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Jetske Viveen Department of Trauma and Orthopedic Surgery, Flinders Medical Centre and University, Adelaide, Australia
Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands

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Izaak F. Kodde Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands

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Andras Heijink Department of Orthopedic Surgery, Catharina Hospital, Eindhoven, The Netherlands

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Koen L. M. Koenraadt Foundation for Orthopedic Research, Care & Education, Amphia Hospital, Breda, The Netherlands

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Michel P. J. van den Bekerom Shoulder and Elbow Unit, Department of Orthopedic Surgery, Amsterdam, The Netherlands

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Denise Eygendaal Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands

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ranging from 61% to 97%. 5 , 7 This raises questions of whether implant- or fixation-related factors may be related to early failure. Except in the case of silicone RHPs, that have previously proved to be biologically and biomechanically insufficient

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Juan Carlos Monllau Department of Orthopaedic Surgery, Hospital del Mar, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
ICATKnee, Institut Catalá de Traumatologia i Medicina de l’Esport (ICATME), Hospital Universitari Dexeus, UAB, Barcelona, Spain

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Simone Perelli Department of Orthopaedic Surgery, Hospital del Mar, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
ICATKnee, Institut Catalá de Traumatologia i Medicina de l’Esport (ICATME), Hospital Universitari Dexeus, UAB, Barcelona, Spain

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Giuseppe Gianluca Costa Orthopaedic Surgery Department, Ospedale Umberto I, Enna, Italy

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failure is still substantial. It ranges from 1.8 to 11.1% ( 3 , 4 ) at midterm follow-up and up to 10.4–16.7% at long-term follow-up ( 5 ). The unambiguous and universally accepted definition of failure after ACL reconstruction is yet to be determined

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Jimmy Ng Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Pau Balcells-Nolla Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Peter J. James Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Benjamin V. Bloch Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

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Introduction Extensor mechanism failure is an uncommon but serious complication after primary or revision total knee arthroplasty (TKA). It is associated with significant morbidity and reduced quality of life due to extensor lag, instability

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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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). Failure of ACL-R is defined by a history of previous primary ACL-R with a new onset of clinical symptoms such as instability and possibly giving way episodes. Additionally, positive Lachman and/or pivot shift tests are expected. The diagnosis of graft

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Emilio Calvo Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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María Valencia Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Antonio Maria Foruria Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Juan Aguilar Gonzalez Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Latarjet procedure and they had a significantly higher rate of failure than those that converted to ‘on-track’ ( 12 ). In this clinical setting, some authors have suggested the congruent-arc technique as it provides approximately 5 mm more bone augmentation

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Theofilos Karachalios School of Health Sciences, Faculty of Medicine, University of Thessalia, University General Hospital of Larissa, Mezourlo Region, 41110 Larissa, Greece

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George Komnos Orthopaedic Department, University General Hospital of Larissa, Greece

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Antonios Koutalos Orthopaedic Department, University General Hospital of Larissa, Greece

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-up. 1 - 4 Following the initial problems which pioneer surgeons noted in the 1960s and 1970s, such as surgical technique, structural implant failures and infection, orthopaedic surgeons in the 1980s faced problems regarding choice of appropriate

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Michele Vasso Concordia Hospital for Special Surgery, Rome, Italy

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Alexander Antoniadis Bürgerspital Solothurn, Switzerland

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Naeder Helmy Bürgerspital Solothurn, Switzerland

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knee replacement registries still show a relatively high revision and failure rate of UKA, especially if compared with TKA. 5 In particular, many of these failures occur in the early post-operative period (< 5 years). 6 The higher incidence of

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Gyula Domos Department of Orthopaedics, Semmelweis University, Budapest, Hungary
Centre for Translational Medicine, Semmelweis University, Budapest, Hungary

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Szilárd Váncsa Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary
Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary

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Csenge Szeverényi Department of Orthopaedics, University of Debrecen, Debrecen, Hungary

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Gergely Agócs Department of Biophysics and Radiation Biology, Semmelweis University, Budapest, Hungary

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Péter Hegyi Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary
Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary

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Anna Perge Department of Orthopaedics, Semmelweis University, Budapest, Hungary

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Krisztina Békési Klinik Chirurgie, Spital Bülach, Bülach, Switzerland

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Csaba Varga Department of Orthopaedics, Semmelweis University, Budapest, Hungary
Centre for Translational Medicine, Semmelweis University, Budapest, Hungary

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György Szőke Department of Orthopaedics, Semmelweis University, Budapest, Hungary

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, 6 ). However, as the risk of failure and development of complications with conservative treatment with abduction orthosis increases with age ( 7 ), in other countries closed reduction is the primary treatment at a younger age, even from 6 weeks ( 8

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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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History Arthroplasty became popular in the second half of the 20th century and has developed since then into one of the most successful fields in orthopaedics ( 1 ). This development was not free from problems and failures. The reduction of

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Andrea Fidanza Unit of Orthopaedics and Traumatology - Department of life, Health & Environmental Sciences, University of L’Aquila, Italy
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

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Stefano Necozione Unit of Clinical Epidemiology - Department of life, Health & Environmental Sciences, University of L’Aquila, Italy

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Lorenzo Garagnani Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
Faculty of Life Sciences and Medicine, King’s College London, London, UK

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–IV evidence involving at least 10 patients with at least 1 year and 80% follow-up, and reporting at least 1 outcome measure of interest including post-operative pain, function or failures. Exclusion criteria were studies written in other languages (not in

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