“…In instances of extreme debris generation in titanium implants, the periprosthetic tissue had reached levels of 2.5 dry wt.% of titanium particles with random distribution of particle size and shape [6]. Resetrrcli 22 (2004) [229][230][231][232][233][234][235][236] and from wear of the high molecular weight polyethylene acetabular cup [5,10,14,29,31,36] and metal femoral head during articulation of the prosthesis [6,9,11,12,[15][16][17][18][19][20][21]23,25,27,30,[32][33][34][35]. However, in radiographs of well-fixed cementless implants, there are radiolucent areas adjacent to the distal end of the implant stem, isolated from the femoral head and acetabular cup by a proximal area of well-integrated implant-bone interface [6,22].…”