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M M Morlock Institute of Biomechanics, TUHH Hamburg University of Technology, Hamburg, Germany

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E Gomez-Barrena Department of Orthopaedic Surgery and Traumatology, Universidad Autónoma de Madrid, Madrid, Spain

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D C Wirtz Department of Orthopaedics and Traumatology, University Hospital Bonn, Bonn, Germany

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A Hart London Implant Retrieval Centre, Royal National Orthopaedic Hospital, Stanmore, UK

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J P Kretzer Department of Orthopaedic Surgery, Heidelberg University Hospital, Heidelberg, Germany

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from Class IIb to III (2005/50/EC) in the European Union, with a transition period between 2007 and 2009. Today, revisions due to implant failure are not clearly reflected in the joint arthroplasty registries due to their small number. Revision

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Martin C Jordan Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany
TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany

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Konrad F Fuchs Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany

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Steven C Herath Department for Traumatology and Reconstructive Surgery, BG Trauma Center, University of Tübingen, Tübingen, Germany

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Joachim Windolf TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

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Rainer H Meffert Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany

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Anne Neubert TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

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provides adequate reduction of the anterior pelvic ring and narrows the partially widened sacroiliac joint until the ligamentous injuries have healed. Surgeons who prefer the combined technique often fear implant failure or malunion and consider isolated SP

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Demien Broekhuis Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Rutger Tordoir Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Zoe Vallinga Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Jan Schoones Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Bart Pijls Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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Rob Nelissen Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands

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, implant failure and functional outcomes. The secondary aim was to evaluate the predictors of outcome for CTAC surgical techniques and implant characteristics. Methods The reporting of this systematic review is in accordance with the PRISMA 2020

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Thorsten Gehrke Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany

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Mustafa Citak Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany

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Mustafa Akkaya Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany

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and implant failures. Through the integration of advanced imaging technologies, computational modeling, and additive fabrication methods, megaimplants lead to optimal implant stability, restored hip biomechanics, and better patient outcomes. On the

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Victor Lu School of Clinical Medicine, University of Cambridge, Cambridge, UK

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Maria Tennyson Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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Andrew Zhou School of Clinical Medicine, University of Cambridge, Cambridge, UK

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Ravi Patel Department of Trauma and Orthopaedics, Shrewsbury and Telford Hospital NHS Trust, UK

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Mary D Fortune Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK

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Azeem Thahir Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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Matija Krkovic Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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pooled proportion of 8% (95% CI: 0.06–0.11, I 2 = 0%) ( Fig. 3C ). Implant failure was reported in 11 and had a pooled proportion of 11% (95% CI: 0.07–0.15, I 2 = 0%) ( Fig. 3D ). Implant failure was defined as broken/loose screws, nail breakages, or

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Alexei Buruian Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Francisco Silva Gomes Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Tiago Roseiro Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Claudia Vale Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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André Carvalho Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Emanuel Seiça Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Antonio Mendes Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Carlos Pereira Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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, including implant failure (0.2%), screw loosening and breaking, drill bit breaking (0.4%), soft tissue irritation, intramuscular haematoma and compartment syndrome. 10 , 40 , 44 , 45 , 46 Higher radiation exposure for the surgical team is also a factor

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Sebastian Siebenlist Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Germany

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Arne Buchholz Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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Karl F. Braun Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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last decade. 65 , 66 , 70 Complications such as ulnar neuropathy, deep infection, implant failure or delayed/non-union are relatively rarely reported. However, an uneven reconstruction of the articular surface can cause sequelae such as limited

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Fahima A. Begum University College Hospital, London, UK

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Babar Kayani University College Hospital, London, UK

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Samuel D. J. Morgan University College Hospital, London, UK

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Syed S. Ahmed University College Hospital, London, UK

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Sandeep Singh University College Hospital, London, UK

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Fares S. Haddad University College Hospital, London, UK

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reasons for implant failure and early revision surgery in UKA. 5 – 7 To help overcome this, there has been a recent surge in robotic UKA. This procedure uses computer technology to preoperatively plan optimal bone resection and implant positioning

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Dongmei Wu School of Medicine, University of St. Andrews, St. Andrews, Fife, United Kingdom

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Rohan M Bhalekar ExplantLab, The Biosphere, Newcastle Helix, Newcastle-upon-Tyne, United Kingdom

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Jordan S Marsh School of Medicine, University of St. Andrews, St. Andrews, Fife, United Kingdom

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David J Langton ExplantLab, The Biosphere, Newcastle Helix, Newcastle-upon-Tyne, United Kingdom

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Alan J Stewart School of Medicine, University of St. Andrews, St. Andrews, Fife, United Kingdom

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in blood ( 79 , 80 ). It is reported to be a rare complication with a prevalence of around 5% in MoM hip replacements ( 79 ). However, it cannot be used as a diagnostic terminology to define implant failure as it fails to distinguish the complexity

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Emmanuele Santolini Academic Unit of Trauma and Orthopaedics, University of Genoa, Italy
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK

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Nikolaos K. Kanakaris Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK

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Peter V. Giannoudis Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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associated with anterior pelvic ring injuries, in order to increase stability and reduce the risk of posterior implant failure. They include retrograde transpubic screw, anterior internal fixator, or plate and screws. 17 , 82 Overall, indications and

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