The Effect of Hyaluronidase as an Adjuvant to Local Anaesthetics in Peripheral Nerve Stimulator-guided Supraclavicular Brachial Plexus Block: A Randomised Controlled Study by Tejash H Sharma, Jainy Shah, Amit Chauhan, Dushyant Chavda, Sara Mary Thomas

“…Aim: To evaluate the sensory and motor blockade resulting from the addition of hyaluronidase as an adjuvant to LA in Peripheral Nerve Stimulator (PNS)-guided Supraclavicular Brachial Plexus Block (SBPB). Materials and Methods: This prospective, comparative, double-blinded, randomised controlled study was conducted in a Department of Anaesthesiology S.B.K Shah Medical Institute and Research Centre, Vadodara, Gujarat, India at a tertiary care hospital on 72 patients undergoing elective upper limb surgeries under PNS-guided SBPB over 18 months from November 2022 to August 2024. …”
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Indocyanine green fluorescence-guided laparoscopic colorectal cancer surgery with prophylactic retrograde transileal conduit ureteral catheter placement after previous total cystec... by Teppei Kamada, Yuichi Nakaseko, Masashi Yoshida, Wataru Kai, Junji Takahashi, Keigo Nakashima, Norihiko Suzuki, Hironori Ohdaira, Eigoro Yamanouchi, Yutaka Suzuki

“…Performing perioperative placement of ureteral stents or intraoperative fluorescence navigation surgery for the ureter using indocyanine green (ICG) has been employed as a method of preventing UI. However, transileal conduit stent placement has been considered challenging because it is difficult to identify the ureteral orifice due to the anatomical changes caused by a previous surgery. …”
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Standardization of laparoscopic intraperitoneal onlay mesh repair for incisional hernia: Impact on clinical outcome and quality-of-life (LIPOM trial, NCT 02089958) by A. Hellinger, F. Wotzlaw, V. Fackeldey, G. Pistorius, M. Zdichavsky, O. Stern, R. Jünemann, A. Buia

“…Conclusions: This study showed favourable clinical and patient reported outcomes and a low rate of recurrences at 1 year follow-up after IPOM for elective IH applying a standardized surgical technique including the use of Physiomesh™. …”
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Exploring Learner Perceptions of Undergraduate Medical Leadership Training at the University of Ottawa by Ahmed Shoeib, Michael Aw, Craig Campbell, Charles Su

“…Here, we gather medical students’ attitudes on the leadership training including formal lecture content, elective, and extra-curricular opportunities.  Methods: An optional, anonymous, internet-based, 27-item survey was administered to all students from the MD2021-2024 graduating years. …”
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Clinical Outcomes and Healthcare Utilization in Patients Receiving Maintenance Dialysis After the Onset of the COVID-19 Pandemic in Ontario, Canada by Kyla L. Naylor, Nivethika Jeyakumar, Yuguang Kang, Stephanie N. Dixon, Amit X. Garg, Ahmed Al-Jaishi, Peter G. Blake, Rahul Chanchlani, Longdi Fu, Ziv Harel, Jane Ip, Ahbijat Kitchlu, Jeffrey C. Kwong, Gihad Nesrallah, Matthew J. Oliver, Therese A. Stukel, Ron Wald, Matthew Weir, Kevin Yau

“…Our secondary outcomes included non-COVID-19-related mortality, all-cause hospitalizations (excluding elective surgeries), emergency room visits, intensive care unit admissions, and hospital admissions with mechanical ventilation. …”
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Management of bleeding and invasive procedures in patients treated with anti–factor XI(a) anticoagulants: proposals from the French Working Group on Perioperative Haemostasis and F... by Anne Godier, Dominique Lasne, Anne–Céline Martin, Gilles Pernod, Pierre Albaladejo, Emmanuel De Maistre, Pierre Fontana, Thomas Lecompte, Grégoire Le Gal, Jerrold H. Levy, Mikael Mazighi, François Mullier, Philippe Nguyen, Stéphanie Roullet, Jean-François Schved, Pierre Sié, Normand Blais, Isabelle Gouin-Thibault, Sophie Susen

“…These patients may face elective or unplanned invasive procedures and bleeding events in anticipation of marketing authorization.Experience from managing patients with inherited FXI deficiency, along with data from early clinical trials, suggests that the bleeding risk associated with anti-FXI(a) is likely to be low but can vary depending on the clinical situation. …”
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Short- and long-term survival after open versus endovascular repair of abdominal aortic aneurysm-Polish population analysis. by Bartosz Symonides, Andrzej Śliwczyński, Zbigniew Gałązka, Jarosław Pinkas, Zbigniew Gaciong

“…<h4>Materials</h4>In the National Health Fund database we identified all patients who underwent elective open or endovascular treatment of AAA between January 1st 2011 and March 22nd 2016. …”
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Addressing Shortcomings in Contingency Standards of Care by Alexander Quan

“…Medical conditions typically addressed through elective surgery, such as joint replacement surgeries for osteoarthritis patients, may worsen if delayed. …”
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Comparative Study of Master's degree of Art Education Courses in Selected Universities with the aim of Proposing Practical Courses for the Establishment of this field in Iran by Bahareh Heidari Venicheh, Mehrnoosh Shafiei Sararoudi, Mohammad javad Liaghatdar

“…Art courses 2. Research methods 3. Historical and philosophical courses 4. …”
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Timing of singleton births by onset of labour and mode of birth in NHS maternity units in England, 2005-2014: A study of linked birth registration, birth notification, and hospital... by Peter Martin, Mario Cortina-Borja, Mary Newburn, Gill Harper, Rod Gibson, Miranda Dodwell, Nirupa Dattani, Alison Macfarlane

“…Spontaneous births after spontaneous onset are more likely to occur between midnight and 6am than at other times of day, and are also slightly more likely on weekdays than at weekends and on public holidays. Elective caesarean births are concentrated onto weekday mornings. …”
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Effect of modified subcostal anterior quadratus lumborum block on perioperative opioid consumption in patients undergoing gynecologic endoscopic surgery by Chunchao Peng, Guohui Fu, Jingping Chai, Jide A, Wenhui Guang

“…ObjectiveTo assess the impact of ultrasound-guided multimodal anesthesia utilizing a modified subcostal anterior quadratus lumborum block (QLB) in conjunction with general anesthesia on perioperative opioid consumption among patients undergoing gynecologic endoscopic surgery.MethodsA total of 56 patients aged 18–65 years, classified as ASA physical status I-II, with a BMI of 18–30 kg.m², were recruited from Qinghai Provincial People’s Hospital between June 2023 and August 2024 for elective laparoscopic gynecological surgery. …”
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Impact of frailty in older people on health care demand: simulation modelling of population dynamics to inform service planning by Bronagh Walsh, Carole Fogg, Tracey England, Sally Brailsford, Paul Roderick, Scott Harris, Simon Fraser, Andrew Clegg, Simon de Lusignan, Shihua Zhu, Francesca Lambert, Abigail Barkham, Harnish Patel, Vivienne Windle

“…Reducing frailty incidence could result in 26,418 fewer unplanned admissions and 47,506 fewer elective admissions. The cost savings from all these service use changes could amount to £266 million per annum by 2027. …”
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Pharmacokinetics and pharmacodynamics of ciprofol after continuous infusion in elderly patients by Xiaowen Guo, Yang Qiao, Sijie Yin, Fengqin Luo, Lingmei Yi, Jiajia Chen, Man Lu

“…However, the pharmacokinetic characteristics of continuous infusions and the correlation between the plasma concentration and the bispectral index (BIS) in elderly patients are still unknown. Method In this randomized, controlled study, thirty elderly patients (62–78 years old) undergoing elective gastrointestinal tumor resection were treated with propofol (N = 15) or ciprofol (N = 15) as sedatives during anesthesia. …”
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Impact of COVID-19 pandemic on rates of congenital heart disease procedures among children: prospective cohort analyses of 26 270 procedures in 17 860 children using CVD-COVID-UK c... by Andrew Thompson, Rui Providência, Matthew Sperrin, Swapna Mandal, Ashley Akbari, Pia Hardelid, Ruth Gilbert, Christopher Tomlinson, John Macleod, Francesco Zaccardi, Kamlesh Khunti, Naveed Sattar, Antony Palmer, Munir Pirmohamed, Rocco Friebel, Mira Hidajat, Colin Berry, Richard Williams, Johnny Downs, Neil Pearce, Anthony Khawaja, Cathie Sudlow, Adnan Tufail, Samira Bell, Huan Wang, Vahe Nafilyan, Ann John, Lois Kim, Anvesha Singh, Kazem Rahimi, Gianni D Angelini, Frank Kee, Tim Wilkinson, Shirley Sze, Nick Hall, Hector Chinoy, Elizabeth A Ellins, Gianni Angelini, Massimo Caputo, Serban Stoica, Alan Carson, Dorothea Nitsch, Sarah Steeg, David Osborn, Joseph Firth, Christina Pagel, Sonya V Babu-Narayan, Ana-Catarina Pinho-Gomes, Holly Pavey, Harry Hemingway, Mark Thomas, Mamas Mamas, Julia Hippisley-Cox, Kim Kavanagh, Ronan Lyons, Ernest Wong, Philip Stone, Hayley Evans, Donna Wakefield, Katherine Sleeman, Julian Halcox, Dexter Canoy, Mohamed Mohamed, Amar Shah, Ioanna Tzoulaki, Gareth Davies, Athina Spiliopoulou, Anna Hansell, Suzanne Mason, John Danesh, Elijah Behr, Eva Morris, Riyaz Patel, Glen Martin, Evan Kontopantelis, Pedro Machado, Katherine Brown, Tasanee Braithwaite, Maya Buch, Paz Tayal, Ify Mordi, Jianhua Wu, Simon Williams, Bernard Keavney, Ajay Shah, Krishnaraj Rathod, Alastair Proudfoot, Fu Siong Ng, Manuel Gomes, Arunashis Sau, Jonathan Sterne, Michelle Williams, John Cleland, Theresa McDonagh, Jocelyn Friday, Ramesh Nadarajah, Steffen Petersen, Rupert Payne, Angela Wood, Mark Green, David Jenkins, Akshay Shah, Jayati Das-Munshi, Alexandru Dregan, Debbie A Lawlor, Angela Henderson, Elsie Horne, Mehrdad Mizani, David Hughes, Robert Aldridge, Katharine Looker, Reecha Sofat, Norman Briffa, Sonya Crowe, Katie Harron, Amanda Marchant, Elena Nikiphorou, Vasa Curcin, Deborah Kinnear, Craig Melville, Neil Davies, Marion Bennie, Joseph Kamtchum Tatuene, David Cromwell, Daniel Bromage, Michael Allen, Kerry Pearn, Terry Quinn, John Dennis, Lorna Fraser, Sandosh Padmanabhan, Sinéad Langan, Stephen McKeever, Irene Higginson, Anna Bone, Tom Palmer, Camille Carroll, Christian Schnier, Linxin Li, Rachel Denholm, Sarah Cook, Julia Townson, Dan Jones, John Nolan, Frederick Ho, Felix Greaves, Sara Khalid, Gayan Perera, Baljean Dhillon, Antonio Cannatà, Antonio Gasparrini, Laia Bécares, Clare Gillies, Samuel Kim, Abraham Olvera-Barrios, Roy Schwartz, Jennifer Quint, Wen Shi, Nazrul Islam, Craig Smith, Spiros Denaxas, Cathie L M Sudlow, Lynn Morrice, Qi Huang, Sharmin Shabnam, Parag Gajendragadkar, Gareth Williams, Fiona Pearce, Hannah Whittaker, John Ford, Iain Marshall, Benedict Michael, Alastair Denniston, Florian Falter, Rouven Priedon, William Whiteley, Geneviève Cezard, Jane Lyons, Fatemeh Torabi, Laura North, Helen Colhoun, Majel McGranahan, Stephen Kaptoge, Martin Rutter, Laura Pasea, Eoin McKinney, Alexei Yavlinsky, Alasdair Warwick, Max Lyon, Rebecca Reynolds, Amanj Kurdi, Seb Bacon, Jessica Barrett, Joseph Newman, Muhammad Rashid, Annemarie Docherty, Joanna Davies, Deepti Gurdasani, Natasha Chilman, Sarah Onida, Carole Morris, Samantha Ip, Venexia Walker, Alvina Lai, Alex Handy, Alun Davies, Arun Pherwani, Ashkan Dashtban, Caroline Dale, Caroline Rogers, Claire Lawson, Dan O’Connell, Daniel Harris, David Brind, Deborah Lawler, Deborah Lowe, Eloise Withnell, Ewan Birney, Fabian Falck, George Nicholson, Gwenetta Curry, Haoting Zhang, Harry Wilde, Hoda Abbasizanjani, Honghan Wu, Jennifer Beveridge, Johan Thygesen, Kate Cheema, Ken Li, Livia Pierotti, Lucy Wright, Mark Barber, Mary Joan Macleod, Michalis Katsoulis, Mike Inouye, Moritz Gerstung, Myer Glickman, Paula Lorgelly, Qiuju Li, Raph Goldacre, Rohan Takhar, Ruwanthi Kolamunnage-Dona, Safa Salim, Seamus Kent, Sonya Babu-Narayan, Spencer Keene, Thomas Lawrence, Tianxiao Wang, Eleanor Walsh, Antonella Delmestri, Jill Pell, David Powell, Tomas Fitzgerald, Kelly Fleetwood, Ross Forsyth, Richard Fitzgerald, Yi Mu, Amy Ronaldson, Kerrie Stevenson, Shane Johnson, Richard Chin, Luisa Zuccolo, Elias Allara, Caroline Jackson, Yvonne Nartey, Kate Brown, Hannah Harrison, Peter Bath, Tom Yates, Iain Squire, Jon Shelton, Carin Van Doorn, Maria Sudell, Matthew Bown, Tom Pape, Tim Chico, Robert Fletcher, Mevhibe Hocaoglu, Owen Pickrell, Steven Zhao, Laura Sherlock, Andrew Constantine, Andrew Mason, Cameron Razieh, Steven Kerr, James Sheppard, David Selby, Emeka Chukwusa, Rachel Cripps, Paul Madley-Dowd, Patrick Bidulka, Zeljko Kraljevic, Nuria Sanchez, Martha Elwenspoek, Tanja Mueller, Yohhei Hamada, Daniel King, Han-I Wang, Tim Dong, Shubhra Sinha, Jeremy Chan, George Tilston, Verónica Cabreira, Simon Ellershaw, Simon Frain, Ruth Norris, Huw Strafford, Marie-Louise Zeissler, Nushrat Khan, Daniel Morales, Yoryos Lyratzopoulos, Jennifer Rossdale, Filip Sosenko, Sarah Wang, Johannes Heyl, Julia Ive, Petter Brodin, Matthew O’Connell, Becky White, Dominic Oliver, Stephanie Lax, Shishir Rao, Mohammad Mamouei, Ninian Lang, Libor Pastika, Benjamin Zuckerman, Samaira Khan, Xiaomin Zhong, Thomas Porter, Kurt Taylor, Charlotte Parbery-Clark, Simone Croft, Jadene Lewis, Yogini Chudasama, Lars Murdock, Pardis Biglarbeigi, Melissa Webb, Nida Ahmed, Tapiwa Tungamirai, Baboucarr Njie, Renin Toms, Rochelle Knight, Marwa AL Arab, Alexia Sampri, Ruth Watkinson, Laila Tata, Lisa Pennells, Catriona Harrison, Thomas Bolton, Ana Torralbo, Fionna Chalmers, Anna Stevenson, Andrew Lambarth, Naomi Launders, Emanuele Di Angelantonio, Ferran Espuny-Pujol, Arun Karthikeyan Suseeladevi, Rony Arafin, Zainab Karim, Martina Slapkova, Rosie Hinchliffe, Lily Benton, Alexis Webb, Annette Jackson, James Farre, Jemma Austin, Zach Welshman, Costas Kallis, Juliette Unwin, Alistair Marsland, Sara Holloway, Adejoke Oluyase Abdel Douiri, Charles Wolfe Ben Bray, Harry Watson, Javiera Leniz Martelli, Linglong Qian, Richard Killick, Arturo de la Cruz, Julian Matthewman, Thiago Silva, Zhengnan Zhu, Alex Grundmann, Adam Hollings, Angeliki Antonarou, Daniel Schofield, Elizabeth Kelly, Humaira Hussein Richardson, Jake Kasan, Nickie Wareing, Russell Healey, Shoaib Ali Ajaib, Vandana Ayyar-Gupta, Xinkai Wang, Marcos del Pozo Banos, Ami Banerjee, Andrej Ivanovic, Ashley Dickson, Chu Siyu, Emma Whitfield, Eva Keller, Evaleen Malgapo, lavien Hardy, Floriaan Schmidt, Freya Allery, Jinge Wu, Louise Choo, Luca Grieco, Matt Sydes, Tuankasfee Hama, Waty Lilaonitkul, Arun Karthikeyan Suseeladevi, Dann Mitchell Ben Gibbison, Ewan Walker, Yueying Li, Carmen Petitjean, Chimweta Chilala, Chriselda Oliver, Elena Raffetti, Eric Harshfield, Isabel Walter, Katie Saunders, Mayank Dalakoti, Megan Ritson, Millie Zhou, Rutendo Mapeta, Stelios Boulitsakis Logothetis, Xilin Jiang, Xiyun Jiang, Yanfan Li, Alice Hosking, Carlos Sanchez Soriano, Claire Tochel, Joe Mellor, Luke Blackbourn, Miguel Bernabeu Llinares, Niamh McLennan, William Berthon, Clea du Toit, Dennis Tran, Salil Deo, Francesca Zaccagnino, Eva Henning, Lana Bojanic, Zenas Yiu, Precious Onyeachu, Ralph Akyea, Aashna Uppal, Ben Lacey Ben Goldacre, Dani Prieto-Alhambra, Marta Pineda Moncusi, Paula Dhiman,ingze Gu, Salma Chaudhry, Seyed Alireza Hasheminasab, Zeinab Bidel Taleshmekaeil, Leuven Nathalie Conrad, Jen-Yu Amy Chang, Christina van der Feltz-Cornelis

“…This information is valuable for future major health services disruptions, though longer-term follow-up of the effects of delaying elective surgery is needed.…”
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Indocyanine green fluorescence-guided surgery in the emergency setting: the WSES international consensus position paper by Belinda De Simone, Fikri M. Abu-Zidan, Luigi Boni, Ana Maria Gonzalez Castillo, Elisa Cassinotti, Francesco Corradi, Francesco Di Maggio, Hajra Ashraf, Gian Luca Baiocchi, Antonio Tarasconi, Martina Bonafede, Hung Truong, Nicola De’Angelis, Michele Diana, Raul Coimbra, Zsolt J. Balogh, Elie Chouillard, Federico Coccolini, Micheal Denis Kelly, Salomone Di Saverio, Giovanna Di Meo, Arda Isik, Ari Leppäniemi, Andrey Litvin, Ernest E. Moore, Alessandro Pasculli, Massimo Sartelli, Mauro Podda, Mario Testini, Imtiaz Wani, Boris Sakakushev, Vishal G. Shelat, Dieter Weber, Joseph M. Galante, Luca Ansaloni, Vanni Agnoletti, Jean-Marc Regimbeau, Gianluca Garulli, Andrew L. Kirkpatrick, Walter L. Biffl, ICG-Fluorescence Guided Emergency Surgery Consensus Participants, Fausto Catena

“…Methods Using the PICO framework, the consensus coordinator identified key research areas, topics, and questions regarding the implementation of ICG fluorescence-guided surgery in emergencies. …”
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Pro-inflammatory role of neutrophils populations in trauma patients: monitoring neutrophil populations by Marcela Vlková, Marcela Vlková, Julie Štíchová, Julie Štíchová, Karolína Surá, Karolína Surá, Karolína Dvořáková, Karolína Dvořáková, Vojtěch Kunčický, Vojtěch Kunčický, Ioanna Papatheodorou, Ioanna Papatheodorou, Gabriela Blažková, Zuzana Tomášiková, Zuzana Tomášiková, Kamila Bendíčková, Kamila Bendíčková, Ludmila Dohnálková, Alexandra Mýtniková, Alexandra Mýtniková, Alexandra Mýtniková, Jan Žák, Jan Kovařík, Milan Krtička, Tomáš Tomáš, Vladimír Šrámek, Martin Helán, Martin Helán, Anna Kocurková, Anna Kocurková, Anna Kocurková, Jan Frič, Jan Frič, Jan Frič, Marcela Hortová-Kohoutková, Marcela Hortová-Kohoutková

“…This study investigates neutrophil subpopulations defined by CD16 and CD62L expression in trauma patients, focusing on their correlation with clinical biomarkers, trauma severity, and functional properties.MethodsWe included 50 non-infectious trauma patients, categorized into SIRS and Non-SIRS groups, and 43 elective surgery patients as controls. …”
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Retained Intrauterine Device (IUD): Triple Case Report and Review of the Literature by Mon-Lai Cheung, Shadi Rezai, Janelle M. Jackman, Neil D. Patel, Basem Z. Bernaba, Omid Hakimian, Dilfuza Nuritdinova, Catherine L. Turley, Ray Mercado, Takeko Takeshige, Sudha M. Reddy, Paul N. Fuller, Cassandra E. Henderson

“…Throughout the world, intrauterine contraceptive devices (IUDs) are a frequently used, reversible, popular contraceptive method. They are usually placed without major complications. …”
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The impact of different inspired oxygen concentrations combined with nebulized prostaglandin E1 on oxygenation in patients undergoing one-lung ventilation: a randomized controlled... by Lingxi Xing, Halisa Paerhati, Yuyan Ding, Yihu Zhou, Jiaqi chang, Xiaolan Gu, Lianbing Gu

“…Therefore, this study aimed to investigate the effects of prostaglandin E1 (PGE1) in reducing FiO2 during general anesthesia and mechanical ventilation on oxygenation and postoperative complications in patients undergoing OLV. Method A total of 120 patients scheduled for elective left thoracotomy esophageal cancer surgery were randomly divided into four groups (n = 30): Group L (FiO2 = 0.4, PGE1 = 0.1 µg /kg), Group M (FiO2 = 0.5, PGE1 = 0.1 µg /kg), Group H (FiO2 = 0.6, PGE1 = 0.1 µg /kg), and Group C (FiO2 = 0.4, normal saline solution). …”
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The Comparison Of The Effect Of Etomidate And Propofol On Serum Cortisol Level by Yusmalinda Yusmalinda, Johan Arifin, Doso Sutiyono

“…Purpose: To analyze the different effect etomidate and propofol on serum cortisol concentration in patient underwent elective surgery in general anesthesia. Method: This double blind, Randomized Controlled Trial with 34 subjects which divided into two groups (n=17), control group and treatment group which received either intravenous propofol 2,5mg/kgBW or etomidate 0,2mg/kgBW pre-operation respectively. …”
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Protocol of BRICS: Brazilian multicentric pragmatic randomised trial of surgical interventions for displaced diaphyseal clavicle fracture study: MIPO versus ORIF for the treatment... by Rafael Fuchs Lazarini, Fabio Teruo Matsunaga, João Carlos Belloti, Marcel Jun Sugawara Tamaoki, Oreste Lemos Carrazzone, Adriano Fernando Mendes Jr., Rodrigo Fleury Curado, Jair Moreira Dias Jr., José Da Mota Neto, Alexandre Rosa Pagan, Pedro José Labronici, Gustavo José Labronici, Matheus Pires De Araújo Goes, Guilherme Grisi Mouraria, Daniel Romano Zogbi, Rafael Mulatti Brigatto, Anderson Uehara, Otávio Costa Parro, Fernando Mitsuo Hisano, Bruno De Souza Teixeira, Rafael Waldolato Silva, André Couto Godinho, Pedro Couto Godinho, Flavio De Oliveira França, Glaydson Gomes Godinho, José Marcio Alves Freitas, Carlos Alberto Menezes Mariosa, Bruno Gonçalves Schröder e Souza, Valdeci Manoel De Oliveira, Leandro Furtado De Simoni, Camila Corrêa Pereira, Jurandir Antunes Filho

“…Reoperations are defined as the number of surgeries for pseudoarthrosis, implant failure, infection and elective removal of the implant.Ethics and dissemination Study approved by the institutional ethics committee (number 34249120.9.0000.5505—V.3). …”
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