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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Guillermo Bonilla MD has participated as a paid speaker for Boehringer-Ingelheim, Pfizer, Sanofi, and DePuy Synthes (Orthopedics); has participated as a paid consultant for DePuy Synthes (Orthopedics) and Stryker; and has received other financial support for Institutional research from DePuy and Grunenthal, outside this work. Maria A. Asmar MD declares that she has no conflict of interest. Cristina Suarez MD declares that she has no conflict of interest. Valeria Barrios MD declares that she has no conflict of interest. Maria A. Suarez MD declares that she has no conflict of interest. Adolfo Llin\u00e1s MD has received royalties from Innomed, Novamed, and 3\u00a0M; has participated as a paid speaker for Zimmer, Shire, Novonordisk, Novartis, Johnson & Johnson, Bayer, Medtronic, and Procaps; and has participated as a paid consultant for Zimmer, Bayer, and Medtronic, outside this work.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}