%2Bfemur.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Planning image demonstrating the custom femoral stem within the pre-operative femur (reconstructed from the coronal CT). The CT insert within the image is there to demonstrate the footprint of the hydroxyapatite coated collar which has been designed into the stem.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/4bb588b7-a405-4a2d-b188-d43357a75184/Plan%2B-%2BNew%2Bstem.png</image:loc>
      <image:title>Cases - CASE 36: Revision for adverse reaction to metal debris (ARMD) using a custom internal proximal femoral replacement - Make it stand out</image:title>
      <image:caption>Planning image of the new custom internal proximal femoral replacement. This has been designed using the existing implant as a reference as this was well positioned despite the dead proximal femoral bone. The orange section of the stem represents areas covered in hydroxyapatite to encourage bony ingrowth.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-the-femoral-stem-for-pain-and-malalignment-causing-impingement</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c6dd8457-20fb-4d2c-911b-0cdee6251789/fem+rev+2.png</image:loc>
      <image:title>Cases - CASE 37: Revision of the femoral stem for pain and malalignment causing impingement - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a31d4d99-ccd8-43fc-811b-bad1761d3afd/image-asset+%2816%29.png</image:loc>
      <image:title>Cases - CASE 37: Revision of the femoral stem for pain and malalignment causing impingement - Make it stand out</image:title>
      <image:caption>Pre-operative anteroposterior radiograph shows satisfactory sizing, positioning and fixation of the left Birmingham hip resurfacing.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e369eeef-cf22-48af-a618-f6be5a150a7f/image-asset+%2817%29.png</image:loc>
      <image:title>Cases - CASE 37: Revision of the femoral stem for pain and malalignment causing impingement - Make it stand out</image:title>
      <image:caption>Post-operative AP radiograph shows a well-fixed, well-positioned and well-sized total hip replacement.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-for-infection-using-a-standard-cup-and-3d-printed-guides-psi-for-cup-position</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/41d78fee-0404-498e-9ffb-bd14aaed9c1a/image-asset+%2819%29.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position - Make it stand out</image:title>
      <image:caption>Post-operative AP radiograph from the first stage of this patient’s revision..</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a6e87b76-7b96-4d30-8767-decf23a29e2b/image-asset+%2822%29.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position - Make it stand out</image:title>
      <image:caption>This is a post-operative AP radiograph from the second stage of this patient’s revision surgery.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685088300547-K7V8OJY2RTBPP7DBLDVO/Acetabular%2BPSI%2Bsquare%2B1.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685088299200-UR7I8IX253TWFBPP9T5Z/Acetabular%2BPSI%2Bsquare%2B2.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685088299260-9XI3YRXWO6SY0K07PUNM/Acetabular%2BPSI%2Bsquare%2B3.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/308f8f68-2249-4be4-b11a-ad769b60bc14/image-asset+%2818%29.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position - Make it stand out</image:title>
      <image:caption>Pre-operative anteroposterior (AP) radiograph of the patient’s pelvis demonstrating bilateral hip replacements. On the right side there is significant bone loss of the proximal femur and greater trochanter. Osteolysis is also present around the uncemented acetabulum and its screws. There is eccentric wear of the polyethylene liner.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/20ca02b9-8cc3-422e-833f-6e880388b6d2/image-asset+%2820%29.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position - Make it stand out</image:title>
      <image:caption>Post-operative scannogram from the first stage of the revision. This is a summary of the CT that was used by the PSI company to plan the surgery and design the patient specific instruments.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/57fd224f-6836-4dc8-a67c-90756f08dfa7/image-asset+%2821%29.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position - Make it stand out</image:title>
      <image:caption>Photo of a PSI acetabular jig sat in a 3D printed model of the patient’s acetabulum. The jig is custom made to fit into the patient’s own acetabulum. The left hand arrow shows the points where the jig is complimentary to the patient’s anatomy to get an exact fit. The right hand arrow shows the drilling guide. When the jig is sat correctly in the patient’s acetabulum, the drilling guide is used to place two pins onto the pelvic bone. A visual guide (pictured right) is then slid over these pins and aids the surgeon in getting the reaming angle correct.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/9edcb86d-d365-44d7-91dc-a999d267fc48/Ace+Rev+L2+copy+2.png</image:loc>
      <image:title>Cases - CASE 38: Revision for infection using a standard cup and 3D printed guides (PSI) for cup position - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/revision-of-a-loose-stem-using-a-modular-taper-fluted-stem</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/d5f9f0e6-dba1-4a96-bad8-857e64a78661/Fem+Rev+L4+copy.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/62495c3d-e640-4df4-9d69-2a5b1c5af769/Post-op%2BAP%2B2.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/eb3b55db-8de2-40a4-95f4-2a8cae15eea6/Post-op%2BAP%2B1.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/3752a6a8-0811-4a95-b9cf-0e8fcaab4936/image-asset+%2823%29.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>This bone scintigraphy scan demonstrates increased uptake of trace in the same areas as the SPECT CT adding to the suspicion of aseptic loosening.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/67b84cd7-8ce0-4cde-931c-f6517c1bafa8/Post-op%2BAP%2B3.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122618427-9NH6JR2XRCZFN0UM4VWI/Picture14.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122618414-ZB4C5DRK79SZ0L1VY0C5/Picture13.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122619494-NJFD8UFU8YF5B6CMLS2O/Picture12.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122619664-DXE7SRYCSDTE5WW8F5X9/Picture11.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122620496-CZXD9WZSGLV7ZH8NW95R/Picture10.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122620706-24N20LRE5TN3EFOYLCOG/Picture9.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122621706-UGVQQ3U1JEDJXUC5FXXM/Picture7.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122622476-52789ZU6MBBVG98PWKV7/Picture6.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122623045-LKRAMQ5U2Y4GVSRILTI1/Picture5.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122623467-3TLPVMAZ936MTMV7CEF1/Picture4.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122623959-BE39R6A99Q0LXH2G05XA/Picture3.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122624383-IWGS6D4JWF0PASW3HFW7/Picture2.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1685122624873-JNR5VIVIIPHWAPLGI97Z/Picture1+%281%29.png</image:loc>
      <image:title>Cases - CASE 39: Revision of a loose stem using a modular taper fluted stem</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/3d-printed-guides-for-femoral-neck-cut-and-stem-version</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-08-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/f93b0859-203b-44aa-bc34-915c4dbdf10a/Post-op%2Bboth%2Bhips%2BCTL%2Bsquare.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>Lateral plain radiograph showed good position of femoral stem and cup.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b060365e-7785-41dc-befe-5593b6d1e96c/AD%2Bpre-op%2BEOS%2B1.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>Pre-operative 3D reconstructed CT of the patient’s anatomy. Image courtesy of mediCAD®, Hectec GmbH.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/29f7c60a-8997-464a-b268-dbf7d61d963b/AD%2Bpre-+%281%29.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>EOS (standing) demonstrates Zeynep’s varus femoral necks. Biplanar low-dose EOS imaging in the standing position is used to help understand leg alignment in a functional position. Patients with varus femoral necks are at an increased risk of post-operative leg length discrepancy, so understanding their functional anatomy pre-op is vital for surgical planning.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/85af344c-db75-4fda-91fa-3efdf422ddd2/image-asset+%287%29.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>Lateral plain radiograph showed good position of femoral stem and cup.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/8a4278e2-d074-4be6-b9ca-ac29965fe0ed/Fem+rev.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/88294c9c-2bc6-4cd1-b9f7-631f1e248bd0/Pre-op%2BCT%2Bimage%2Bto%2Buse%2Bin%2Bbook%2Band%2Bwebsite.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>Coronal CT demonstrating end stage osteoarthritis in both hips. The pre-operative scan was used to plan the procedure and design the patient specific instrumentation for Zeynep’s operation. This instrumentation guides the surgeon in the femoral neck cut and the reaming angle of the acetabulum.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ea26dd83-ad28-4b2f-95cf-e27a36cc922c/image-asset+%289%29.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating both hip replacements in situ. Both are in the planned position.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/2d86e125-3fb8-4279-84d1-b8add69f20be/image-asset+%286%29.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>PSI femoral jig sat on a 3D printed model of the patient’s proximal femur. This jig is designed for the posterior surgical approach and is also complementary to the patient’s anatomy. It is used to aid in the cutting of the femoral neck, to ensure the position and the angle of the neck cut is correct. Note this is a right sided model and we are looking at the posterior aspect.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a147a0c5-0f8d-4d56-9b59-9590f85f1c1f/Left%2Bsided%2BPLAN%2B3D.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>CT plan (left) - 3D plan and ‘transparent view’ of the 3D plan demonstrating the acetabular and femoral component’s position and orientation illustrating the planned restoration of the centre of rotation. Images courtesy of mediCAD, Hectec GmbH.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/da1b9928-f7bb-47ea-a779-bbf7529a0d65/AD%2BEOS%2BPre-op.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>EOS (sitting) was ordered pre-operatively to help plan the procedure. The lateral image is used to assess the spinopelvic alignment in a sitting position.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e58141ad-da77-4225-8fb3-fff82f6065a5/Femral%2BPSI%2Bsquare%2B1.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>PSI femoral jig (intraoperative image 1) - This image shows the placement of the femoral jig on the posterior aspect of the proximal femur.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/cb885fc5-73e4-4358-92f6-34a3cafc377d/image-asset+%288%29.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>PSI femoral jig (intraoperative image 2) - This image shows the jig, pinned in place, being used as a cutting guide to remove the femoral head.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b1c9cc17-f817-4285-a35d-8633fea97090/Right%2Bsided%2BPLAN%2B3D.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>CT plan (right) - 3D plan and ‘transparent view’ of the 3D plan demonstrating the acetabular and femoral component’s position and orientation illustrating the planned restoration of the centre of rotation. Images courtesy of mediCAD, Hectec GmbH</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/437dde87-c1c4-4766-946c-4b079ffe91f3/Femral%2BPSI%2Bsquare%2B3.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>PSI femoral jig (intraoperative image 3) - Image three shows the femoral head being removed with the jig attached.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/7dc8d476-8952-4da3-b0b9-efc82d9b2b9a/Pre-op%2BAP%2BSquare.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph demonstrating the left total hip replacement in situ. The position of the implant is good.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/b23495c4-9791-490e-9a5f-23d713ddc59e/PvA%2Bsqaure.png</image:loc>
      <image:title>Cases - CASE 40: 3D printed guides for femoral neck cut and stem version - Make it stand out</image:title>
      <image:caption>Post-operative 3D CT reconstruction showed accurate reconstruction of horizontal and femoral offsets.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/using-3d-printed-guides-to-next-generation-3d-printed-cup-for-a-complex-acetabular-defect-due-to-osteolysis-from-a-metal-on-metal-hip</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a2269cf3-01ab-475d-896e-297e3a217a90/Picture1.png</image:loc>
      <image:title>Cases - CASE 41: Next generation 3D printed cup for a complex acetabular defect due to osteolysis from a metal on metal hip - Make it stand out</image:title>
      <image:caption>Axial CT view demonstrating severe osteolysis (red arrows)</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/85a4ccce-1a19-422d-a616-cd1947da4695/Picture5.png</image:loc>
      <image:title>Cases - CASE 41: Next generation 3D printed cup for a complex acetabular defect due to osteolysis from a metal on metal hip - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5ffc31e2-8376-495d-8d32-138e969c7cbe/Ace+Rev+L7+copy+4.png</image:loc>
      <image:title>Cases - CASE 41: Next generation 3D printed cup for a complex acetabular defect due to osteolysis from a metal on metal hip - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1061cb2d-7996-41b3-81a6-42e029ca70ad/Picture6.png</image:loc>
      <image:title>Cases - CASE 41: Next generation 3D printed cup for a complex acetabular defect due to osteolysis from a metal on metal hip - Make it stand out</image:title>
      <image:caption>Coronal and axial CT views of the implant in-situ.  The implant is well positioned, the centre of rotation is restored together with the vertical and horizontal offsets. The screws are all within bone.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1eb16809-cc70-4033-965d-e650518ce268/outcome.png</image:loc>
      <image:title>Cases - CASE 41: Next generation 3D printed cup for a complex acetabular defect due to osteolysis from a metal on metal hip - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/da6acdf9-e4b8-484b-8987-5eca168de4c1/Picture3.png</image:loc>
      <image:title>Cases - CASE 41: Next generation 3D printed cup for a complex acetabular defect due to osteolysis from a metal on metal hip - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/f3b6f4c8-f2ec-4978-b32b-3b463b3e450d/Picture4.png</image:loc>
      <image:title>Cases - CASE 41: Next generation 3D printed cup for a complex acetabular defect due to osteolysis from a metal on metal hip - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/ccd3963a-18ad-4713-b0e8-e285dce92d42/Picture2.png</image:loc>
      <image:title>Cases - CASE 41: Next generation 3D printed cup for a complex acetabular defect due to osteolysis from a metal on metal hip - Make it stand out</image:title>
      <image:caption>Coronal, axial and sagittal CT views demonstrating severe osteolysis surrounding the right acetabulum (red arrows) compared to the contralateral side.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/next-generation-3d-printed-cup-for-severe-acetabular-osteolysis-and-an-intact-bony-rim</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/5ffc31e2-8376-495d-8d32-138e969c7cbe/Ace+Rev+L7+copy+4.png</image:loc>
      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/0da787f3-86d4-409d-a666-d3735d22b59e/Picture9.png</image:loc>
      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Coronal, axial and sagittal CT views demonstrating severe osteolysis surrounding the left acetabulum (red arrows) compared to the contralateral side.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/c3af54ef-3eaa-4845-9f5e-47753eff6a6b/Picture8.png</image:loc>
      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/121db9e7-b7a8-4b52-87b7-b6be63c0c85b/Picture7.png</image:loc>
      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Axial CT view demonstrating severe osteolysis around the acetabulum (red arrows)</image:caption>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Anteroposterior plain radiograph taken at one year after the operation showing that the cup has not migrated.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/149e3b24-2390-4c9b-8104-2b43718e8795/Picture10.png</image:loc>
      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a6689ceb-b975-42f6-9999-d8012a44e19a/outcome1.png</image:loc>
      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Three-dimensional models of the hemipelvis showing the planned position of the component (purple) and the post-operative location of the component (green).  The achieved centre of rotation was located 2.4 mm laterally and 1.2 mm inferiorly from the centre of rotation of the plan. Analysis performed using Simpleware ScanIP (Synopsys Inc, Mountain View, USA).</image:caption>
    </image:image>
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      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/2ba227be-de61-4ad3-8067-d5b461bfa5b7/Picture13.png</image:loc>
      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/e722e557-7548-4867-a2c8-b2d21f93f529/Picture14.png</image:loc>
      <image:title>Cases - CASE 42: Next generation 3D printed cup for severe acetabular osteolysis and an intact bony rim - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/using-3d-printed-guides-to-achieve-the-best-possible-position-of-hip-replacements</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781498295-8FR53RKT6USMELG1TUS5/Picture10+%281%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781498447-3XWOUSKW9MZ1PU0HYMSV/Picture9+%281%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781499282-0GQKX272FS5M8CVJHDC0/Picture8+%282%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781499524-C0IMJP72GCJFT1JNLZ1W/Picture7+%282%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781500221-1IUCCNFJ2VVP1DZ9X73V/Picture6+%281%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781500497-IM7WXH909VGA3E6DYLOY/Picture5+%281%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781501299-JY6LK4WA0XNHT35F1P4K/Picture4+%281%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781501521-X8H50GUI7EXMFJIF8RP1/Picture3+%281%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781502296-4Q67PG3MNSIZPTH7ATVX/Picture2+%281%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689781502533-1F7CF7U33FA68JSA684O/Picture1+%282%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/52d8cee2-ffca-4620-9b75-821a0bfbde77/image-asset+%2813%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements - Make it stand out</image:title>
      <image:caption>Femoral Model and Jig This is an image of a PSI femoral jig sat on a 3D printed model of the patient’s proximal femur. This jig is designed for the posterior surgical approach, and is also complementary to the patient’s anatomy. It is used to aid in the cutting of the femoral neck, to ensure the position and the angle of the neck cut is correct.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/cda1be14-e442-47cf-94f0-41c3a6fb4e09/image-asset+%2814%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements - Make it stand out</image:title>
      <image:caption>Acetabular Model and Jig This is a photo of a PSI acetabular jig sat in a 3D printed model of the patient’s acetabulum. The jig is custom made to fit into the patient’s own acetabulum. The left arrow shows the points where the jig is complimentary to the patient’s anatomy to get an exact fit. The right arrow shows the drilling guide. When the jig is sat correctly in the patient’s acetabulum, the drilling guide is used to place two pins onto the pelvic bone. A visual guide (pictured below) is then slid over these pins and aids the surgeon in getting the reaming angle correct.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/431f2e8e-9bfc-41a0-83d0-829b6cdab9c0/42.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/3bc024e8-7774-497e-ba9c-46a8a3bb71f0/image-asset+%2812%29.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements - Make it stand out</image:title>
      <image:caption>This is an anteroposterior radiograph showing end stage osteoarthritis of the right hip causing this patient pain and discomfort.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1689782810584-UEDT4ITNY732O172ME3C/Acetabular%2BPSI%2Bsquare%2B3.png</image:loc>
      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
    </image:image>
    <image:image>
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      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
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    <image:image>
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      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
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      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements</image:title>
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      <image:title>Cases - CASE 43: Using 3D printed guides to achieve the best possible position of hip replacements - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/category/Acetabular+Reconstruction</loc>
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    <priority>0.5</priority>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/cases/category/Primary+Surgery</loc>
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  </url>
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    <loc>https://www.complexhipsurgery.com/cases/category/Revision+Surgery</loc>
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  <url>
    <loc>https://www.complexhipsurgery.com/cases/category/Femoral+Reconstruction</loc>
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  <url>
    <loc>https://www.complexhipsurgery.com/cases/tag/N%2FA</loc>
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  <url>
    <loc>https://www.complexhipsurgery.com/cases/tag/Level+1</loc>
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    <loc>https://www.complexhipsurgery.com/cases/tag/Level+6</loc>
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    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-03-26</lastmod>
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  <url>
    <loc>https://www.complexhipsurgery.com/stories/tv-news-appearance-chromium-cobalt-poisoning</loc>
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    <lastmod>2025-03-26</lastmod>
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      <image:title>Stories - Hip implant poisoning on Channel 5 News - Make it stand out</image:title>
      <image:caption>Image from Channel 5 News</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/85221aed-05d8-41a6-b7e2-42e6ee861099/HIP.png</image:loc>
      <image:title>Stories - Hip implant poisoning on Channel 5 News - Make it stand out</image:title>
      <image:caption>Image from Channel 5 News</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/stories/the-immune-dynamics-of-joint-replacement</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-25</lastmod>
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      <image:title>Stories - Chronic inflammation: what next? - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/stories/why-cobalt-chromium-implants-must-be-avoided</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-25</lastmod>
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      <image:title>Stories - Why cobalt-chromium implants must be avoided. - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/stories/wonders-of-the-human-body</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-25</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/06866a6a-189d-4dcc-972b-ae8887c83161/457394578_995487212556373_220239649865677753_n.jpg</image:loc>
      <image:title>Stories - TV appearance - Michael Mosley’s Wonders of the Human Body - Make it stand out</image:title>
      <image:caption>Image from Royal Natinonal Orthopaedic Hospital NHS Trust</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/6b8767ad-c723-4366-9838-1470514dadc6/Screenshot+2024-09-03+143216.png</image:loc>
      <image:title>Stories - TV appearance - Michael Mosley’s Wonders of the Human Body - Make it stand out</image:title>
      <image:caption>image from Channel 5</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/stories/10-principles-of-hip-implant-revision-surgery</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-25</lastmod>
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      <image:title>Stories - 10 principles for revision hip surgery - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/stories/james-hip-replacement-40s</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-25</lastmod>
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      <image:title>Stories - Patient story - what does a hip replacement mean for an active lifestyle? - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1711535854792-11MAI0SKFPID40DQK3DG/image-asset.jpeg</image:loc>
      <image:title>Stories - Patient story - what does a hip replacement mean for an active lifestyle? - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/a91d9039-b7e8-4184-b802-89a11d257f15/unnamed+%281%29.jpg</image:loc>
      <image:title>Stories - Patient story - what does a hip replacement mean for an active lifestyle? - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/stories/johns-hip-replacement-revision-surgery</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-25</lastmod>
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      <image:title>Stories - Patient story - John’s hip replacement revision surgery - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d8f4e79fe58f3172047881/1709630682575-0VPH4KS7HHIHEITGOXMV/image-asset.jpeg</image:loc>
      <image:title>Stories - Patient story - John’s hip replacement revision surgery - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/stories/newly-published-research-into-the-effectiveness-of-3d-printed-implants-for-acetabular-reconstruction</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-25</lastmod>
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      <image:title>Stories - Newly published research into the effectiveness of 3D-printed implants for acetabular reconstruction - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.complexhipsurgery.com/stories/introducing-the-new-complex-hip-surgery-website</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-25</lastmod>
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