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Giuseppe Solarino Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Giovanni Vicenti Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Massimiliano Carrozzo Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Guglielmo Ottaviani Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Biagio Moretti Department of Neuroscience and Organs of Sense, Orthopaedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy

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Luigi Zagra IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy

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data are summarized in Table 1 . A total of 5645 primary THA in 5518 patients were reported, the average follow-up was 71.37 months. Eighteen studies reported the primary diagnosis: primary osteoarthritis in 2745 (76.2%) cases, DDH in 526 (14.6%) cases

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Valeria Pintar St George’s Hospital, London, UK

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Charlotte Brookes St George’s Hospital, London, UK

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Alex Trompeter St George’s Hospital, London, UK
St George’s University of London, UK

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Anna Bridgens St George’s Hospital, London, UK

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Caroline Hing St George’s Hospital, London, UK
St George’s University of London, UK

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Yael Gelfer St George’s Hospital, London, UK
St George’s University of London, UK

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Primary Both Both 43 High Ida et al. ( 61 ) Case report Primary Elective Lower limb 1 High Saw et al. ( 51 ) Case report Primary Trauma Lower limb 1 High Goodarzi et al. ( 46 ) Case–control study

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Raul Barco Hospital Universitario La Paz, Madrid, Spain

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Olga D. Savvidou Athens University Medical School, Attikon University Hospital, Athens, Greece

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John W. Sperling Mayo Clinic, Rochester, USA

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Joaquín Sanchez-Sotelo Mayo Clinic, Rochester, USA

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Robert H. Cofield Mayo Clinic, Rochester, USA

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effect of their learning curve. 20 Kempton et al have established an early complication-based learning curve for RSA of approximately 40 cases, whereas other authors have reported that the complication rate decreases after the first 17 cases. 19

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Andrea Angelini Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Ivan Bohacek Department of Orthopaedic Surgery, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, Salata, Zagreb, Croatia

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Mihovil Plecko Department of Orthopaedic Surgery, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, Salata, Zagreb, Croatia

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Carlo Biz Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Giulia Trovarelli Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Mariachiara Cerchiaro Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Giuseppe Di Rubbo Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Pietro Ruggieri Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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than two-thirds of patients classified in this group, and valgus deformity of the ankle was the most commonly reported one. Around 70% of reported cases were children. The peculiarity of children is their growth potential, making them a difficult group

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Joaquim Soares do Brito Orthopedics Department, University Hospital of Santa Maria, Lisbon, Portugal

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André Spranger Orthopedics Department, University Hospital of Santa Maria, Lisbon, Portugal

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Paulo Almeida Orthopedics Department, University Hospital of Santa Maria, Lisbon, Portugal

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José Portela Orthopedics Department, University Hospital of Santa Maria, Lisbon, Portugal

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Irene Barrientos-Ruiz Orthopedics Department, University Hospital of La Paz, Madrid

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articles, case report studies, articles with full text in languages other than English; articles with only abstracts available, and articles where the full text was not accessible. To achieve more consistency in the information retrieved, papers that did

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Mohsen Raza Department of Trauma & Orthopaedics, St George’s University Hospitals NHS Foundation Trust, London, UK

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Daniel Murphy Department of Trauma & Orthopaedics, St George’s University Hospitals NHS Foundation Trust, London, UK

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Yael Gelfer Department of Trauma & Orthopaedics, St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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) checklist to aid with data synthesis methodology. 15 , 16 As the majority of studies were case reports/series, bias assessment was not deemed appropriate. Results A total of 169 published reports were originally identified. Fig. 1 presents

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Sylvain Steinmetz Geneva University Hospitals, Geneva, Switzerland

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Anne-Laure Rougemont Geneva University Hospitals, Geneva, Switzerland

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Robin Peter Geneva University Hospitals, Geneva, Switzerland

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joints are the most affected: the knee (70%), hip (15%) and then the ankle, shoulder and elbow. PVNS in the hip mainly occurs between the second and third decade. The youngest reported case was of a seven-year-old, 4 and the oldest, 78 years. 5

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Andreas Fontalis Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, UK
Academic Unit of Bone Metabolism, University of Sheffield Medical School, Sheffield, UK

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Eustathios Kenanidis Academic Orthopaedic Unit, Aristotle University Medical School, Papageorgiou General Hospital, Thessaloniki, Greece
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI), Aristotle University of Thessaloniki, Thessaloniki, Greece

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Katharine Bennett-Brown Chelsea and Westminster Hospital NHS Foundation Trust, Chelsea, London, UK

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Eleftherios Tsiridis Academic Orthopaedic Unit, Aristotle University Medical School, Papageorgiou General Hospital, Thessaloniki, Greece
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI), Aristotle University of Thessaloniki, Thessaloniki, Greece

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the duration of follow-up. With respect to study design, we included randomized controlled trials (RCTs), cohort studies and case series. We excluded reviews, editorial comments, case reports and case series with ⩽ 5 patients. A flow diagram

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

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

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Juan S. Ruiz-Pérez Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán 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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Ritchie P Gordon S Eckardt JJ . Dislocation of rotating hinge knee prostheses: a report of four cases . J Bone Joint Surg Am 2005 ; 87 : 1108 – 1112 . 5. Joshi N Navarro-Quilis A . Is there a place for

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Philippe Chiron Orthopédie Traumatologie, Secteur A, Batiment riquet, étage 5, CHU Toulouse, Toulouse Cedex 9, France

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Nicolas Reina Orthopédie Traumatologie, Secteur A, Batiment riquet, étage 5, CHU Toulouse, Toulouse Cedex 9, France

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fractures are relatively rare; the literature mainly reports isolated clinical cases; therefore, individual surgeons have limited experience. This review of the literature enables a better analysis of the type of fracture and the course of action in case of

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