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Xinhuan Lei Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Jie Xiang Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Hailan Yang Department of Ultrasound, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Hongya Bao Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Zhong Zhu Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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

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& Windhager R . Distal femoral reconstruction following failed total knee arthroplasty is accompanied with risk for complication and reduced joint function . BMC Musculoskeletal Disorders 2019 20 47. ( https://doi.org/10.1186/s12891-019-2432-4 ) 30704448

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Charles Rivière Clinique du Sport, Bordeaux-Mérignac, France
Personalized Arthroplasty Society, Atlanta, Georgia, USA

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William Jackson Personalized Arthroplasty Society, Atlanta, Georgia, USA
Nuffield Orthopaedic Centre, Headington, Oxford, UK

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Loïc Villet Clinique du Sport, Bordeaux-Mérignac, France
Personalized Arthroplasty Society, Atlanta, Georgia, USA

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Sivan Sivaloganathan Personalized Arthroplasty Society, Atlanta, Georgia, USA
South-West London Elective Orthopaedic Centre, Epsom, UK

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Yaron Barziv Personalized Arthroplasty Society, Atlanta, Georgia, USA
Shamir Medical Center, Zriffin, Israel

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Pascal-André Vendittoli Personalized Arthroplasty Society, Atlanta, Georgia, USA
Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada

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constitutional ‘Type 1’ left knee. The patient undertook a right MA TKA that failed after four years. On the left knee, the native lateral distal femoral angle (LDFA) was 2 degrees valgus and the medial proximal tibial angle (MPTA) 9 degrees varus. In the same

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Jimmy Ng Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Pau Balcells-Nolla Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Peter J. James Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Benjamin V. Bloch Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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using the distance between the most distal part of the femoral component and the top of the tibial tubercle. 18 If excessive joint line elevation is found preoperatively prior to reconstruction of a failed extensor mechanism in TKA, a revision TKA

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain
Osteoarticular Surgery Research, La Paz Hospital Health Research Institute – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain

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Primitivo Gómez-Cardero Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain

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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain

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have progressively replaced custom-made megaprostheses due to their cost, ductility and early availability in the operating room ( Fig. 5 ). 47 In cases of mechanical implant failure, it is possible to replace only the component that has failed. The

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Nicolás Franulic Hospital del Trabajador ACHS, Santiago, Chile
Hospital Militar de Santiago, Santiago, Chile

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José Tomas Muñoz Universidad de los Andes, Santiago, Chile

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Francisco Figueroa Hospital Sótero del Río, Santiago, Chile
Clínica Alemana - Universidad del Desarrollo, Santiago, Chile

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Piero Innocenti Hospital del Trabajador ACHS, Santiago, Chile

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Nicolás Gaggero Hospital del Trabajador ACHS, Santiago, Chile

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ambulation, and short-term clinical outcomes. Only one unstable LHF with non-union was listed in complications. However, systematic reviews and meta-analysis have failed to prove significant results regarding time to union, delayed union and nonunion ( 57

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Andrea Ferrera Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Centre, Turin, Italy

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Jacques Menetrey Centre de Médecine du Sport et de l’Exercice (CMSE), Swiss Olympic Medical Center, Hirslanden Clinique La Colline, Geneva, Switzerland
Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland

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ACL or PCL reconstruction might fail due to extrinsic factors, related to surgical technique errors or inadequate rehabilitation, and intrinsic factors related to patient anatomy and ligament structures. Surgeons must identify and address the causes of

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David T. Wallace Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK
Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK

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Philip E. Riches Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK

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Frédéric Picard Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK
Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK

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Contradictorily, while greater co-contraction in the vastus medialis and medial hamstring was found in a symptomatically unstable group, 37 greater co-contraction was also identified in a symptomatically stable group. 40 While many studies failed to

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Stefano Zaffagnini Istituto Ortopedico Rizzoli, Dipartimento Rizzoli Sicilia, Bagheria (PA), Italy
Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy

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Alberto Grassi Istituto Ortopedico Rizzoli, Dipartimento Rizzoli Sicilia, Bagheria (PA), Italy
Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy

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Gianluca Zocco Dipartimento di Ortopedia e Traumatologia, Department of Biomedical Sciences and Morphological and Functional Images, Scuola Ortopedia e Traumatologia, Università di Messina, Italy

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Michele Attilo Rosa Dipartimento di Ortopedia e Traumatologia, Department of Biomedical Sciences and Morphological and Functional Images, Scuola Ortopedia e Traumatologia, Università di Messina, Italy

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Cecilia Signorelli Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy

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Giulio Maria Marcheggiani Muccioli Istituto Ortopedico Rizzoli, Dipartimento Rizzoli Sicilia, Bagheria (PA), Italy
Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy

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situations. Traumatic dislocations with no underlying osseous abnormalities are deemed to perform effectively with MPFL reconstruction/repair. When the initial conservative treatment fails, the management of recurrent lateral patellar dislocation presents a

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Corentin Pangaud Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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Matthieu Ollivier Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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Jean-Noël Argenson Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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. Unicompartmental knee arthroplasty modes of failure: wear is not the main reason for failure: a multicentre study of 418 failed knees . Orthop Traumatol Surg Res 2012 ; 98 : S124 – S130 . 32. Society of Unicondylar Research and Continuing Education

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Jonathan G. Robin Box Hill Hospital, Eastern Health Network, Australia

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Philippe Neyret Lyon 1 University, France

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malalignment, two major principles must be kept in mind: Correcting alignment is critical and often the first step in management. Soft-tissue reconstruction alone in the setting of malalignment is likely to fail over time. 2 A tailored

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