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Ahmed Siddiqi Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Timothy Horan Philadelphia College of Osteopathic Medicine, Department of Orthopedics, Philadelphia, Pennsylvania, USA

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Robert M. Molloy Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Michael R. Bloomfield Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Preetesh D. Patel Cleveland Clinic Florida, Department of Orthopedics, Weston, Florida, USA

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Nicolas S. Piuzzi Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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achieving statistically significant functional outcome improvement with better Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Knee Society Scores (KSS) at six weeks and three months (p > 0.05). 63 • Although preliminary TKA

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPAZ, Madrid, Spain

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Introduction Total knee arthroplasty (TKA) remains the most reliable and efficacious treatment for patients with osteoarthritis resistant to conservative therapies. The stiff knee is a postoperative complication occurring in 4–16% of patients

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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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Introduction Background Conventional total knee arthroplasty (TKA) is a well-accepted, safe and cost-effective procedure for treating symptomatic end-stage knee osteoarthritis. 1 , 2 However, patient satisfaction remains an issue

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Alli Gokeler University of Groningen, University Medical Center Groningen, Center for Human Movement Science, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands

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Bart Dingenen Rehabilitation Research Institute, Biomedical Research Institute, Faculty of Medicine and Life Sciences, UHasselt, Diepenbeek, Belgium

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Caroline Mouton Département de l’Appareil Locomoteur, Centre Hospitalier de Luxembourg – Clinique d’Eich, 76, rue d’Eich, L-1460 Luxembourg, Luxembourg

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Romain Seil Département de l’Appareil Locomoteur, Centre Hospitalier de Luxembourg – Clinique d’Eich, 76, rue d’Eich, L-1460 Luxembourg, Luxembourg and Sports Medicine Research Laboratory, Luxembourg Institute of Health, 76, rue d’Eich, L-1460 Luxembourg, Luxembourg

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(ACLR) are high, with 94% expecting a return to sports (RTS) to the same level as before the injury. 3 In addition, 98% of patients expected no, or only a slight increased, risk of developing osteoarthritis (OA) either after primary ACLR or revision

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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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improved Knee Injury and Osteoarthritis Outcome Scores and Oxford Knee Scores in the patelloplasty group compared to traditional management; however, there was no significant difference in Knee Society Function or Pain Scores. 140 In both studies, the

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Francesco Pirato Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Federica Rosso Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Federico Dettoni Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Davide Edoardo Bonasia Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Matteo Bruzzone Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Roberto Rossi Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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treatment with reduction and fixation is often required. Even with good reduction, the incidence of posttraumatic osteoarthritis has been reported in ranges between 24% and 60%, with possible development of knee stiffness ( 42 , 43 ). Particularly, Gaston

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David Constantinescu Department of Orthopaedics, University of Miami, Miami, Florida, USA

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William Pavlis University of Miami Miller School of Medicine, Miami, Florida, USA

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Michael Rizzo Department of Orthopaedics, University of Miami, Miami, Florida, USA

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Dennis Vanden Berge Department of Orthopaedics, University of Miami, Miami, Florida, USA

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Spencer Barnhill Department of Orthopaedics, University of Miami, Miami, Florida, USA

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Victor Hugo Hernandez Department of Orthopaedics, University of Miami, Miami, Florida, USA

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before and after TKA. Twiggs et al. (32) Fitbit Flex Measures step count using an accelerometer Observational 94 TKA patients Determine benchmarks for expected post-operative activity using activity data from osteoarthritis patients

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Qiuyuan Wang Department of Evidence-based Medicine, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China
Department of Bone And Joint Diseases, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China

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Feng Li Department of Bone And Joint Diseases, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China

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Yidan Yang Department of Evidence-based Medicine, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China

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Chen Yue Department of Evidence-based Medicine, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China

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Jiayi Guo Department of Evidence-based Medicine, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China
Department of Bone And Joint Diseases, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China

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thereby averting secondary neuronal changes ( 36 ). This mechanism has the potential to impede central sensitization associated with nociception ( 37 ), which is found in patients with osteoarthritis ( 38 ). Therefore, MgSO 4 may exert an analgesic effect

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Mohammad Poursalehian Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

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Sina Hajiaghajani Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

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Mohammad Ayati Firoozabadi Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

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Davood Dehghani Ashkezari Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

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Seyed Mohammad Javad Mortazavi Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

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can be beneficial in cases of persistent rotatory knee instability following ACLR. A few long-term studies have found little difference in patient-reported outcomes and osteoarthritis development with the addition of LET to ACLR ( 31 , 32 , 33 , 34

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Alfonso Vaquero-Picado Department of Orthopedic Surgery, “La Paz” University Hospital, Paseo de la Castellana 261. CP 28046. Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopedic Surgery, “La Paz” University Hospital, Paseo de la Castellana 261. CP 28046. Madrid, Spain

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sport. 7 Conflicting objective and subjective results have been reported in the literature. 29 , 30 Although most case series show good subjective outcomes, a significant percentage of moderate to severe cases of osteoarthritis have been noted

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