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Marianne Arner Department of Clinical Science and Education, Karolinska Institutet and Department of Hand surgery Södersjukhuset, Stockholm, Sweden

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. About forty years ago, in 1975, the Swedish Knee Arthroplasty Register (SKAR) 5 was established following an initiative by the Swedish Orthopaedic Association and can probably be regarded as the first NQR in the world. It was soon followed by the

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