{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:45:24Z","timestamp":1792273524573,"version":"4.4.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JOIO"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1007\/s43465-026-01809-y","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:27:38Z","timestamp":1784701658000},"page":"3072-3079","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mid-term Clinical and Radiological Outcome of the BioBall Adapter System in Revision Total Hip Arthroplasty: A Retrospective Study"],"prefix":"10.1007","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0040-9689","authenticated-orcid":false,"given":"Shailendra Pratap","family":"Singh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Akansha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"issue":"2","key":"1809_CR1","doi-asserted-by":"publisher","DOI":"10.4081\/or.2011.e16","volume":"3","author":"SR Knight","year":"2011","unstructured":"Knight, S. R., Aujla, R., & Biswas, S. P. (2011). Total hip arthroplasty\u2014Over 100 years of operative history. Orthopaedics and Traumatology, 3(2), Article e16. https:\/\/doi.org\/10.4081\/or.2011.e16. Epub 2011 Nov 7.","journal-title":"Orthopaedics and Traumatology"},{"issue":"10","key":"1809_CR2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-072462","volume":"13","author":"SA Sabah","year":"2023","unstructured":"Sabah, S. A., Knight, R., Nicolson, P. J. A., Taylor, A., Kendrick, B., Alvand, A., Petrou, S., Beard, D. J., Price, A. J., & Palmer, A. J. R. (2023). Epidemiology of revision hip replacement surgery in the UK over the past 15 years\u2014An analysis from the National Joint Registry. British Medical Journal Open, 13(10), Article e072462. https:\/\/doi.org\/10.1136\/bmjopen-2023-072462","journal-title":"British Medical Journal Open"},{"key":"1809_CR3","doi-asserted-by":"publisher","first-page":"1487","DOI":"10.2106\/JBJS.D.02441","volume":"87","author":"S Kurtz","year":"2005","unstructured":"Kurtz, S., Mowat, F., Ong, K., Chan, N., Lau, E., & Halpern, M. (2005). Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. Journal of Bone and Joint Surgery. American Volume, 87, 1487\u20131497. https:\/\/doi.org\/10.2106\/JBJS.D.02441","journal-title":"Journal of Bone and Joint Surgery. American Volume"},{"issue":"12","key":"1809_CR4","doi-asserted-by":"publisher","first-page":"5199","DOI":"10.1007\/s00402-024-05379-2","volume":"144","author":"G Hauer","year":"2024","unstructured":"Hauer, G., Rasic, L., Klim, S., Leitner, L., Leithner, A., & Sadoghi, P. (2024). Septic complications are on the rise and aseptic loosening has decreased in total joint arthroplasty: An updated complication based analysis using worldwide arthroplasty registers. Archives of Orthopaedic and Trauma Surgery, 144(12), 5199\u20135204. https:\/\/doi.org\/10.1007\/s00402-024-05379-2. Epub 2024 May 25.","journal-title":"Archives of Orthopaedic and Trauma Surgery"},{"issue":"12","key":"1809_CR5","doi-asserted-by":"publisher","first-page":"1670","DOI":"10.1302\/0301-620X.102B12.BJJ-2020-0367.R1","volume":"102-B","author":"T Khan","year":"2020","unstructured":"Khan, T., Middleton, R., Alvand, A., Manktelow, A. R. J., Scammell, B. E., & Ollivere, B. J. (2020). High mortality following revision hip arthroplasty for periprosthetic femoral fracture. The Bone and Joint Journal, 102-B(12), 1670\u20131674. https:\/\/doi.org\/10.1302\/0301-620X.102B12.BJJ-2020-0367.R1","journal-title":"The Bone and Joint Journal"},{"issue":"9","key":"1809_CR6","doi-asserted-by":"publisher","first-page":"2245","DOI":"10.1007\/s00264-023-05833-7","volume":"47","author":"C Chimeno","year":"2023","unstructured":"Chimeno, C., Fern\u00e1ndez-Valencia, J. \u00c1., Al\u00edas, A., Serra, A., Postnikov, Y., Combalia, A., & Mu\u00f1oz-Mahamud, E. (2023). Contribution of the Bioball head-neck adapter to the restoration of femoral offset in hip revision arthroplasty with retention of a well-fixed cup and stem. International Orthopaedics, 47(9), 2245\u20132251. https:\/\/doi.org\/10.1007\/s00264-023-05833-7. Epub 2023 May 15.","journal-title":"International Orthopaedics"},{"issue":"2_suppl","key":"1809_CR7","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1177\/1120700020964995","volume":"30","author":"F D'Angelo","year":"2020","unstructured":"D\u2019Angelo, F., Zagra, L., Moretti, B., Virgilio, A., Mazzacane, M., & Solarino, G. (2020). Retrospective multi-centre study on head adapters in partial revision hip arthroplasty. Hip International, 30(2_suppl), 72\u201376. https:\/\/doi.org\/10.1177\/1120700020964995","journal-title":"Hip International"},{"key":"1809_CR8","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1016\/j.jor.2023.02.015","volume":"38","author":"M Garabadi","year":"2023","unstructured":"Garabadi, M., Akhtar, M., Blow, J., Pawar, R., Rowsell, M., & Antapur, P. (2023). Clinical outcome of Bioball universal adapter in revision hip arthroplasty. Journal of Orthopaedics, 38, 68\u201372. https:\/\/doi.org\/10.1016\/j.jor.2023.02.015","journal-title":"Journal of Orthopaedics"},{"key":"1809_CR9","doi-asserted-by":"publisher","DOI":"10.21037\/aoj-23-22","volume":"8","author":"A Pautasso","year":"2023","unstructured":"Pautasso, A., Bardellini, G., Stissi, P., & D\u2019Angelo, F. (2023). Usefulness of modular neck adapter in partial hip revision. Annals of Joint, 8, Article 35. https:\/\/doi.org\/10.21037\/aoj-23-22","journal-title":"Annals of Joint"},{"key":"1809_CR10","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.jot.2019.08.007","volume":"22","author":"HJ Kock","year":"2019","unstructured":"Kock, H. J., Cho, C., Buhl, K., Hillmeier, J., & Huber, F. X. (2019). Long-term outcome after revision of hip arthroplasty with the BioBall\u00ae adapter system in multimorbid patients. Journal of Orthopaedic Translation, 22, 43\u201349. https:\/\/doi.org\/10.1016\/j.jot.2019.08.007","journal-title":"Journal of Orthopaedic Translation"},{"issue":"3","key":"1809_CR11","first-page":"323","volume":"31","author":"F Castagnini","year":"2021","unstructured":"Castagnini, F., Bordini, B., et al. (2021). Modular head\u2013neck adapters in revision total hip arthroplasty: Results from the Italian registry. Hip International, 31(3), 323\u2013331.","journal-title":"Hip International"},{"key":"1809_CR12","volume-title":"Swedish Hip Arthroplasty Register annual report 2022","author":"J K\u00e4rrholm","year":"2022","unstructured":"K\u00e4rrholm, J., Rogmark, C., Naucl\u00e9r, E., et al. (2022). Swedish Hip Arthroplasty Register annual report 2022. SHAR."},{"issue":"1","key":"1809_CR13","first-page":"128","volume":"91","author":"KJ Bozic","year":"2009","unstructured":"Bozic, K. J., Kurtz, S. M., Lau, E., Ong, K., Chiu, V., Vail, T. P., et al. (2009). The epidemiology of revision total hip arthroplasty in the United States. Journal of Bone and Joint Surgery. American Volume, 91(1), 128\u2013133.","journal-title":"Journal of Bone and Joint Surgery. American Volume"},{"issue":"5","key":"1809_CR14","first-page":"429","volume":"25","author":"GA Macheras","year":"2015","unstructured":"Macheras, G. A., Koutsostathis, S. D., Lepetsos, P., Galanakos, S. P., Anastasopoulos, P. P., & Papadakis, S. A. (2015). The BioBall universal adapter in revision total hip arthroplasty: A 5-year follow-up study. Hip International\u202f: Journal of Orthopaedic and Related Research, 25(5), 429\u2013434.","journal-title":"Hip International : Journal of Orthopaedic and Related Research"},{"issue":"2","key":"1809_CR15","volume":"3","author":"E Boehm","year":"2011","unstructured":"Boehm, E., Bischel, O., Brodt, S., & Pitzl, M. (2011). Modular head\u2013neck adapters in revision total hip arthroplasty: Results of 132 cases. Orthopedic Reviews, 3(2), Article e8.","journal-title":"Orthopedic Reviews"},{"issue":"8","key":"1809_CR16","first-page":"131","volume":"25","author":"RG Bitsch","year":"2010","unstructured":"Bitsch, R. G., Heisel, C., Schmalzried, T. P., et al. (2010). The use of modular head-neck adapters in revision total hip arthroplasty: Clinical and radiographic outcomes at mid-term. Journal of Arthroplasty, 25(8), 131\u2013138.","journal-title":"Journal of Arthroplasty"},{"key":"1809_CR17","volume-title":"BioBall\u00ae universal adapter system: Surgical technique guide","author":"Merete Medical GmbH","year":"2021","unstructured":"Merete Medical GmbH. (2021). BioBall\u00ae universal adapter system: Surgical technique guide. Merete."},{"issue":"2","key":"1809_CR18","first-page":"427","volume":"470","author":"AD Rajadhyaksha","year":"2012","unstructured":"Rajadhyaksha, A. D., Ball, S. T., Fehring, T. K., Griffin, W. L., & Mason, J. B. (2012). Stability after revision THA using modular femoral components and head\u2013neck adapters. Clinical Orthopaedics and Related Research, 470(2), 427\u2013433.","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"1","key":"1809_CR19","volume":"25","author":"K Toth","year":"2017","unstructured":"Toth, K., Kiss, J., Marton, T., & Than, P. (2017). Use of a head\u2013neck adapter to correct instability and restore offset in revision hip arthroplasty. Journal of Orthopaedic Surgery (Hong Kong), 25(1), Article 2309499016684747.","journal-title":"Journal of Orthopaedic Surgery (Hong Kong)"},{"issue":"3","key":"1809_CR20","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1007\/s00264-016-3375-0","volume":"41","author":"B Fink","year":"2017","unstructured":"Fink, B., Urbanski, W., & Schuster, P. (2017). Recurrent dislocation after total hip arthroplasty: Causes and treatment options. International Orthopaedics, 41(3), 563\u2013573.","journal-title":"International Orthopaedics"},{"issue":"5","key":"1809_CR21","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1016\/j.arth.2018.02.078","volume":"33","author":"J Parvizi","year":"2018","unstructured":"Parvizi, J., Tan, T. L., Goswami, K., et al. (2018). The 2018 definition of periprosthetic joint infection: Proceedings of the International Consensus Meeting. Journal of Arthroplasty, 33(5), 1309\u20131314.","journal-title":"Journal of Arthroplasty"},{"key":"1809_CR22","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1097\/00003086-200208000-00018","volume":"401","author":"JR Goldberg","year":"2002","unstructured":"Goldberg, J. R., Gilbert, J. L., Jacobs, J. J., Bauer, T. W., Paprosky, W., & Leurgans, S. (2002). A multicenter retrieval study of the taper interfaces of modular hip prostheses. Clinical Orthopaedics and Related Research, 401, 149\u2013161.","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"10","key":"1809_CR23","first-page":"865","volume":"95","author":"HJ Cooper","year":"2013","unstructured":"Cooper, H. J., Urban, R. M., Wixson, R. L., Meneghini, R. M., & Jacobs, J. J. (2013). Adverse local tissue reaction arising from corrosion at the femoral neck\u2013body junction in dual-taper stem designs. Journal of Bone and Joint Surgery. American Volume, 95(10), 865\u2013872.","journal-title":"Journal of Bone and Joint Surgery. American Volume"},{"issue":"11","key":"1809_CR24","first-page":"2971","volume":"470","author":"MR Streit","year":"2012","unstructured":"Streit, M. R., Lehner, B., Bruckner, T., et al. (2012). What happens to well-fixed uncemented femoral components during isolated acetabular revision? Clinical Orthopaedics and Related Research, 470(11), 2971\u20132979.","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"1","key":"1809_CR25","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.arth.2015.08.005","volume":"31","author":"RM Meneghini","year":"2016","unstructured":"Meneghini, R. M., Hallab, N. J., & Jacobs, J. J. (2016). Trunnion corrosion: What surgeons need to know. Journal of Arthroplasty, 31(1), 1\u20136. https:\/\/doi.org\/10.1016\/j.arth.2015.08.005","journal-title":"Journal of Arthroplasty"},{"key":"1809_CR26","unstructured":"Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). (2022). Annual Report. AOA"},{"issue":"11","key":"1809_CR27","doi-asserted-by":"publisher","first-page":"2309","DOI":"10.1007\/s00264-016-3238-4","volume":"40","author":"HJ Kock","year":"2016","unstructured":"Kock, H. J., Schmidt, J., L\u00fctzner, J., & Kirschner, S. (2016). Clinical and radiological outcomes after revision total hip arthroplasty using a modular head\u2013neck adapter system. International Orthopaedics, 40(11), 2309\u20132316. https:\/\/doi.org\/10.1007\/s00264-016-3238-4","journal-title":"International Orthopaedics"},{"key":"1809_CR28","unstructured":"National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 19th Annual Report. NJR Centre; 2022."},{"key":"1809_CR29","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-20242-3","volume":"12","author":"N Ramadanov","year":"2022","unstructured":"Ramadanov, N., Bueschges, S., Liu, K., et al. (2022). Direct and indirect comparisons in network meta-analysis of SuperPATH, direct anterior and posterior approaches in total hip arthroplasty. Scientific Reports, 12, Article 16778. https:\/\/doi.org\/10.1038\/s41598-022-20242-3","journal-title":"Scientific Reports"}],"container-title":["Indian Journal of Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43465-026-01809-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s43465-026-01809-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43465-026-01809-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:01:53Z","timestamp":1792270913000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s43465-026-01809-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,22]]},"references-count":29,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["1809"],"URL":"https:\/\/doi.org\/10.1007\/s43465-026-01809-y","relation":{},"ISSN":["0019-5413","1998-3727"],"issn-type":[{"value":"0019-5413","type":"print"},{"value":"1998-3727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,22]]},"assertion":[{"value":"12 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no potential conflicts of interest with respect to the research, authorship, and\/or publication of this article. Nikhil Shah, Shailendra Pratap Singh, Manish Kumar and Akansha declare that they have no conflict of interest.","order":1,"name":"Ethics","label":"Conflict of Interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Due to the retrospective nature of this study, informed patient consent for participation was not required. All data were anonymized prior to analysis. No individual patient-identifiable data, images, or case descriptions have been included in this manuscript.","order":2,"name":"Ethics","label":"Patient Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted as a retrospective service evaluation using routinelycollected clinical data. In accordance with the UK Health Research Authority (HRA) guidance, thisproject was not classified as research; therefore, formal Research Ethics Committee review andapproval was not required.","order":3,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}