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

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Hortensia De la Corte-Rodríguez Department of Physical and Rehabilitation Medicine, La Paz University Hospital, Madrid, Spain

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

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

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to work at their highest level (18 vs. 12 months), although the time to return to their highest level of activity was similar. ROM (134 vs. 127 degrees), pain intensity (2.2 vs. 1.7), and Lysholm scores (86.3 vs. 90) were similar in both groups at the

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Manuel Saavedra Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile

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María Jesús Tuca Clinica Alemana, Santiago, Chile
Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland

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six weeks postoperatively. Physical therapy begins after two weeks postoperatively and return to sports depends on the patient’s movement and strength recovery, usually after 12 weeks. In younger patients, under the age of 6 years, a straight knee

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Przemysław Lubiatowski Sport Trauma and Biomechanics Unit, University of Medical Sciences, Poznań, Poland
Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland

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Joanna Wałecka Sport Trauma and Biomechanics Unit, University of Medical Sciences, Poznań, Poland
Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland

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Marcin Dzianach Rehasport Clinic, Poznań, Poland

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Jakub Stefaniak Sport Trauma and Biomechanics Unit, University of Medical Sciences, Poznań, Poland
Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland

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Leszek Romanowski Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland

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report, level IV 3 18, 29, 48 2 1 Arthroscopic Anterior RCJ Arthroscopic 3 100% - Resolution of symptoms (up to 13 m FU), - return to normal activity (including sports) - Chondromalacia in RCJ (‘kissing lesion’ with plica) - No

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland
Faculty of Medicine, University of Geneva, Switzerland

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Jérome Tirefort Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Switzerland

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Davide Zanchi Department of Psychiatry (UPK), University of Basel, Switzerland

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Sven Haller Faculty of Medicine, University of Geneva, Switzerland
Affidea Centre de Diagnostic Radiologique de Carouge CDRC, Geneva, Switzerland
Department of Surgical Sciences, Uppsala University, Sweden
Department of Neuroradiology, University Hospital Freiburg, Germany

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Caecilia Charbonnier Faculty of Medicine, University of Geneva, Switzerland
Medical Research Department, Artanim Foundation, Geneva, Switzerland

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Pierre Hoffmeyer Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland

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Gregory Cunningham Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland

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1999 ; 4 ( 4 ): 187 - 195 . 58. Kvist J Ek A Sporrstedt K Good L . Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction . Knee Surg Sports Traumatol Arthrosc

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Vikki Wylde Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of 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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Neil Artz Department of Allied Health Professions, University of the West of England, Bristol, UK

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Nick Howells North Bristol NHS Trust, Southmead Hospital, Bristol, UK

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Ashley W. Blom Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, UK
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
North Bristol NHS Trust, Southmead Hospital, Bristol, UK

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from their operation than pain relief and improvement in basic mobility. 2 This includes a return to important higher function activities, such as kneeling. 1 – 3 The majority of patients expect to be able to kneel after TKR, 2 , 4 , 5

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James R. Berstock Musculoskeletal Research Unit, University of Bristol, UK

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James R. Murray Avon Orthopaedic Centre, Southmead Hospital, Bristol, UK

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Michael R. Whitehouse Musculoskeletal Research Unit, University of Bristol, UK

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Ashley W. Blom Musculoskeletal Research Unit, University of Bristol, UK

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Andrew D. Beswick Musculoskeletal Research Unit, University of Bristol, UK

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in time to regain an active straight leg raise following the subvastus approach has emerged. Each of the nine studies reporting time to regain an active straight leg raise suggest a benefit in favour of the subvastus approach. The difference in return

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Alp Paksoy Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany

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Doruk Akgün Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany

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Sebastian Lappen Schulthess Klinik, Lengghalde 2, Zurich, Switzerland

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Philipp Moroder Schulthess Klinik, Lengghalde 2, Zurich, Switzerland

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athroscopic posterior labral repair can lead to a good clinical outcome and a return to sports ( 50 ) ( Fig. 6 ), irrespective of the fixation technique with hard body or all-suture anchors ( 58 ). However, the presence of posterior glenoid bone loss >11

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Daniel J. McCormack Department of Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK

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Darren Puttock Department of Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK

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Steven P. Godsiff Department of Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK

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activity levels, once thought to be detrimental to patients undergoing UKR, have since been found to be beneficial in terms of implant survivorship and revision rates. 4 Patients also have higher rates of returning to sporting activities, particularly

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Abdul-ilah Hachem Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Andres Molina-Creixell Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico

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Xavier Rius Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Karla Rodriguez-Bascones Department of Orthopedic Surgery, Asepeyo Hospital, Barcelona, Spain

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Francisco Javier Cabo Cabo Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Jose Luis Agulló Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Miguel Angel Ruiz-Iban Ramón y Cajal University Hospital, Madrid, Spain

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Introduction Isolated posterior instability is reported as being the least common of all glenohumeral instabilities, representing from 2 to 10% of all cases ( 1 , 2 ). In certain demographic groups, such as athletes in contact sports, rowers

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Helen Anwander Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Philipp Vetter Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Christophe Kurze Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Chui J Farn Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Department of Orthopedic Surgery, National Taiwan University Hospital, Taiwan, Republic of China

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Fabian G Krause Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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studies with only a short-time follow-up was to exclude papers of low quality. However, we did include studies with level of evidence I–IV and low methodological quality. The rationale to not conduct a level I meta-analysis is based on the available

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