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Anne Lübbeke Division of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Switzerland; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK

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Introduction Why focus on outcome? The outcome of a treatment is what matters most to the patients, and to improve the patient’s condition is the ultimate goal of clinical care and clinical research. 1 - 3 To identify the most

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Matthew Barrett Barts and the London School of Medicine & Dentistry, UK

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Anoop Prasad Department of Orthopaedics, Royal London Hospital, UK

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Louis Boyce Barts and the London School of Medicine & Dentistry, UK

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Sebastian Dawson-Bowling Department of Orthopaedics, Royal London Hospital, UK

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Pramod Achan Department of Orthopaedics, Royal London Hospital, UK

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Steven Millington Department of Orthopaedics, Royal London Hospital, UK

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Sammy A. Hanna Department of Orthopaedics, Royal London Hospital, UK

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complications, longer hospital stays, poorer wound healing and more anaesthetic complications. 17 Furthermore, obesity is associated with poor short-term outcomes after undergoing THA, with reported complications of increased rates of periprosthetic

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Simon M. Lambert University College London Hospital, UK

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Introduction The functional outcome of a proximal humeral fracture (PHF) is never that of a completely normal shoulder, however treated. Management of PHF, as for all fractures, combines an assessment of the mechanical and biological factors

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A Prkić Department of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands
Amsterdam UMC Location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Amsterdam, The Netherlands

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N P Vermeulen Department of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands

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B W Kooistra Department of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands
Department of Orthopedic Surgery, Shoulder and Elbow Unit, OLVG, Amsterdam, The Netherlands
Department of Orthopedic Surgery, Medische Kliniek Velsen, Velsen-Noord, The Netherlands

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B The Department of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands

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M P J van den Bekerom Department of Orthopedic Surgery, Medische Kliniek Velsen, Velsen-Noord, The Netherlands
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands

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D Eygendaal Department of Orthopedic Surgery and Sports Medicine, ErasmusMC, Rotterdam, The Netherlands

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, the literature shows better outcomes when these are performed by experienced surgeons and in high-volume hospitals. This includes several orthopedic procedures and arthroplasties ( 7 , 8 , 9 , 10 , 11 , 12 , 13 ). Besides, in 2011, Sanchez

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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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Robotic-arm-assisted surgery is also associated with reduced intraoperative trauma to the soft tissue envelope when performing the bone cuts compared to manual performed knee arthroplasty. 3 This has been associated with improved early outcomes, such

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Jean-Pierre St Mart Department of Trauma and Orthopaedics, King’s College Hospital, London, UK

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En Lin Goh Oxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

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Zameer Shah Department of Trauma and Orthopaedics, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

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Introduction Background Long-term outcomes and survivorship of total hip arthroplasty (THA) are dependent on the accurate restoration of hip biomechanics, which is achieved through optimal component positioning. 1 – 9 It is evident

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Vikki Wylde Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, UK
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK

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Neil Artz Department of Allied Health Professions, University of the West of England, Bristol, UK

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Nick Howells North Bristol NHS Trust, Southmead Hospital, Bristol, UK

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Ashley W. Blom Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, UK
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
North Bristol NHS Trust, Southmead Hospital, Bristol, UK

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Introduction The primary reasons that patients elect to undergo total knee replacement (TKR) are to gain improvements in pain and walking ability. 1 However, patients often have high expectations of the outcome of their TKR and want more

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Jean-Pierre St Mart Department of Trauma and Orthopaedics, King’s College Hospital, London, UK

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En Lin Goh Oxford University Clinical Academic Graduate School, Medical Sciences Division, University of Oxford, Oxford, UK

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-term implant survivorship and clinical outcomes. 15 Due to the aforementioned limitations of passive robotic systems, both semi-active and active systems are being increasingly used in TKA. 16 Semi-active systems allow the surgeon to guide the robotic

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Richard N. de Steiger Australian Orthopaedic Association National Joint Replacement Registry, SAHMRI, Adelaide, Australia
School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Australia

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Stephen E. Graves School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Australia

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international quality registries, it was not clear whether the outcomes could be attributed to the Australian population. This was largely due to the range of different prostheses used in Australia not recorded by these registries, differences in methods of

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Georgios Kyriakopoulos Hôpital de la Tour, Geneve, Switzerland

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Lazaros Poultsides New York University Langone Orthopedic Hospital, New York University School of Medicine, USA

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Panayiotis Christofilopoulos Hôpital de la Tour, Geneve, Switzerland

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-popularize the anterior approach in the 1980s. With the continued improvement of implants, outcomes and techniques, the muscle damage caused by the lateral and posterolateral approaches to the abductors and external rotators started to cause concern, 2 and

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