Barely Significant
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The Routine Use of Femoral Heads Sized 40 mm or Greater in Primary Total Hip Arthroplasty: A Review of Current Practice.

Arthroplast Today · 2025 · PMC12603768 · PMID 41229536

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a clear trendno p-value reported
Additionally, there is a clear trend in recent American Joint Replacement Registry reports demonstrating a steady decline in primary THA with DM articulations as routine, alongside a steady rise in large femoral head use for the same indication [ 4 , 59 ].

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an apparent trendno p-value reported
Large-diameter femoral heads in contemporary primary THA As the number of THA cases continues to rise year-on-year, registry data demonstrate an apparent trend in favor of the use of large-diameter femoral heads over the last decade [ 4 , 21 , 44 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.