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Stefan Lazic South West London Elective Orthopaedic Centre, UK

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Oliver Boughton MSK Lab, Imperial College London, UK

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Catherine F. Kellett South West London Elective Orthopaedic Centre, UK

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Deiary F. Kader South West London Elective Orthopaedic Centre, UK

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Loïc Villet Centre de l’arthrose – Clinique du sport, Mérignac, France

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Charles Rivière South West London Elective Orthopaedic Centre, UK
MSK Lab, Imperial College London, UK

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.7 39.67 Knee stiffness Deep vein thrombosis Bovonratwet 9 Retrospective comparison TKA 30 2.65 3.01 6.56 16.06 Transfusion Transfusion Otero et al 12 Retrospective comparison TKA 30 1.93 12.75 5

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Djandan Tadum Arthur Vithran Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

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Xu Liu Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Miao He Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Anko Elijah Essien Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Michael Opoku Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Yusheng Li Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Ming-Qing Li Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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imbalance, resulting in loss of tripod structure, increased foot pressure, subsequent gait changes, foot pain, and wear. Due to the high arch of the foot, force line deviation, and muscle force imbalance, the forefoot and mid-foot are stiff, and the back

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Reha N Tandogan Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey

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Esref Terzi Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Avcilar Hospital, Istanbul, Turkey

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Enrique Gomez-Barrena Department of Orthopedics & Traumatology, Universidad Autónoma de Madrid, Hospital La Paz, Madrid, Spain

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Bruno Violante Orthopaedic Department, Clinical Institute Sant’Ambrogio, IRCCS – Galeazzi, Milano, Italy

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Asim Kayaalp Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey

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) is tested intra-operatively, determining the limits of knee motion in the early postoperative period. Cast immobilization up to 10 weeks has been used in the postoperative period in the past. This has been associated with muscle atrophy, stiffness

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Mario Herrera-Pérez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
Department of Surgery, Universidad de La Laguna, Tenerife, Spain

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Victor Valderrabano Foot and Ankle Unit, Orthopaedic Department, Schmerzklinik, Basel, Switzerland
University of Basel, Basel, Switzerland

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Alexandre L Godoy-Santos Orthopaedic Department, Hospital Israelita, Sao Paulo, Brazil

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César de César Netto Director of the UIOWA Orthopedic Functional Imaging Research Laboratory (OFIRL), Iowa, USA
Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA

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David González-Martín Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
Department of Surgery, Universidad de La Laguna, Tenerife, Spain

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Sergio Tejero Foot and Ankle Unit, Hospital Universitario Virgen del Rocío, Sevilla, Spain
Department of Surgery, Universidad de Sevilla, Sevilla, Spain

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stiffness and less permeability due to a higher degree of water and proteoglycan content ( 11 ). In addition, the extracellular matrix is denser which improves its load-bearing capacity and reduces its susceptibility to mechanical damage ( 12 ). It has also

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Simon M. Lambert University College London Hospital, UK

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endosteum), to fewer, stiffer perpendicular and oblique fibres in old bone, 24 rendering it more susceptible to damage by distraction or torsion. The cambial lamina of the periosteum generates bone when the tension placed on it is reduced. 25

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Alfonso Vaquero-Picado Department of Orthopaedic Surgery, ‘La Paz’ University Hospital, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital, Spain

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joint stiffness, neurovascular injuries and failure of the meniscus to heal ( Fig. 7 ). 73 The ‘inside-out’ techniques have been widely used for large repairs on the mid-body and posterior parts of the meniscus, but no differences have been

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Diogo Lino Moura Spine Unit, Department of Orthopedics, Coimbra University Hospital, Coimbra, Portugal, Coimbra, Portugal
Anatomy Institute and Orthopedics Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal

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column by a percutaneous posterior pathway, this way avoiding the aggression of the anterior approaches. At the same time, they increase the construct stiffness, reducing the load and bending moments on the pedicle screw instrumentation, and preventing

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Hua Luo Department of Orthopedics, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Congcong He Department of Psychology, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yong Zhao Department of Orthopedics, Shanghai Fengxian District Central Hospital, Shanghai, China

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Guangyong Yang Department of Orthopedics, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Hainan Hong Department of Orthopedics, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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location of the infection, and the condition of the affected joint. Debridement and antibacterial therapy can lead to the resolution of SA in certain patients, although there is a risk of subsequent stiffness and contracture, which has an incidence of

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Charles Court Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Leonard Chatelain Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Barthelemy Valteau Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Charlie Bouthors Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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biomechanical considerations Anatomy Lumbosacral junction is a relatively ‘stiff’ region due to the presence of the L5/S1 disc, the articular processes of L5 and S1, and the iliolumbar ligaments attached from L4 and L5 transverse processes to the iliac

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Nikolaos Gougoulias Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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Vasileios Lampridis Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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Anthony Sakellariou Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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intermetatarsal space is the junction between the medial and lateral columns of the foot. The first, second and third metatarsals and the adjacent midfoot joints are relatively stiff and significantly inclined in relation to the ground, whereas the fourth and

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