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A 29-year-old man underwent cementless THA using an alumina-on-alumina bearing surface. (A) A preoperative AP radiograph shows femoral head osteonecrosis of both hips. (B) An AP radiograph was obtained immediate postoperatively. (C) The AP radiograph obtained 10.9 years postoperatively shows no radiolucent line or osteolysis around the acetabular or femoral components.
