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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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post-operative pain, and improve post-operative function, thereby reducing the proportion of patients who remain discontent following TKA. 29 , 36 Whether these changes in prosthetic alignment translate to improvements in subjective or objective

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Jean-Pierre St Mart Department of Trauma and Orthopaedics, King’s College Hospital, London, UK

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En Lin Goh Oxford University Clinical Academic Graduate School, Medical Sciences Division, University of Oxford, Oxford, UK

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regarding the incidence of deep prosthetic joint infection (PJI) in robotic TKA. Two recent systematic reviews suggested that the incidence was higher in robotic TKA at 1.6–1.7% compared to 0.44–1.00% in manual TKA. 19 , 71 However, these data were

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Stein J. Janssen Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam Movement Sciences, Amsterdam, The Netherlands

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Iris van Oost Department of Orthopaedic Surgery, FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Breda, The Netherlands

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Stefan J.M. Breugem Department of Orthopaedic Surgery, Bergman Clinics, Naarden, The Netherlands

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Rutger C.I. van Geenen Department of Orthopaedic Surgery, FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Breda, The Netherlands

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treatment should follow general PJI guidelines from the Musculoskeletal Infection Society. 55 (Peri)prosthetic fracture A periprosthetic fracture is a relatively rare complication after UKA, with an estimated incidence rate of about 0.16% (14

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Kara McConaghy Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

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Tabitha Derr Implant Research Core, School of Biomedical Engineering, Science, and Health Systems, Drexel University, Philadelphia, Pennsylvania, USA

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Robert M. Molloy Cleveland Clinic, Department of Orthopedic Surgery, Cleveland, Ohio, USA

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Alison K. Klika Cleveland Clinic, Department of Orthopedic Surgery, Cleveland, Ohio, USA

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Steven Kurtz Implant Research Core, School of Biomedical Engineering, Science, and Health Systems, Drexel University, Philadelphia, Pennsylvania, USA
Exponent, Philadelphia, Pennsylvania, USA

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Nicolas S. Piuzzi Cleveland Clinic, Department of Orthopedic Surgery, Cleveland, Ohio, USA

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incidence of reoperation or anterior knee pain between patellar-friendly and unfriendly designs regardless of resurfacing status, and concluded that prosthetic design had no effect of clinical outcome of TKA. 20 However, it was suggested that the authors

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Tommaso Bonanzinga IRCCS Humanitas Research Hospital, via Manzoni, Rozzano, Milan, Italy
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele, Milan, Italy

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Pietro Conte IRCCS Humanitas Research Hospital, via Manzoni, Rozzano, Milan, Italy
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele, Milan, Italy

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Giuseppe Anzillotti IRCCS Humanitas Research Hospital, via Manzoni, Rozzano, Milan, Italy
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele, Milan, Italy

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Vincenzo Longobardi IRCCS Humanitas Research Hospital, via Manzoni, Rozzano, Milan, Italy
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele, Milan, Italy

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Elizaveta Kon IRCCS Humanitas Research Hospital, via Manzoni, Rozzano, Milan, Italy
Department of Traumatology, Orthopaedics and Disaster Surgery, Moscow, Russia

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Maria Rescigno IRCCS Humanitas Research Hospital, via Manzoni, Rozzano, Milan, Italy
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele, Milan, Italy

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Maurilio Marcacci IRCCS Humanitas Research Hospital, via Manzoni, Rozzano, Milan, Italy
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele, Milan, Italy

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Auguściak-Duma A Aptekorz M Wilk I Kusz DJ Wojciechowski P & Martirosian G . Identification of silent prosthetic joint infection: preliminary report of a prospective controlled study . International Orthopaedics 2013 37 2037 – 2043 . ( https

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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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( 10 ). Drawbacks include a more technically demanding procedure, potential undersizing or misplacement of the tibial base plate. To allow implant positioning without interfering with retained hardware, the use of a prosthetic design whose tibial

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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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Smith-Romanski S Kretzer JP . How prosthetic design influences knee kinematics: a narrative review of tibiofemoral kinematics of healthy and joint-replaced knees . Expert Rev Med Devices 2019 ; 16 : 119 – 133 . 56. Ng

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Timothy Lording Melbourne Orthopaedic Group and The Alfred Hospital, Australia

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Sébastien Lustig Albert Trillat Center, Groupement Hospitalier Nord, Université Lyon 1, France

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Philippe Neyret Albert Trillat Center, Groupement Hospitalier Nord, Université Lyon 1, France

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reconstructive surgery . J Bone Joint Surg [Br] 1978 ; 60-B : 345 – 352 . 9. Hvid I , Nielsen S . Total condylar knee arthroplasty. Prosthetic component positioning and radiolucent lines . Acta Orthop Scand 1984 ; 55 : 160 – 165

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Lucy C. Walker Freeman Hospital, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, UK

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Nick D. Clement Freeman Hospital, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, UK

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Kanishka M. Ghosh Freeman Hospital, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, UK

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David J. Deehan Freeman Hospital, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, UK

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the issue of inserting a prosthetic joint but retaining native ligaments in situ, producing varying degrees of stiffness and therefore impacting on that individual joint’s balancing and tension. Smith et al 34 found that the superficial medial

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R J M Morrison Northumbria Healthcare NHS Foundation Trust, Ashington, UK
Newcastle University, Newcastle upon Tyne, UK

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W G Fishley Northumbria Healthcare NHS Foundation Trust, Ashington, UK
University of York, York, UK

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K S Rankin Newcastle University, Newcastle upon Tyne, UK
The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK

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M R Reed Northumbria Healthcare NHS Foundation Trust, Ashington, UK
University of York, York, UK

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was offered. Some studies have found no association between vitamin D level and post-operative outcomes ( 22 , 23 , 24 , 25 , 26 ), with one study even concluding that higher vitamin D levels were associated with an increased risk of prosthetic

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