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Luigi Zagra Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan Italy

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of cups coated with hydroxyapatite is questionable at present. 60 Computer-assisted navigation and robotics Navigation and robotics have never played a major role in THA surgery. The reason is simple: while studies demonstrate that the

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Maria Moralidou Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK

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Anna Di Laura Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK

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Johann Henckel Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK

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Harry Hothi Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK

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Alister J. Hart Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK

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reduced implant inventory 7 resulting in a more cost-effective surgery. 8 It also enables the use of other computer-assisted techniques such as robotic-assisted surgeries, 10 navigation techniques 11 as well as the use of patient

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Pierre J Hoffmeyer Editor in chief, EFORT Open Reviews

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necessitated new skills to master the novel arthroscopic techniques first essentially diagnostic and evolving into interventional. And finally, surgical assistance technologies and robotics assaulted the operating theaters ( 2 ). We as a profession bravely

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Leonardo Tassinari I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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Alberto Di Martino I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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Matteo Brunello I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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Valentino Rossomando I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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Francesco Traina Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
Orthopedics-Traumatology and Prosthetic Surgery and Hip and Knee Revision, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Cesare Faldini I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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LLD in DAA patients. On the other hand, several methods have been proposed to ease preoperative and intraoperative measurement of LLD in DAA: preoperative planning with manual or digital systems, the use of navigation systems and robot-assisted

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Mark Anthony Roussot University College London Hospitals NHS Foundation Trust, London, UK
Department of Orthopaedic Surgery, University of Cape Town, SA

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Fares Sami Haddad University College London Hospitals NHS Foundation Trust, London, UK

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of the early 1970s, considerable advances have been made in terms of component design, peri-operative care, alignment strategies, surgical approaches, and, more recently, the use of advanced technologies such as computer navigation and robotic-assisted

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Rory D. S. Gibson Aberdeen Royal Infirmary, Aberdeen, UK

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Ralf Wagner Ligamenta Spine Centre, Frankfurt am Main, Germany

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J. N. Alastair Gibson The Royal College of Surgeons of Edinburgh, Edinburgh, UK

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B Quadri SA Farooqui M et al. Impact of robot-assisted spine surgery on health care quality and neurosurgical economics: a systemic review . Neurosurg Rev 2020 ; 43 : 17 – 25 .

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Jason Trieu University of Melbourne Department of Surgery, Fitzroy, Australia

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Chris Schilling University of Melbourne Department of Surgery, Fitzroy, Australia

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Michelle M. Dowsey University of Melbourne Department of Surgery, Fitzroy, Australia
Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia

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Peter F. Choong University of Melbourne Department of Surgery, Fitzroy, Australia
Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia

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Osteoarthritis Initiative . BMJ 2017 ; 356 : j1131 . 29. Barbash GI Glied SA . New technology and health care costs: the case of robot-assisted surgery . N Engl J Med 2010 ; 363 : 701 – 704 . 30. Bodenheimer T

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Ulas Can Kolac Department of Orthopedics and Traumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey

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Alp Paksoy Charité University Hospital, Center for Musculoskeletal Surgery, Berlin, Germany

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Doruk Akgün Charité University Hospital, Center for Musculoskeletal Surgery, Berlin, Germany

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navigation offers superior benefits over PSI. Patient-specific instrumentation A promising alternative option is PSI, eliminating the shortcomings of computer-assisted techniques ( 42 ). Surgeons use software planning to define the glenoid baseplate

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Pascal-André Vendittoli Personalized Arthroplasty Society
Surgery Department, Hôpital Maisonneuve-Rosemont, Montreal University, Montreal, Québec, Canada
Clinique orthopédique Duval, 1487 Boul des Laurentides, Laval

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Charles Riviere Personalized Arthroplasty Society
Bordeaux Arthroplasty Research Institute - Clinique du Sport Bordeaux-Mérignac 04-06 rue Georges Negrevergne, Mérignac, France

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Michael T Hirschmann Personalized Arthroplasty Society
Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland
Clinical Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, University of Basel, Basel, Switzerland

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Stefano Bini Personalized Arthroplasty Society
Department of Surgery, University of California, San Francisco, California, USA

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achieved with computer-assisted surgery/robotics has notoriously not significantly improved clinical outcomes. Unfortunately, an increased surgeon’s ability to achieve a specific target (precision) will not improve outcomes if the target is not appropriate

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Theofilos Karachalios School of Health Sciences, Faculty of Medicine, University of Thessalia, Greece
Orthopaedic Department, University General Hospital of Larissa, Greece

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George A. Komnos Orthopaedic Department, University General Hospital of Larissa, Greece

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severe cases. Rivière et al 32, 34 reviewed existing alignment techniques and classified them into patient-specific, hybrid and systematic. Their differences rely on the degree of both femoral and tibial osteotomy angle, the use of computer-assisted

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