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Mark D Kohn Department of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA

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Charles J Wolock Department of Biostatistics, University of Washington, Seattle, Washington, USA

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Isaac J Poulson School of Medicine, University of Washington, Seattle, Washington, USA

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Navin D Fernando Department of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA

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Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement ( 11 ). This meta-analysis sought to quantitatively investigate the postoperative outcomes of patients with and without chronic hepatitis C who underwent elective THA or

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Yvet Mooiweer Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany
Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Lina Roling School of Medicine and Health Sciences, Carl von Ossietzky University, Oldenburg, Germany

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Margaret Vugrin Preston Smith Library, Texas Tech University Health Sciences Center, Lobbock, Texas, USA

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Lena Ansmann Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany
Chair of Medical Sociology, Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR) Faculty of Medicine, University of Cologne, Oldenburg, Germany

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Martin Stevens Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Gesine H Seeber Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
University Hospital of Orthopedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany

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, with a generally good outcome and cost-effectiveness ( 6 ). However, 10–30% of patients are dissatisfied with their surgical outcome ( 7 ). Patient’s preoperative level of expectations seems to play a role in postoperative outcomes ( 8 , 9

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SaTia T. Sinclair Cleveland Clinic Foundation, Department of Orthopedic Surgery, Cleveland, Ohio, United States

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Ahmed K. Emara Cleveland Clinic Foundation, Department of Orthopedic Surgery, Cleveland, Ohio, United States

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Melissa N. Orr Cleveland Clinic Foundation, Department of Orthopedic Surgery, Cleveland, Ohio, United States

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Kara M. McConaghy Case Western Reserve University School of Medicine, Cleveland, Ohio, United States

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Alison K. Klika Cleveland Clinic Foundation, Department of Orthopedic Surgery, Cleveland, Ohio, United States

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Nicolas S. Piuzzi Cleveland Clinic Foundation, Department of Orthopedic Surgery, Cleveland, Ohio, United States

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postoperative outcomes. 15 , 18 Upon its development, Dripps et al 19 revised the classification system, giving rise to the current model comprising six classes and a separate designation for emergency procedures ( Table 2 ). 17 , 19 Currently

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Kara McConaghy Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

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Tabitha Derr Implant Research Core, School of Biomedical Engineering, Science, and Health Systems, Drexel University, Philadelphia, Pennsylvania, USA

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Robert M. Molloy Cleveland Clinic, Department of Orthopedic Surgery, Cleveland, Ohio, USA

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Alison K. Klika Cleveland Clinic, Department of Orthopedic Surgery, Cleveland, Ohio, USA

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Steven Kurtz Implant Research Core, School of Biomedical Engineering, Science, and Health Systems, Drexel University, Philadelphia, Pennsylvania, USA
Exponent, Philadelphia, Pennsylvania, USA

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

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outcomes of TKA based on the specific techniques and materials used for patellar management may allow us to better understand what factors contribute to superior postoperative outcomes and possibly identify targets for improved surgical management

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Emanuele Diquattro Ortopedia-Traumatologia e Chirurgia Protesica e dei Reimpianti d'anca e di Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Sonja Jahnke Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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Francesco Traina Ortopedia-Traumatologia e Chirurgia Protesica e dei Reimpianti d'anca e di Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Francesco Perdisa Department of Orthopaedics, Villa Erbosa Hospital, Bologna, Italy

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Roland Becker Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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Sebastian Kopf Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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  • Despite the general success of anterior cruciate ligament reconstructions (ACL-R), there are still studies reporting a high failure rate. Orthopedic surgeons are therefore increasingly confronted with the treatment of ACL retears, which are often accompanied by other lesions, such as meniscus tears and cartilage damage and which, if overlooked, can lead to poor postoperative clinical outcomes.

  • The literature shows a wide variety of causes for ACL-R failure. Main causes are further trauma and possible technical errors during surgery, among which the position of the femoral tunnel is thought to be one of the most important.

  • A successful postoperative outcome after ACL-revision surgery requires good preoperative planning, including a thorough evaluation of patient's medical history, e.g. instability during daily or sports activity, increased general joint laxity, and hints for a low-grade infection. A careful clinical examination should be performed. Additionally, comprehensive imaging is necessary. Besides a magnetic resonance imaging, a CT scan is helpful to determine location of tunnel apertures and to analyze for tunnel enlargement. A lateral knee radiograph is helpful to determine the tibial slope.

  • The range of surgical options for the treatment of ACL-R failure is broad today. Orthopedic surgeons and experts in Sports Medicine must deal with various possible associated injuries of the knee or unfavorable anatomical conditions for ACL-R.

  • The aim of this review was to highlight predictors and reasons of failures of ACL-R as well as describe diagnostic procedures to individualize treatment strategies for improved outcome after revision ACL-R.

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Pierre Hoffmeyer University Hospitals of Geneva, Switzerland

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(RAS) has introduced a new dimension to orthopaedic procedures. These technologies offer advantages such as enhanced accuracy in implant placement, reduced surgical invasiveness, and improved postoperative outcomes. Clearly the integration of AI

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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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progression. Valgus deformity is less frequent than varus, so not so many papers are published on DFO postoperative outcomes. However, surgeons must keep in mind that valgus malalignment is not only represented by a femoral-based deformity. In fact, recent

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Niels Hendrik Bech Slotervaart Center of Research and Education, The Netherlands

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Daniel Haverkamp Slotervaart Center of Research and Education, The Netherlands

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discussing AIIS impingement or SSI, and even less about treatment options ( Table 1 ). Table 1. Articles on surgical treatment for AIIS Author Sample size Surgical intervention Follow up Preoperative outcome Postoperative outcome

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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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information on PROMs ( 4 , 6 ). An overview of postoperative outcome score is reported in Table 2 . Table 2 Summary of functional and clinical outcomes utilized in included studies. Reference/outcome measures Year Pre-operative score

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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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33. Allain TJ Beresford PA Newman JH Swinkels A . Vitamin D levels in patients undergoing knee arthroplasty: does vitamin D status effect postoperative outcomes? E-Spen, the European e-Journal of Clinical Nutrition and Metabolism 2008 3 e17

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