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survival rates. He feels responsible for his patients, and is also amenable to the law. He would be rather hesitant to give a recommendation to continue rock climbing after THA. The surgeon wants to base his recommendation on good evidence, but the
Department of Clinical Medicine, Faculty of Health & Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Department of Orthopaedic and Trauma Surgery, Ludwig Maximilians University Munich, Musculoskeletal University Center Munich (MUM), Campus Grosshadern, Munich, Germany
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Technical University Delft, Delft, the Netherlands
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Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK
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strategies or innovative implants must strictly follow rules of proper evaluation, regulation and training in order not to put patients at unnecessary risk ( 2 , 3 , 4 ). Although different recommendations regarding ‘phased’ or ‘stepwise’ introduction of
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aspects of these practices and to produce guidance for the benefit of patients, surgeons, manufacturers and regulators. In this article we will attempt to clarify and suggest recommendations around the issues of off-label, including discussing the mixing
Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Justus Maximilian University Wuerzburg, König-Ludwig-Haus, Brettreichstraße, Würzburg, Germany
Paracelsus Medizinische Privatuniversität, Strubergasse, Salzburg, Austria
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
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Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
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Martin-Luther-University Halle-Wittenberg, Universitätsklinikum Halle (Saale), DOUW - Abteilung für Unfall- und Wiederherstellungschirurgie, Ernst-Grube-Straße, Halle, Germany
BG-Klinikum Bergmannstrost Halle, Halle, Saale, Germany
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Orthopedics and Traumatology (DGOU) published the first recommendation for treating osteochondral lesions of the talus ( 1 ). As much further research has been done within the last 6 years, the rationale behind the update was to include recent results and the
Universidad Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain
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Department of Trauma and Orthopaedic Surgery, Hospital Nostra Senyora de Meritxell, Andorra
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Universidad de Valladolid, Valladolid, Spain
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Universidad Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain
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fracture? No consensus was reached. Half of the delegates considered appropriate to include a recommendation about this topic, but the other half did not. Strong consensus was reached about the fourth principle statement (95% agreement) in the last
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importance of establishing registries on a national basis has been advocated by Scandinavian authors to analyse the outcome after ALCR. 9 , 10 In many European countries, such registries are not available. Following these recommendations, clinical
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relevant medical professionals and the Dutch hip patient association. The aim was to provide recommendations for the best possible and uniform treatment of DDH. Part 1 of this guideline, as described in the current article, focuses on treatment of centered
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rates, time to graft incorporation, and complication rates in both the paediatric and adult populations, warranting a Grade B recommendation for the use of allografts as an alternative to autografts. However, it should be noted that the literature is
IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Fondazione Livio Sciutto Onlus, Campus Savona – Università degli Studi di Genova, Savona, Italy
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Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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Fondazione Livio Sciutto Onlus, Campus Savona – Università degli Studi di Genova, Savona, Italy
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relevance of a study, the following inclusion criteria were adopted: information from original papers, an orthopedic society guideline or a regulatory agency recommendation, the inclusion of information on duration and frequency of the follow-up visits after
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Committee had meetings on a regular basis. Decisions and final recommendations were made by consensus, and all members of the committee agreed on the final contents of the guideline. Guideline questions During preparative phase, key issues were