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Claudio Legnani IRCCS Istituto Ortopedico Galeazzi, Sports Traumatology and Minimally Invasive Articular Surgery Center, Milan Italy

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Andrea Parente IRCCS Istituto Ortopedico Galeazzi, Hip and Knee Arthroplasty Surgery Center, Milan, Italy

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Franco Parente IRCCS Istituto Ortopedico Galeazzi, Hip and Knee Arthroplasty Surgery Center, Milan, Italy

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Alberto Ventura IRCCS Istituto Ortopedico Galeazzi, Sports Traumatology and Minimally Invasive Articular Surgery Center, Milan Italy

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)). However, most studies do not report information about the presence of retained hardware ( 3 , 4 , 5 , 6 , 8 ); it can be concluded that in most cases, patients underwent a two-stage procedure with hardware removal followed by UKR. Prosthesis

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Martyn Porter The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Centre for Hip Surgery, Wrightington Hospital, UK

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Richard Armstrong The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Head of Health Registries, Northgate Public Services, Peoplebuilding 2, Hemel Hempstead, Hertfordshire, England

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Peter Howard The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Royal Derby Hospital, Derby, UK

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Matthew Porteous The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
West Suffolk NHS Foundation Trust, UK

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J. Mark Wilkinson The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
University of Sheffield, Sheffield, UK

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. 4 Details of primary cases that have been revised are listed in a table in the Consultant-Level Report (mock data displayed). Consultant-Level Report This is accessed via the Clinician Feedback portal. The Consultant-Level Report

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Jasmine N. Levesque Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada

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Ajay Shah Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada

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Seper Ekhtiari Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

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James R. Yan Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

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Patrick Thornley Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

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Dale S. Williams Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

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. There was a trend towards an increasing number of publications in more recent years, with 20 studies published from 2012–2015, and 88 studies published from 2016–2018 ( Fig. 3 ). Of these studies, 42 were case reports, 39 case series, 16 cohort studies

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Andy Craig Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK

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S W King Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK

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B H van Duren Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK

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V T Veysi Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK
Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK

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S Jain Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK
Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK

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J Palan Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK
Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK

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primary arthroplasty) registered in the NJR since 2003, infection is given as the indication for 9.8 and 16.1% of cases for THA and TKA, respectively ( 6 ). PJI can thus be considered as a major cause for revision surgery and has long been reported as such

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Christian Smith Guys and St Thomas NHS Foundation Trust, London, UK

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Razi Zaidi Guys and St Thomas NHS Foundation Trust, London, UK

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Jagmeet Bhamra Guys and St Thomas NHS Foundation Trust, London, UK

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Anna Bridgens Evelina Children’s Hospital, Westminster Bridge Road, London, UK

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Caesar Wek Guys and St Thomas NHS Foundation Trust, London, UK

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Michail Kokkinakis Evelina Children’s Hospital, Westminster Bridge Road, London, UK

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- Review articles or case reports - No full text in the English language or easily translatable format Data extraction All articles included underwent detailed review with the following data set assessed: number of patients, number of

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Jonathan M. R. French Bristol Royal Infirmary, University Hospitals Bristol NHS Trust, Bristol, UK

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Paul Bramley Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK

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Sean Scattergood Bristol Royal Infirmary, University Hospitals Bristol NHS Trust, Bristol, UK

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Nemandra A. Sandiford Southland Teaching Hospital, Invercargill, New Zealand

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analysis, case reports, review articles, expert opinion pieces, biomechanical studies, animal studies, in vitro studies, book chapters, conference abstracts, and non-English-language articles. In cases of multiple articles reporting on the same patient

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Mark Anthony Roussot Department of Trauma and Orthopaedics, University College London Hospitals, London, UK
Department of Orthopaedic Surgery, University of Cape Town, South Africa

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Georges Frederic Vles Department of Trauma and Orthopaedics, University College London Hospitals, London, UK

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Sam Oussedik Department of Trauma and Orthopaedics, University College London Hospitals, London, UK

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that reported clinical and/or radiological outcomes comparing KA and MA TKA. Case reports, letters, unpublished data, cadaver studies and studies of revision arthroplasty were excluded ( Fig. 3 ). Fig. 3 PRISMA Flow Diagram Note . RCT

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Julia Sußiek Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Philipp A. Michel Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Michael J. Raschke Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Benedikt Schliemann Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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J. Christoph Katthagen Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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fractures healed completely and the patients had no restrictions in the range of motion. 9 Groot et al presented a case report with two women who each sustained a fracture without any trauma. Due to their pre-existing conditions both patients were

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Thomas J. Holme St George’s University Hospitals NHS Foundation Trust, London, UK

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Marta Karbowiak St George’s, University of London, London, UK

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Magnus Arnander St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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Yael Gelfer St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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with isolated olecranon fractures; English-language articles. The exclusion criteria were: case reports; review articles/basic science research (e.g. biomechanical studies); patients > 18 years old and studies with associated elbow injuries where it was

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Bart A Swierstra Medical Guidelines, Amsterdam, The Netherlands

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W Annefloor van Enst Medical Guidelines, Amsterdam, The Netherlands

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Kellgren and Lawrence ( 9 , 10 ). The treatment the patient received (surgical or conservative) did not affect inclusion. Case reports or studies on cadavers were excluded. Also excluded were studies with a combination of fractures including pilon

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