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Alfonso Vaquero-Picado Department of Orthopedic Surgery, “La Paz” University Hospital, Paseo de la Castellana 261. CP 28046. Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopedic Surgery, “La Paz” University Hospital, Paseo de la Castellana 261. CP 28046. Madrid, Spain

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been established, as the optimal PCL reconstruction has not been developed yet. The knowledge about PCL anatomy, epidemiology, biomechanics, clinical diagnosis and treatment management has evolved dramatically in recent years. 2 These advances have

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Erdem Sahin Cankaya Orthopedics, Ankara, Turkiye

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Reha Tandogan Department of Orthopedics & Traumatology, Cankaya Orthopedics, Ankara, Turkiye & Halic University, Istanbul, Turkiye

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Michael Liebensteiner Orthopädie, Knie & Fuß im Zentrum, Innsbruck, Austria

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Guillaume Demey Lyon Ortho Clinic, Lyon, France

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

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factors ( 9 ). Patients with recurrent instability should be treated operatively to prevent progressive cartilage damage and improve quality of life. Surgical treatment should be tailored to the patient, with reconstruction of the injured medial

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Jonathan G. Robin Box Hill Hospital, Eastern Health Network, Australia

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Philippe Neyret Lyon 1 University, France

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recently attention has been directed at treating coronal malalignment and associated knee instabilities with HTO with and without ligament reconstruction. Further, there has been more interest shown in sagittal plane deformity of the proximal tibia. In

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Fabio A. Rodriguez-Patarroyo Outcomes Research Department, Anesthesiology Institute, Cleveland Clinic Ohio, USA

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Nadin Cuello Department of Orthopaedic and Trauma Surgery, Hospital Interzonal General de Agudos Eva Perón, San Martín, Buenos Aires, Argentina

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Robert Molloy Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA

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Viktor Krebs Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA

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Alparslan Turan Outcomes Research Department, Anesthesiology Institute, Cleveland Clinic Ohio, USA
Department of Anesthesiology, Cleveland Clinic, Cleveland, Ohio, USA

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Nicolas S. Piuzzi Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA

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produce dissatisfaction among patients after TKA, and increased hospital utilization. 6 , 7 Different anesthetic approaches and combinations such us general anesthesia (GA), neuroaxial anesthesia (epidural or spinal) and/or peripheral nerve blocks have

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Sohrab Keyhani Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Mohammad Movahedinia Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Arash Sherafat Vaziri Center of Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran

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Mehran Soleymanha Orthopedic Surgery, Poursina Hospital Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran

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Fardis Vosoughi Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Mohammad Tahami Bone and Joint Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

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Robert F LaPrade Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

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plateau and the femoral condyle ( 5 ). This safe zone is bounded by the semimembranosus and gastrocnemius intraarticular folds posterior to the medial femoral condyle ( 5 ). Posterolateral portal placement is less challenging, as peroneal nerve course is

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Andrea Ferrera Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Centre, Turin, Italy

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Jacques Menetrey Centre de Médecine du Sport et de l’Exercice (CMSE), Swiss Olympic Medical Center, Hirslanden Clinique La Colline, Geneva, Switzerland
Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland

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as a risk factor for failure of ACL reconstruction. Nowadays, PTO might be performed, if degenerative changes occur, in patients with varus knee plus ACL rupture in the absence of dynamic instability on weight-bearing lateral radiographs. ACL

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Francesco Pirato Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Federica Rosso Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Federico Dettoni Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Davide Edoardo Bonasia Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Matteo Bruzzone Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Roberto Rossi Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy

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Introduction Knee stiffness is a widely known and worrying condition in several postoperative knees, such as total knee arthroplasty (TKA) or anterior cruciate ligament (ACL) reconstruction ( 1 , 2 , 3 , 4 ). However, less is known about

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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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-post extension was placed a revision reconstruction of the extensor mechanism with an extensor mechanism allograft Atraumatic disengagement, persistent instability, particularly with an incompetent extensor mechanism, may act synergistically to disengagement of

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Felix Christoph Finger BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Steffen Schröter Diakonie Klinikum Jung-Stilling GmbH, Department of Trauma and Reconstructive Surgery, Siegen, Germany
Osteotomie Komitee der Deutschen Knie Gesellschaft (DKG), Munich, Germany

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Christoph Ihle BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Moritz Herbst BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Tina Histing BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Marc-Daniel Ahrend BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
Osteotomie Komitee der Deutschen Knie Gesellschaft (DKG), Munich, Germany
AO Research Institute Davos, Davos, Switzerland

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-controlled study by Sim et al. investigated the effect of adductor-canal nerve block (20 mL levobupivacaine single-shot) on pain perception and range of motion (ROM), postoperative opioid consumption, m. quadriceps femoris strength and occurrence of complications

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Lei Yao Sports Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Department of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China

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Jie Cai West China School of Medicine, Sichuan University, Chengdu, Sichuan, China

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Junqiao Li Sports Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Department of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China

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Yan Xiong Sports Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Department of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China

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Jian Li Sports Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Department of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China

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meniscectomy. No patients underwent meniscal suture, anterior cruciate ligament reconstruction, or microfracture. All patients in the treatment group received an additional dose of HA immediately after surgery, while patients in two studies ( 6 , 19 ) received

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