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Nicholas D. Clement Department of Orthopaedics, Freeman Hospital, Newcastle, UK
Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK
South West of London Orthopaedic Elective Centre, Epsom, UK

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Marwan Al-Zibari South West of London Orthopaedic Elective Centre, Epsom, UK

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Irrum Afzal South West of London Orthopaedic Elective Centre, Epsom, UK

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David J. Deehan Department of Orthopaedics, Freeman Hospital, Newcastle, UK

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Deiary Kader South West of London Orthopaedic Elective Centre, Epsom, UK

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or learning curve or survivorship including clinical, cadaveric or dry bone studies. Studies were excluded if they were case reports, review articles or were not available in the English language. Data extraction The collected data from each

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R J M Morrison Northumbria Healthcare NHS Foundation Trust, Ashington, UK
Newcastle University, Newcastle upon Tyne, UK

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W G Fishley Northumbria Healthcare NHS Foundation Trust, Ashington, UK
University of York, York, UK

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K S Rankin Newcastle University, Newcastle upon Tyne, UK
The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK

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M R Reed Northumbria Healthcare NHS Foundation Trust, Ashington, UK
University of York, York, UK

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been associated with a range of adverse post-operative outcomes ( 3 ), and there is a high incidence of deficiency reported in patients undergoing total hip (THR) or knee (TKR) arthroplasty ( 4 ). Previous systematic reviews ( 4 , 5 , 6 , 7 ) have

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Claudio Legnani IRCCS Istituto Ortopedico Galeazzi, Sports Traumatology and Minimally Invasive Articular Surgery Center, Milan Italy

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Andrea Parente IRCCS Istituto Ortopedico Galeazzi, Hip and Knee Arthroplasty Surgery Center, Milan, Italy

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Franco Parente IRCCS Istituto Ortopedico Galeazzi, Hip and Knee Arthroplasty Surgery Center, Milan, Italy

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Alberto Ventura IRCCS Istituto Ortopedico Galeazzi, Sports Traumatology and Minimally Invasive Articular Surgery Center, Milan Italy

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)). However, most studies do not report information about the presence of retained hardware ( 3 , 4 , 5 , 6 , 8 ); it can be concluded that in most cases, patients underwent a two-stage procedure with hardware removal followed by UKR. Prosthesis

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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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that reported clinical and/or radiological outcomes comparing KA and MA TKA. Case reports, letters, unpublished data, cadaver studies and studies of revision arthroplasty were excluded ( Fig. 3 ). Fig. 3 PRISMA Flow Diagram Note . RCT

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Joost van Tilburg Department of Orthopedics, Herlev Gentofte Hospital, Hellerup, Copenhagen, Denmark

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Mikkel Rathsach Andersen Department of Orthopedics, Herlev Gentofte Hospital, Hellerup, Copenhagen, Denmark

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the eligibility criteria, and we, therefore, did not find risk and bias regarding allocation or blinding. The risk of selection bias was not considered significant as all studies included reported all cases operated within a given time frame selected

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Corentin Pangaud Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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Matthieu Ollivier Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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Jean-Noël Argenson Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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-operative range of motion (ROM) were frequently reported. In order to perform this analysis, the data we reviewed were: Number of patients Single- or double-stage exchange In case of double-stage exchange, the kind of spacer: static or

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Aline Van Oevelen Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium

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Arne Burssens Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium

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Nicola Krähenbühl Department of Orthopaedics, University Hospital Basel, Basel, Switzerland

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Alexej Barg Department of Orthopaedics and Trauma, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

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Bernhard Devos Bevernage Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium

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Emmanuel Audenaert Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
Department of Electromechanics, InViLab research group, University of Antwerp, Antwerp, Belgium
Department of Trauma and Orthopedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

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Beat Hintermann Department of Orthopaedics, Kantonsspital Baselland, Liestal, Switzerland

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Jan Victor Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium

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concomitant clinical and/or radiographic and/or biomechanical ankle/hindfoot investigations; (iii) patient reported outcome measures and/or angular measurements and/or pressure measurements; (iv) follow-up time of at least 3 months in case of clinical studies

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Pietro Feltri Orthopaedics and Traumatology Clinic, EOC, Lugano, Switzerland

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Camilla Mondini Trissino da Lodi Orthopaedics and Traumatology Clinic, EOC, Lugano, Switzerland

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Alberto Grassi II Clinica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Stefano Zaffagnini II Clinica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Christian Candrian Orthopaedics and Traumatology Clinic, EOC, Lugano, Switzerland
Facoltà di Scienze Biomediche, Università della Svizzera Italiana, Lugano, Switzerland

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Giuseppe Filardo Orthopaedics and Traumatology Clinic, EOC, Lugano, Switzerland
Applied and Translational Research Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Facoltà di Scienze Biomediche, Università della Svizzera Italiana, Lugano, Switzerland

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case-control study by Berend et al 15 reporting significantly better Lower Extremity Activity Score and Knee Society Function Score for the one-stage vs. the two-stage UKA group. Meta-analysis: single-stage vs. two-stage bilateral UKA Six case

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Reha N Tandogan Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey

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Esref Terzi Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Avcilar Hospital, Istanbul, Turkey

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Enrique Gomez-Barrena Department of Orthopedics & Traumatology, Universidad Autónoma de Madrid, Hospital La Paz, Madrid, Spain

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Bruno Violante Orthopaedic Department, Clinical Institute Sant’Ambrogio, IRCCS – Galeazzi, Milano, Italy

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Asim Kayaalp Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey

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tendon ruptures ( 30 ). Reported risk factors for quadriceps tendon tears are obesity, diabetes mellitus, rheumatoid arthritis, chronic tendinopathy with bone spurs ( 31 ), amyloidosis and systemic or local corticosteroids ( 32 ). A third of the cases

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Jason Trieu University of Melbourne Department of Surgery, Fitzroy, Australia

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Chris Schilling University of Melbourne Department of Surgery, Fitzroy, Australia

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Michelle M. Dowsey University of Melbourne Department of Surgery, Fitzroy, Australia
Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia

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Peter F. Choong University of Melbourne Department of Surgery, Fitzroy, Australia
Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia

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reported that only 25% of TKRs were performed at hospitals with annual case volumes exceeding 200 TKRs. 35 Similar findings may apply to other countries where the use of computer navigation in TKR is also increasingly prevalent. 36 The differences

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