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Guo-xu Zhang Guangzhou University of Chinese Medicine, Guangzhou, China

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Ji Li Guangzhou University of Chinese Medicine, Guangzhou, China

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Qi-jun Xie Guangzhou University of Chinese Medicine, Guangzhou, China

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Mei-ren Zhang Guangdong Hospital of Traditional Chinese Medicine, Guangzhou, China

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Kui Zhao Guangdong Hospital of Traditional Chinese Medicine, Guangzhou, China

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Hai-yun Chen Guangdong Hospital of Traditional Chinese Medicine, Guangzhou, China

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studies, and a fixed-effects model is used to combine the results of each study. When the value of I 2 > 50% and P ≤ 0.1, it is considered that there is significant heterogeneity among the included studies, and the source of heterogeneity should be

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Luca Dei Giudici Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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Andrea Faini Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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Luca Garro II Orthopaedic Division, Istituto Chirurgico Ortopedico Traumatologico, ICOT, Latina, Italy

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Agostino Tucciarone II Orthopaedic Division, Istituto Chirurgico Ortopedico Traumatologico, ICOT, Latina, Italy

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Antonio Gigante Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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of a fracture were excluded. The application of the abovementioned criteria resulted in a total of 45 papers, divided into case reports, case series, technical notes and narrative reviews. Systematic reviews, randomised clinical trials and other level

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Gema Chamorro-Moriana Department of Physiotherapy, Research Group “Area of Physiotherapy CTS-305”, University of Seville, Seville, Spain

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Veronica Perez-Cabezas Department of Nursing and Physiotherapy, Research Group MOVEIT (eMpOwering health by physical actiVity, Exercise and nutrition) CTS-1038, University of Cadiz, Cadiz, Spain

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Marisa Benitez-Lugo Department of Physiotherapy, Research Group “Area of Physiotherapy CTS-305”, University of Seville, Seville, Spain

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the features of each database (Supplementary File 1, see the section on supplementary materials given at the end of this article). Study selection The titles and abstracts of the search results were screened to check whether the study met the

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E Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital, 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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image processing. CNNs use a complex series of layers and learnable filters through which data is passed, resulting in a final layer or output layer. When comparing CNNs to a conventional ANN used in DL, CNNs use the location of pixels in images to

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

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Congcong He Department of Psychology, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yong Zhao Department of Orthopedics, Shanghai Fengxian District Central Hospital, Shanghai, China

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Guangyong Yang Department of Orthopedics, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Hainan Hong Department of Orthopedics, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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analyses for similar subsets of patients across studies. Sensitivity analyses We performed a sensitivity analysis by case-by-case exclusion using a random-effects model. Results The search strategy retrieved a total of 172 relevant studies

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Mohamed G. Morsy El-Hadara Orthopaedic and Traumatology Hospital, Alexandria University, Egypt

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or subluxation and this in turn increases the risk of further recurrence. 8 The shape, size, depth and location of the HSD have been considered as important risk factors that may influence the surgical results. 9 Rowe et al 10

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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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results. After duplicates were removed, a fellowship-trained orthopaedic surgeon screened the titles and abstracts for relevance. The full texts of 23 publications were selected and assessed for appropriateness by two authors (both fellowship

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Karl Stoffel Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland

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Tamara Horn Clinic of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland

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Luigi Zagra Hip Department, IRCCS Galeazzi Orthopaedic Institute, Milano, Italy

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Michael Mueller Orthopaedic Department, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Carsten Perka Orthopaedic Department, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Henrik Eckardt Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland

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fractures have also found good clinical results following ORIF in selected cases. 18 – 21 However, most loose stems must be revised. Whether or not a revision is necessary, or whether ORIF alone is sufficient, is not a straightforward decision. The

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Mark F Siemensma Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Anna E van der Windt Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Eline M van Es Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Joost W Colaris Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Denise Eygendaal Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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concomitant occurrence of heterotopic ossification (HO) are among the most common causes of stiffness, joint degeneration resulting from aging might also contribute. Elbow stiffness can be caused by osseous impingement or deformity, soft tissue contracture, or

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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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of evidence, the best treatment strategy for MLKIs remains unclear. It is generally accepted that acute-phase or staged surgical reconstructions give the best results. In addition, an effective repair can only be achieved within the first three weeks

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