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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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  • There are many digital solutions which assist the orthopaedic trauma surgeon. This already broad field is rapidly expanding, making a complete overview of the existing solutions difficult.

  • The AO Foundation has established a task force to address the need for an overview of digital solutions in the field of orthopaedic trauma surgery.

  • Areas of new technology which will help the surgeon gain a greater understanding of these possible solutions are reviewed.

  • We propose a categorization of the current needs in orthopaedic trauma surgery matched with available or potential digital solutions, and provide a narrative overview of this broad topic, including the needs, solutions and basic rules to ensure adequate use in orthopaedic trauma surgery. We seek to make this field more accessible, allowing for technological solutions to be clearly matched to trauma surgeons’ needs.

Cite this article: EFORT Open Rev 2020;5:408-420. DOI: 10.1302/2058-5241.5.200021

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.5.200021
Volume/Issue:
Volume 5: Issue 7
Open access
Alan G. Fraser Department of Cardiology, University Hospital of Wales, Cardiff, UK

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Rob G.H.H. Nelissen Department of Orthopaedics, Leiden University Medical Center, Leiden, Netherlands

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Per Kjærsgaard-Andersen Department of Orthopaedics, Vejle Hospital, South Danish University, Vejle, Denmark

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Piotr Szymański Centre of Postgraduate Medical Education, MSWiA Central Clinical Hospital, Warsaw, Poland

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Tom Melvin Healthcare Products Regulatory Authority, Earlsfort Terrace, Dublin 2, Ireland

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Paul Piscoi Health Technology Unit B6, Directorate General for Health (DG SANTE), European Commission, Brussels, Belgium

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On behalf of the CORE–MD Investigators (see Appendix) Alan Fraser, Piotr Szymański, Chris Gale, Aldo Maggioni, Elisabetta Zanon, Christina Dimopoulou, Cinzia Ceccarelli, Polyxeni Vairami, Anett Ruszanov, Per Kjærsgaard-Andersen, Rob Nelissen, Adrian Ott, Elizabeth Macintyre, Loredana Simulescu, Marieke Meijer, Berthold Koletzko, Sarah Wieczorek, Adamos Hadjipanayis, Stefano Del Torso, Perla Marang-van de Mheen, Lotje Hoogervorst, Ewout W. Steyerberg, Bas Penning De Vries, Peter McCulloch, Martin Landray, Daniel Prieto Alhambra, James Smith, Anne Lubbeke-Wolf, Stefan James, Sergio Buccheri, Robert Byrne, Laurna McGovern, Stephan Windecker, Andre Frenk, Georgios Siontis, Christoph Stettler, Arjola Bano, Lia Bally, Frank E. Rademakers, Jan D‘hooge, Anton Vedder, Elisabetta Biasin, Erik Kamenjasevic, Petra Schnell-Inderst, Felicitas Kühne, Ola Rolfson, Joel Jakobsson, Amanda Tornsö, Enrico G. Caiani, Lorenzo Gianquintieri, Cinzia Cappiello, Maristella Matera, Tom Melvin, Niall MacAleenan, Ria Mahon, Michèle Meagher, Gearóid McGauran, Thomas Wejs Møller, Ann-Sofie Sonne Holm-Schou, Jan Szulc, Robert E. Geertsma, Jantine W.P.M. van Baal, Joëlle M. Hoebert, Susana L.F. Cabaço, Paola Laricchiuta, Marina Torre, Filippo Boniforti, Eugenio Carrani, Stefania Ceccarelli, Claudia Wild, Sabine Ettinger, Juan Antonio Blasco Amaro, Juan Carlos Rejón Parrilla, Agnieszka Dobrzynska, David Epstein, Valentina Strammiello, Hannes Jarke, Kaisa Immonen, Françoise Schlemmer, Sabina Hoekstra, Marianna Mastroroberto, Christoph Ziskoven, Michael Hahn, Erman Melikyan, Richard Holborow, Suzanne Halliday, Alexey Shiryaev, Gero Viola, Harry van Vugt

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(ISS), Rome, Italy Institutes for health technology assessment • Austrian Institute for Health Technology Assessment (AIHTA), Vienna, Austria • Fundación Pública Andaluza Progreso y Salud / Andalusian Health Technology Assessment Unit (AETSA), Seville

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.6.210081
Volume/Issue:
Volume 6: Issue 10
Open access
Achi Kamaraj School of Clinical Medicine, University of Cambridge, Cambridge, UK

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Nikhil Agarwal Department of Surgery, University of Cambridge, Cambridge, UK

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K. T. Matthew Seah Department of Surgery, University of Cambridge, Cambridge, UK

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Wasim Khan Department of Surgery, University of Cambridge, Cambridge, UK

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decision problem (e.g. an investment decision for a hospital or to inform a reimbursement request to the government). However, the European Network for Health Technology Assessment (EUnetHTA) recommends that all economic evaluations to be conducted from a

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.6.200115
Volume/Issue:
Volume 6: Issue 5
Open access
Anne Lübbeke Division of Orthopaedic Surgery and Traumatology, Geneva University Hospitals and University of Geneva, Switzerland
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK

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Andrew J Carr Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK

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Pierre Hoffmeyer Division of Orthopaedic Surgery and Traumatology, Geneva University Hospitals and University of Geneva, Switzerland

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-marketing surveillance, health technology assessment, reimbursement and procurement decisions, and allows healthcare provider benchmarking. Registries can also generate risk alerts, which are relevant for all stakeholders. The Australian registry for example flags

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.4.180077
Volume/Issue:
Volume 4: Issue 6
Open access
Anne Lübbeke Division of Orthopaedic Surgery & Traumatology, Geneva University Hospitals and University of Geneva, Switzerland
Botnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK

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Christophe Combescure Division of Clinical Epidemiology, Geneva University Hospitals and University of Geneva, Switzerland

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Christophe Barea Division of Orthopaedic Surgery & Traumatology, Geneva University Hospitals and University of Geneva, Switzerland

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Amanda Inez Gonzalez Division of Orthopaedic Surgery & Traumatology, Geneva University Hospitals and University of Geneva, Switzerland

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Keith Tucker Chair Orthopaedic Data Evaluation Panel, UK

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Per Kjærsgaard-Andersen Center for Adult Hip and Knee Reconstruction, Department of Orthopaedics, South Danish University, Vejle Hospital, Denmark

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Tom Melvin School of Medicine, Trinity College Dublin, Ireland

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Alan G Fraser Department of Cardiology, University Hospital of Wales, Cardiff, UK

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Rob Nelissen Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands

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James A Smith Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK
National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK

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derived from the published literature is complemented by annual reports from registries, which monitor real-world safety and performance of implants at the national or regional level over the long term ( 2 ). EU regulatory and health technology assessment

Article Type:
Systematic Review
Category:
General Orthopaedics
DOI:
https://doi.org/10.1530/EOR-23-0024
Volume/Issue:
Volume 8: Issue 11
Open access
Hasan Huseyin Ceylan Lütfiye Nuri Burat Public Hospital, Orthopedics and Traumatology Department, Istanbul, Turkey

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Nurdan Güngören Bezmialem Vakif University, Istanbul, Turkey

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Fatih Küçükdurmaz Orthopedics and Traumatology Department, Bezmialem Vakif University, Istanbul, Turkey

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Collaboration: 4 Cochrane Database of Systematic Reviews Cochrane Central Register of Controlled Trials (CENTRAL) Cochrane Methodology Register Database of Abstracts of Reviews of Effects (DARE) Health Technology Assessment

Article Type:
Research Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.2.160066
Volume/Issue:
Volume 2: Issue 5
Open access
Anne Lübbeke Division of Orthopaedic Surgery and Traumatology, Geneva University Hospitals and University of Geneva, Switzerland
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

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James A. Smith Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK

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Daniel Prieto-Alhambra Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

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Andrew J. Carr Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK

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, biomedical engineers, manufacturers, health technology assessment (HTA) specialists, regulators, notified bodies, device data custodians, toxicologists, materiovigilance, and pharmaco-epidemiology specialists, and potentially others. Fragmentation has made it

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.6.200094
Volume/Issue:
Volume 6: Issue 3
Open access
Tom Melvin Medical Officer, Health Products Regulatory Authority, Dublin, Republic of Ireland

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Marina Torre Engineer, Senior Researcher, Istituto Superiore di Sanità, Rome, Italy

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as the data generated by a registry may be of interest to a broad range of stakeholders, including patients, clinicians, authorities, device manufacturers, health technology assessment bodies and other decision makers in a health system. These

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1302/2058-5241.4.180061
Volume/Issue:
Volume 4: Issue 6
Open access
Heiner Fangerau Department for the History, Philosophy and Ethics of Medicine, Medical Faculty, Heinrich-Heine University Duesseldorf Centre Health & Society, Moorenstraße 5, Düsseldorf, Germany

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part of an ecosystem: a broader ethical and health technology assessment approach is needed . American Journal of Bioethics 2020 20 46 – 48 . ( https://doi.org/10.1080/15265161.2020.1820104 ) 37 Fangerau H Hansson N & Rolfes V

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1530/EOR-24-0029
Volume/Issue:
Volume 9: Issue 5
Open access
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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PARCS mixed-methods feasibility study . Health Technology Assessment (Rockville) 2021 25 VII–81. 34. Haider Z Aweid B Subramanian P & Iranpour F . Telemedicine in orthopaedics during COVID-19 and beyond: a systematic review . Journal of

Article Type:
Review Article
Category:
General Orthopaedics
DOI:
https://doi.org/10.1530/EOR-23-0081
Volume/Issue:
Volume 8: Issue 5
Open access