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Xue Ling Chong Centre Assal SA, Foot and Ankle Surgery Centre, La Colline, Geneva, Switzerland

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Lisca Drittenbass Centre Assal SA, Foot and Ankle Surgery Centre, La Colline, Geneva, Switzerland

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Victor Dubois-Ferriere Centre Assal SA, Foot and Ankle Surgery Centre, La Colline, Geneva, Switzerland

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Mathieu Assal Centre Assal SA, Foot and Ankle Surgery Centre, La Colline, Geneva, Switzerland

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Lapidus procedure, it will require revision surgery by means of an osteotomy rather than taking down the TMTJ1 fusion. We recommend to perform a plantarflexing dorsal opening wedge osteotomy at the proximal metaphysis of the metatarsal ( Figs 3 and 4

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E. Carlos Rodríguez-Merchán Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain
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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Hortensia De la Corte-Rodríguez Department of Physical and Rehabilitation Medicine, La Paz University Hospital, Madrid, Spain

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Carlos A. Encinas-Ullán Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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Primitivo Gómez-Cardero Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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and infection Deep venous thrombosis Revision surgery Recurrent instability Recurrent or persistent instability is a common complication of surgical treatment (reconstruction of MLKIs). Its published prevalence is 42%. 11

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Keijo T. Mäkelä Turku University Hospital and University of Turku, Finland, and the Finnish Arthroplasty Register

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Ove Furnes Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register

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Geir Hallan Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register

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Anne Marie Fenstad Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register

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Ola Rolfson Sahlgrenska University Hospital and University of Gothenburg, Sweden, and the Swedish Hip Arthroplasty Register

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Johan Kärrholm Sahlgrenska University Hospital and University of Gothenburg, Sweden, and the Swedish Hip Arthroplasty Register

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Cecilia Rogmark Department of Orthopedics, Skåne University Hospital, Department of Clinical Sciences Malmö, Lund University, and the Swedish Hip Arthroplasty Register, Sweden

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Alma Becic Pedersen Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark, and the Danish Hip Arthroplasty Register

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Otto Robertsson The Swedish Knee Arthroplasty Register, Department of Orthopedics, Skåne University Hospital, and Department of Clinical Sciences, Orthopedics, Lund University, Sweden

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Annette W-Dahl The Swedish Knee Arthroplasty Register, Department of Orthopedics, Skåne University Hospital, and Department of Clinical Sciences, Orthopedics, Lund University, Sweden

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Antti Eskelinen Coxa Hospital for Joint Replacement, Tampere, Finland, and the Finnish Arthroplasty Register

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Henrik M. Schrøder Department of Orthopaedic Surgery, Naestved Hospital, Denmark, and the Danish Knee Arthroplasty Register

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Ville Äärimaa Turku University Hospital and University of Turku, Finland, and the Finnish Arthroplasty Register

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Jeppe V. Rasmussen Department of Orthopaedic Surgery, Herlev Hospital, University of Copenhagen, Denmark, and the Danish Shoulder Arthroplasty Register

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Björn Salomonsson Department of Orthopedics, Karolinska Institutet, Danderyds Sjukhus AB, Sweden, and the Swedish Shoulder Arthroplasty Register

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Randi Hole Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register

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Søren Overgaard Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Department of Clinical Research, University of Southern Denmark, and the Danish Hip Arthroplasty Register

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  • The Nordic Arthroplasty Register Association (NARA) was established in 2007 by arthroplasty register representatives from Sweden, Norway and Denmark with the overall aim to improve the quality of research and thereby enhance the possibility for quality improvement with arthroplasty surgery. Finland joined the NARA collaboration in 2010.

  • NARA minimal hip, knee and shoulder datasets were created with variables that all countries can deliver. They are dynamic datasets, currently with 25 variables for hip arthroplasty, 20 for knee arthroplasty and 20 for shoulder arthroplasty.

  • NARA has published statistical guidelines for the analysis of arthroplasty register data. The association is continuously working on the improvement of statistical methods and the application of new ones.

  • There are 31 published peer-reviewed papers based on the NARA databases and 20 ongoing projects in different phases. Several NARA publications have significantly affected clinical practice. For example, metal-on-metal total hip arthroplasty and resurfacing arthroplasty have been abandoned due to increased revision risk based on i.a. NARA reports. Further, the use of uncemented total hip arthroplasty in elderly patients has decreased significantly, especially in Finland, based on the NARA data.

  • The NARA collaboration has been successful because the countries were able to agree on a common dataset and variable definitions. The collaboration was also successful because the group was able to initiate a number of research projects and provide answers to clinically relevant questions. A number of specific goals, set up in 2007, have been achieved and new one has emerged in the process.

Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180058

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Ashoklal Ramavath Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK

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Jonathan N. Lamb Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK
University of Leeds, Leeds, UK

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Jeya Palan Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK

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Hemant G. Pandit Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK
University of Leeds, Leeds, UK

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Sameer Jain Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK

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approaches, including the direct anterior approach, 18 - 21 but there are confounding factors with stem design and patient-related factors. Intraoperative fracture increases the risk of early revision surgery for subsequent postoperative fracture 2

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Heri Suroto Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia
These authors contributed equally to this work

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Brigita De Vega Institute of Orthopaedics and Musculoskeletal Science, University College London, London, UK
Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
These authors contributed equally to this work

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Fani Deapsari Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

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Tabita Prajasari Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia

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Pramono Ari Wibowo Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia

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Steven K. Samijo Department of Orthopaedics and Traumatology Zuyderland Medisch Centrum, Heerlen, the Netherlands

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indication of surgery, pre-operative comorbidity, surgical method, follow-up duration, range of motion (ROM) of the shoulder, Constant-Murley score, complications, revision surgery, author conclusion. Risk of bias assessment For randomized controlled

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Nikolaos Patsiogiannis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK

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Nikolaos K. Kanakaris Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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Peter V. Giannoudis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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osteolysis, undergo revision surgery, or sustain a traumatic (high- or low-energy) event which may result in a periprosthetic fracture (PPF). The economic impact on healthcare systems when treating these injuries is quite significant. 1 , 2 Femoral

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Anoop Prasad Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Richard Donovan Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Manoj Ramachandran Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Sebastian Dawson-Bowling Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Steven Millington Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Rej Bhumbra Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Pramod Achan Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Sammy A. Hanna Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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). Revision rate There were six failures requiring revision surgery in the 82 cases (7%), occurring at a mean of 6.2 years (0.4 to 12). The reasons for revision surgery were aseptic loosening (17%, n=1), infection (33%, n=2), periprosthetic fracture (17%, n

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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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. Outcomes of interest included indications, surgical technique and associated procedures, type of prosthesis, clinical and functional outcomes, rate of complications, revision surgery and failure rate. Results Search results Overall, the search

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Abdus S. Burahee The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Andrew D. Sanders The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Dominic M. Power The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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planning revision surgery. Revision cubital tunnel surgery The patient should be counselled regarding the planned surgery, the different treatment options and any adjunctive procedures that may be required. The points of maximum Tinel’s irritation

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Petra Izakovicova HELIOS Klinik Zerbst/Anhalt, Germany

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Olivier Borens Service of Orthopaedics and Traumatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland

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Andrej Trampuz Charité – Universitätsmedizin Berlin, Corporate Member of Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Center for Musculoskeletal Surgery (CMSC), Berlin, Germany

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revision surgery for susceptible PJI and using subtle methods of biofilm detection such as sonication showed ideal cut-off at 2000 leukocytes/µl and 70% granulocytes. 36 – 38 The sensitivity of synovial fluid culture is 45% to 75% with a specificity

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