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Yvet Mooiweer Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany
Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Lina Roling School of Medicine and Health Sciences, Carl von Ossietzky University, Oldenburg, Germany

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Margaret Vugrin Preston Smith Library, Texas Tech University Health Sciences Center, Lobbock, Texas, USA

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Lena Ansmann Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany
Chair of Medical Sociology, Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR) Faculty of Medicine, University of Cologne, Oldenburg, Germany

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Martin Stevens Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Gesine H Seeber Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
University Hospital of Orthopedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany

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). Unrealistically high expectations can result in discouragement and subsequent nonadherence to rehabilitation recommendations, yet unrealistically low expectations can result in low motivation to obtain full benefit from the surgery ( 10 ). In 2012 Haanstra et

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Lars Nonnenmacher Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany

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Maximilian Fischer Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany

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Lyubomir Haralambiev Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany

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Sander Bekeschus ZIK plasmatis, Leibniz Institute for Plasma Science and Technology (INP), Greifswald, Germany

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Frank Schulze Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany

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Georgi I Wassilew Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany

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Janosch Schoon Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany

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Johannes C Reichert Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany

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  • Cold physical plasma (CPP) technology is of high promise for various medical applications.

  • The interplay of specific components of physical plasma with living cells, tissues and organs on a structural and functional level is of paramount interest with the aim to induce therapeutic effects in a controlled and replicable fashion.

  • In contrast to other medical disciplines such as dermatology and oromaxillofacial surgery, research reports on CPP application in orthopaedics are scarce.

  • The present implementation of CPP in orthopaedics involves surface modifications of orthopaedic materials and biomaterials to optimize osseointegration. In addition, the influence of CPP on musculoskeletal cells and tissues is a focus of research, including possible adverse reactions and side effects. Its bactericidal aspects make CPP an attractive supplement to current treatment regimens in case of microbial inflammations such as periprosthetic joint infections. Attributed anticancerogenic and pro-apoptotic effects underline the clinical relevance of CPP as an additive in treating malignant bone lesions.

  • The present review outlines ongoing research in orthopaedics involving CPP; it distinguishes considerations for safe application and the need for more evidence-based research to facilitate robust clinical implementation.

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Fan Wu Experimental Surgery and Regenerative Medicine, Department of Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany

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Michael Nerlich Department of Trauma Surgery, University Regensburg Medical Center, Regensburg, Germany

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Denitsa Docheva Experimental Trauma Surgery, Department of Trauma Surgery, University Regensburg Medical Center, Regensburg, Germany and Department of Medical Biology, Medical University-Plovdiv, Plovdiv, Bulgaria

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conservative therapies. 43 , 52 Thus, surgery remains the main option followed by allogenic transplantation. Tendon treatment often requires lengthy periods of rehabilitation, while the original biological properties and mechanical strengths are rarely

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Brijesh Ayyaswamy Department of Orthopaedics, Blackpool Teaching Hospitals NHS Trust, Blackpool, UK

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Bilal Saeed Department of Orthopaedics, Blackpool Teaching Hospitals NHS Trust, Blackpool, UK

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Anoop Anand Department of Orthopaedics, Blackpool Teaching Hospitals NHS Trust, Blackpool, UK

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Lai Chan Edge Hill University, Ormskirk, UK

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Vishwanath Shetty Department of Orthopaedics, Blackpool Teaching Hospitals NHS Trust, Blackpool, UK

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et al 19 and Midbari et al 23 did not support this idea. Mitton et al 29 and Kashy et al 30 each reported one case with amputation of a leg followed by significant improvement in quality of life and rehabilitation. Primary

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Volkmar Jansson Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Grosshadern, Munich, Germany

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Alexander Grimberg German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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Oliver Melsheimer German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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Carsten Perka Charité Center for Orthopedics and Trauma Surgery, Charité University Hospital, Berlin, Germany

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Arnd Steinbrück Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Grosshadern, Munich, Germany
German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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  • National joint registries are gaining more and more importance in the fields of implant monitoring/outlier detection and quality of care.

  • The German Arthroplasty Registry (EPRD) was established in 2010 for the purpose of observing the impact of primary hip and knee arthroplasty on the German population.

  • Having now over one million documentations, we introduce the structure of the EPRD and detail the process of data collection.

  • We report on some preliminary trends and contrast these with findings from other joint registries.

  • We introduce the overhauled Arthroplasty Library, that resulted from an international collaboration with National Joint Registry of England, Wales and Northern Ireland.

Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180064

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Dieter Wirtz Department of Orthopaedic Surgery and Traumatology, University Hospital of Bonn, Germany

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Hendrik Kohlhof Department of Orthopaedic Surgery and Traumatology, University Hospital of Bonn, Germany

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sores. 2 – 3 In geriatric individuals it can be expected that short-term memory will be impaired because of modified cognition, leading to a slowing down of rehabilitation. Therefore, a programme of individual physical activity and rehabilitation

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Bernd Grimm AHORSE Research Foundation, Zuyderland Medical Center, Heerlen, The Netherlands.

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Stijn Bolink AHORSE Research Foundation, Zuyderland Medical Center, Heerlen, The Netherlands.

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of physical function in orthopaedics, and represents a main rehabilitation goal. As already described in recent reviews, 8 - 14 a wide variety of wearable sensors can be used for gait analysis, measuring different gait characteristics

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T Gosens Department of Orthopedic and Trauma Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands
Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands
Center of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, Tilburg, The Netherlands

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B L den Oudsten Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands
Center of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, Tilburg, The Netherlands

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). In contrast, it also has a perpetuating role when rehabilitating orthopedic surgery. One might say that certain personality characteristics predispose to generate certain behavior that can act as a protective or perpetuating factor. Although often

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Agnieszka Halm-Pozniak Department of Orthopaedics, Otto-von-Guericke University Magdeburg, Germany

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Christoph H Lohmann Department of Orthopaedics, Otto-von-Guericke University Magdeburg, Germany

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

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Benedikt Braun Department of Trauma and Reconstructive Surgery at the Eberhard Karls University Tübingen, BG Unfallklinik Tübingen, Germany

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Max Gordon Department of Clinical Sciences at Danderyd Hospital, Unit of Orthopedics, Karolinska Institutet, Stockholm, Sweden

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Bernd Grimm Department of Precision Health, Luxembourg Institute of Health, Human Motion, Orthopaedics, Sports Medicine, Digital Methods, Luxembourg

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-up strategies, individualizing rehabilitation, improving and tailoring education and training, automating documentation, and answering research questions. This manuscript can only provide a brief overview and try to summarize the nomenclature of digitization

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Benedikt J. Braun Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Germany

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Bernd Grimm Luxembourg Institute of Health, Luxembourg

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Andrew M. Hanflik Los Alamitos Orthopaedics, Los Alamitos, California, USA

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Meir T. Marmor Department of Orthopaedic Surgery, University of California, San Francisco, California, USA

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Peter H. Richter Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Germany

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Andrew K. Sands Weill Cornell Medical College, Foot and Ankle Surgery, Downtown Orthopedic Associates, New York Presbyterian Lower Manhattan Hospital, New York, USA

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Sureshan Sivananthan Orthopaedic Surgery, Pantai Hospital Kuala Lumpur, Malaysia

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optimization, concerning the surgeon’s skills, navigation, imaging, fracture reduction or various standardization issues. The post-intervention phase consists of medical management of comorbidities, rehabilitation requirements and the assessment of compliance

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