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James W.A. Fletcher Department for Health, University of Bath, UK
AO Research Institute Davos, Switzerland

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Lisa Wenzel AO Research Institute Davos, Switzerland
Department of Trauma Surgery, Trauma Center Murnau, Germany

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Verena Neumann AO Research Institute Davos, Switzerland

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R. Geoff Richards AO Research Institute Davos, Switzerland

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Boyko Gueorguiev AO Research Institute Davos, Switzerland

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Harinderjit S. Gill Department of Mechanical Engineering, University of Bath, UK

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Ezio Preatoni Department for Health, University of Bath, UK

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Michael R. Whitehouse Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, Southmead Hospital, Bristol, UK
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK

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the study. Next, digital torque readings were displayed during insertion for the surgeon to use as feedback. With visual feedback, the rate of bone stripping reduced significantly to 15% (p < 0.001). Visual feedback was then removed, with the stripping

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Sitanshu Barik Pediatric Orthopedic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

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Sebastian Farr Orthopedic Hospital Speising, Department of Pediatric Orthopaedics and Adult Foot and Ankle Surgery, Vienna, Austria

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callosity over the toe. Global transverse digital deviation may also occur in long-standing cases leading to windswept deformity of the toes. 24 Hallux valgus has been associated with third and fourth metatarsal brachymetatarsia, because the first and

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Massimo Ceruso Hand Surgery Unit, Centro Traumatologico Ortopedico, Azienda Ospedliero-Universitaria Careggi, Florence, Italy

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Sandra Pfanner Hand Surgery Unit, Centro Traumatologico Ortopedico, Azienda Ospedliero-Universitaria Careggi, Florence, Italy

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Christian Carulli Orthopaedic Clinic, University of Florence, Florence, Italy

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extensor tendons are preserved during surgery. Active joint mobility is permitted wearing a digital dorsal custom-made static splint that limits PIP joint extension to 5° and prevents any lateral deviation but does not prevent DIP flexion and extension

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Hasan Huseyin Ceylan Lütfiye Nuri Burat Public Hospital, Orthopedics and Traumatology Department, Istanbul, Turkey

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Nurdan Güngören Bezmialem Vakif University, Istanbul, Turkey

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Fatih Küçükdurmaz Orthopedics and Traumatology Department, Bezmialem Vakif University, Istanbul, Turkey

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simple techniques that orthopaedic surgeons can use to improve their use of web-based information and e-learning resources. Bibliographic databases A bibliographic database is an organised digital collection of references to published literature

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Gareth G. Jones MSk Lab, Imperial College London, UK.

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Susannah Clarke MSk Lab, Imperial College London, UK.

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Martin Jaere MSk Lab, Imperial College London, UK.

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Justin Cobb MSk Lab, Imperial College London, UK.

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technology such as digital load sensors. 33 There is also the question of who should be responsible for planning the implant position. Ultimately the surgeon is responsible for their patient, which is why all commercially available PSI systems require

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Hjalte Søsborg-Würtz Department of Clinical Research, University of Southern Denmark; Department of Orthopaedic Surgery and Traumatology, Odense University Hospital

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Sükriye Corap Gellert Department of Orthopaedic Surgery and Traumatology, Hospital of South West Jutland, Denmark

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Julie Ladeby Erichsen Department of Clinical Research, University of Southern Denmark; Department of Orthopaedic Surgery and Traumatology, Odense University Hospital

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Bjarke Viberg Department of Clinical Research, University of Southern Denmark; Department of Orthopaedic Surgery and Traumatology, Odense University Hospital

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, Mr. Holkenborg kindly provided the radiographic outcomes and other details, though not a full paper. In Earnshaw et al, 14 radiographic outcomes were only reported graphically and were measured digitally to approximate numerical values. For the

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Demien Broekhuis Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Rutger Tordoir Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Zoe Vallinga Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Jan Schoones Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Bart Pijls Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Rob Nelissen Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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implants, developed with rapid prototyping and/or the availability of patient-specific drill guides and digital or 3D printed bone models to aid the surgical implantation. Old-generation implant was defined as older CTAC manufacturing techniques such as

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Geert Meermans Bravis Hospital, Roosendaal, The Netherlands

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George Grammatopoulos The Ottawa Hospital, Ottawa, Ontario, Canada

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Moritz Innmann Heidelberg University Hospital, Heidelberg, Germany

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David Beverland Belfast Health and Social Care Trust, Belfast, UK

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is determined by placing the digital acetabular component template centrally within the confines of the acetabulum. At this stage, it is important to check the depth of the native acetabular floor and take this into account to avoid inadvertent

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Heri Suroto Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia
These authors contributed equally to this work

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Brigita De Vega Institute of Orthopaedics and Musculoskeletal Science, University College London, London, UK
Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
These authors contributed equally to this work

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Fani Deapsari Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

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Tabita Prajasari Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia

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Pramono Ari Wibowo Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia

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Steven K. Samijo Department of Orthopaedics and Traumatology Zuyderland Medisch Centrum, Heerlen, the Netherlands

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forward flexion (12 ± 4). 36 Moreover, although the included study did not specify their methods of ROM measurement, a previous study showed that minimal detectable change (MDC) of shoulder mobility measurements using a digital inclinometer was 8°. 37

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Alan G. Fraser Department of Cardiology, University Hospital of Wales, Cardiff, UK

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Rob G.H.H. Nelissen Department of Orthopaedics, Leiden University Medical Center, Leiden, Netherlands

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Per Kjærsgaard-Andersen Department of Orthopaedics, Vejle Hospital, South Danish University, Vejle, Denmark

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Piotr Szymański Centre of Postgraduate Medical Education, MSWiA Central Clinical Hospital, Warsaw, Poland

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Tom Melvin Healthcare Products Regulatory Authority, Earlsfort Terrace, Dublin 2, Ireland

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Paul Piscoi Health Technology Unit B6, Directorate General for Health (DG SANTE), European Commission, Brussels, Belgium

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On behalf of the CORE–MD Investigators (see Appendix) Alan Fraser, Piotr Szymański, Chris Gale, Aldo Maggioni, Elisabetta Zanon, Christina Dimopoulou, Cinzia Ceccarelli, Polyxeni Vairami, Anett Ruszanov, Per Kjærsgaard-Andersen, Rob Nelissen, Adrian Ott, Elizabeth Macintyre, Loredana Simulescu, Marieke Meijer, Berthold Koletzko, Sarah Wieczorek, Adamos Hadjipanayis, Stefano Del Torso, Perla Marang-van de Mheen, Lotje Hoogervorst, Ewout W. Steyerberg, Bas Penning De Vries, Peter McCulloch, Martin Landray, Daniel Prieto Alhambra, James Smith, Anne Lubbeke-Wolf, Stefan James, Sergio Buccheri, Robert Byrne, Laurna McGovern, Stephan Windecker, Andre Frenk, Georgios Siontis, Christoph Stettler, Arjola Bano, Lia Bally, Frank E. Rademakers, Jan D‘hooge, Anton Vedder, Elisabetta Biasin, Erik Kamenjasevic, Petra Schnell-Inderst, Felicitas Kühne, Ola Rolfson, Joel Jakobsson, Amanda Tornsö, Enrico G. Caiani, Lorenzo Gianquintieri, Cinzia Cappiello, Maristella Matera, Tom Melvin, Niall MacAleenan, Ria Mahon, Michèle Meagher, Gearóid McGauran, Thomas Wejs Møller, Ann-Sofie Sonne Holm-Schou, Jan Szulc, Robert E. Geertsma, Jantine W.P.M. van Baal, Joëlle M. Hoebert, Susana L.F. Cabaço, Paola Laricchiuta, Marina Torre, Filippo Boniforti, Eugenio Carrani, Stefania Ceccarelli, Claudia Wild, Sabine Ettinger, Juan Antonio Blasco Amaro, Juan Carlos Rejón Parrilla, Agnieszka Dobrzynska, David Epstein, Valentina Strammiello, Hannes Jarke, Kaisa Immonen, Françoise Schlemmer, Sabina Hoekstra, Marianna Mastroroberto, Christoph Ziskoven, Michael Hahn, Erman Melikyan, Richard Holborow, Suzanne Halliday, Alexey Shiryaev, Gero Viola, Harry van Vugt

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regulatory authorities. A pragmatic trial can successfully collect most of the necessary data using existing digital infrastructures such as registries, medical files and claims databases. Trials built upon clinical registries, labelled registry

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