{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:12:10Z","timestamp":1790727130212,"version":"4.1.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T00:00:00Z","timestamp":1642464000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T00:00:00Z","timestamp":1642464000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Minimally-invasive techniques for hallux valgus correction are becoming increasingly popular. In the last decades, multiple techniques for minimally-invasive hallux valgus correction have been described. MICA (Minimally-invasive Chevron &amp; Akin), representing the 3rd generation of minimally-invasive hallux valgus correction, combines the advantages of an extraarticular osteotomy, stable internal fixation, and high potential for correction.<\/jats:p>\n                    <jats:p>\n                      This report aims to provide a step-by-step instruction of the surgical technique with the \u201c\n                      <jats:italic>K-wires-first<\/jats:italic>\n                      \u201d MICA modification, illustrated by detailed imaging of both intraoperative fluoroscopy and clinical imaging as well as corresponding sawbone models for each step. Preliminary results including radiological outcome and complications of the first 50 cases will be discussed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Between May 2018 and May 2021, 50 consecutive MICAs in 47 patients were performed with the\n                      <jats:italic>K-wires-first technique<\/jats:italic>\n                      . There were 40 women and 7 men with an average of 57.4y (range 25\u201378). The mean preoperative IMA was 16.2\u00b0 (range 11.0\u201321.5), the HVA 30.6\u00b0 (range 21.8\u201342.1).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was one intraoperative conversion to an open surgical bunion correction corresponding to a 2% conversion rate respectively (1\/50). On 3\u2009feet (2 patients), removal of the Chevron screws was performed after 7, 9, and 12\u2009months due to prominent and disturbing screw heads at the level of the medial cortex, accounting for a revision rate of 6% (3\/50). There were no other secondary revision surgeries. The IMA decreased after MICA by a mean of 10.8\u00b0 from 16.2\u00b0 to 5.4\u00b0 and the HVA by a mean of 22.1\u00b0 from 30.6\u00b0 to 8.5\u00b0, demonstrating MICA\u2019s high potential for correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Compared to other MICA techniques, the\n                      <jats:italic>K-wires-first<\/jats:italic>\n                      modification helps to reduce hardware malpositioning and the risk of conversion to open surgery. Furthermore, our preliminary results demonstrate a high potential for correction even for severe hallux deformities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      Retrospectively registered, swissethics BASEC-ID 2021\u201301537, July 16th, 2021 (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.raps.swissethics.ch\">www.raps.swissethics.ch<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12891-021-04972-5","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T09:04:44Z","timestamp":1642496684000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["3rd generation MICA with the \u201cK-wires-first technique\u201d - a step-by-step instruction and preliminary results"],"prefix":"10.1186","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9563-9637","authenticated-orcid":false,"given":"Andreas","family":"Toepfer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Str\u00e4ssle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,18]]},"reference":[{"key":"4972_CR1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S0891-8422(23)00420-2","volume":"8","author":"SA Isham","year":"1991","unstructured":"Isham SA. The Reverdin-Isham procedure for the correction of hallux abducto valgus. A distal metatarsal osteotomy procedure. Clin Podiatr Med Surg. 1991;8:81\u201394.","journal-title":"Clin Podiatr Med Surg"},{"key":"4972_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13018-016-0491-x","volume":"11","author":"C Biz","year":"2016","unstructured":"Biz C, Fosser M, Dalmau-Pastor M, Corradin M, Rod\u00e0 MG, Aldegheri R, et al. Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up. J Orthop Surg Res. 2016;11:1\u201313. https:\/\/doi.org\/10.1186\/s13018-016-0491-x.","journal-title":"J Orthop Surg Res"},{"key":"4972_CR3","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.fcl.2019.10.010","volume":"25","author":"JJ Del Vecchio","year":"2020","unstructured":"Del Vecchio JJ, Ghioldi ME. Evolution of minimally invasive surgery in hallux valgus. Foot Ankle Clin. 2020;25:79\u201395. https:\/\/doi.org\/10.1016\/j.fcl.2019.10.010.","journal-title":"Foot Ankle Clin"},{"key":"4972_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13018-015-0245-1","volume":"10","author":"C Biz","year":"2015","unstructured":"Biz C, Corradin M, Petretta I, Aldegheri R. Endolog technique for correction of hallux valgus: a prospective study of 30 patients with 4-year follow-up. J Orthop Surg Res. 2015;10:1\u201313. https:\/\/doi.org\/10.1186\/s13018-015-0245-1.","journal-title":"J Orthop Surg Res"},{"key":"4972_CR5","first-page":"485","volume":"5","author":"P B\u00f6sch","year":"2000","unstructured":"B\u00f6sch P, Wanke S, Legenstein R. Hallux valgus correction by the method of B\u00f6sch: a new technique with a seven-to-ten-year follow-up. Foot Ankle Clin. 2000;5:485\u201398 v\u2013vi.","journal-title":"Foot Ankle Clin"},{"key":"4972_CR6","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1016\/j.fcl.2016.04.002","volume":"21","author":"J Vernois","year":"2016","unstructured":"Vernois J, Redfern DJ. Percutaneous surgery for severe hallux valgus. Foot Ankle Clin. 2016;21:479\u201393. https:\/\/doi.org\/10.1016\/j.fcl.2016.04.002.","journal-title":"Foot Ankle Clin"},{"key":"4972_CR7","doi-asserted-by":"publisher","unstructured":"Redfern D, Vernois J. Minimally invasive chevron akin (MICA) for correction of hallux valgus. Tech Foot Ankle Surg. 2016. https:\/\/doi.org\/10.1097\/BTF.0000000000000102.","DOI":"10.1097\/BTF.0000000000000102"},{"key":"4972_CR8","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1016\/j.cpm.2015.03.007","volume":"32","author":"D Redfern","year":"2015","unstructured":"Redfern D, Vernois J, Legr\u00e9 BP. Percutaneous surgery of the forefoot. Clin Podiatr Med Surg. 2015;32:291\u2013332. https:\/\/doi.org\/10.1016\/j.cpm.2015.03.007.","journal-title":"Clin Podiatr Med Surg"},{"key":"4972_CR9","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1177\/1071100719874360","volume":"41","author":"TJ Holme","year":"2020","unstructured":"Holme TJ, Sivaloganathan SS, Patel B, Kunasingam K. Third-generation minimally invasive Chevron akin osteotomy for hallux valgus. Foot Ankle Int. 2020;41:50\u20136. https:\/\/doi.org\/10.1177\/1071100719874360.","journal-title":"Foot Ankle Int"},{"key":"4972_CR10","doi-asserted-by":"publisher","unstructured":"Frigg A, Zaugg S, Maquieira G, Pellegrino A. Stiffness and range of motion after minimally invasive Chevron-akin and open scarf-akin procedures. Foot Ankle Int. 2019. https:\/\/doi.org\/10.1177\/1071100718818577.","DOI":"10.1177\/1071100718818577"},{"key":"4972_CR11","doi-asserted-by":"publisher","unstructured":"Chan CX, Gan JZW, Chong HC, Rikhraj Singh I, Ng SYC, Koo K. Two year outcomes of minimally invasive hallux valgus surgery. Foot Ankle Surg. 2019. https:\/\/doi.org\/10.1016\/j.fas.2017.09.007.","DOI":"10.1016\/j.fas.2017.09.007"},{"key":"4972_CR12","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1177\/1071100718820696","volume":"40","author":"JJ Del Vecchio","year":"2019","unstructured":"Del Vecchio JJ, Ghioldi ME, Uzair AE, Chemes LN, Manzanares-C\u00e9spedes MC, Dealbera ED, et al. Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study. Foot Ankle Int. 2019;40:586\u201395. https:\/\/doi.org\/10.1177\/1071100718820696.","journal-title":"Foot Ankle Int"},{"key":"4972_CR13","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1177\/1071100717704941","volume":"38","author":"M Lee","year":"2017","unstructured":"Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux valgus correction comparing percutaneous Chevron\/akin (PECA) and open scarf\/akin osteotomies. Foot Ankle Int. 2017;38:838\u201346. https:\/\/doi.org\/10.1177\/1071100717704941.","journal-title":"Foot Ankle Int"},{"key":"4972_CR14","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/j.jcot.2020.04.016","volume":"11","author":"MS Singh","year":"2020","unstructured":"Singh MS, Khurana A, Kapoor D, Katekar S, Kumar A, Vishwakarma G. Minimally invasive vs open distal metatarsal osteotomy for hallux valgus - a systematic review and meta-analysis. J Clin Orthop Trauma. 2020;11:348\u201356. https:\/\/doi.org\/10.1016\/j.jcot.2020.04.016.","journal-title":"J Clin Orthop Trauma"},{"key":"4972_CR15","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1053\/j.jfas.2017.06.027","volume":"57","author":"A Bia","year":"2018","unstructured":"Bia A, Guerra-Pinto F, Pereira BS, Corte-Real N, Oliva XM. Percutaneous osteotomies in hallux valgus: a systematic review. J Foot Ankle Surg. 2018;57:123\u201330. https:\/\/doi.org\/10.1053\/j.jfas.2017.06.027.","journal-title":"J Foot Ankle Surg"},{"key":"4972_CR16","doi-asserted-by":"publisher","unstructured":"Redfern D. Minimally invasive Chevron akin (MICA) for correction of hallux valgus. Tech Foot Ankle Surg. 2020. https:\/\/doi.org\/10.1097\/BTF.0000000000000273.","DOI":"10.1097\/BTF.0000000000000273"},{"key":"4972_CR17","doi-asserted-by":"publisher","unstructured":"Lewis TL, Hons M, Ray R, Chm T, Frcsed T, Miller G, et al. Third-generation minimally invasive Chevron and akin osteotomies (MICA) in hallux valgus surgery. J Bone Joint Surg Am. 2021;103(13):1203\u201311. https:\/\/doi.org\/10.2106\/JBJS.20.01178.","DOI":"10.2106\/JBJS.20.01178"},{"key":"4972_CR18","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1053\/j.jfas.2017.01.002","volume":"56","author":"CRJ Jowett","year":"2017","unstructured":"Jowett CRJ, Bedi HS. Preliminary results and learning curve of the minimally invasive Chevron akin operation for hallux valgus. J Foot Ankle Surg. 2017;56:445\u201352. https:\/\/doi.org\/10.1053\/j.jfas.2017.01.002.","journal-title":"J Foot Ankle Surg"},{"key":"4972_CR19","doi-asserted-by":"publisher","unstructured":"Dhukaram V, Chapman AP, Upadhyay PK. Minimally invasive forefoot surgery: a cadaveric study. Foot Ankle Int. 2012. https:\/\/doi.org\/10.3113\/FAI.2012.1139.","DOI":"10.3113\/FAI.2012.1139"},{"key":"4972_CR20","doi-asserted-by":"publisher","first-page":"41","DOI":"10.2106\/00004623-195840010-00004","volume":"40","author":"C Mitchell","year":"1958","unstructured":"Mitchell C, Fleming J, Allen R, Glenney C, Sanford G. Osteotomy-Bunionectomy for hallux valgus. JBJS Am. 1958;40:41\u201360.","journal-title":"JBJS Am"},{"key":"4972_CR21","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.foot.2004.02.002","volume":"14","author":"AS Aster","year":"2004","unstructured":"Aster AS, Forster MC, Rajan RA, Patel KJ, Asirvatham R, Gillies C. Radiographic pre-operative assessment in hallux valgus: is it reliable? Foot. 2004;14:129\u201332. https:\/\/doi.org\/10.1016\/j.foot.2004.02.002.","journal-title":"Foot"},{"key":"4972_CR22","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1177\/107110079801900805","volume":"19","author":"W Schneider","year":"1998","unstructured":"Schneider W, Knahr K. Metatarsophalangeal and intermetatarsal angle: different values and interpretation of postoperative results dependent on the technique of measurement. Foot Ankle Int. 1998;19:532\u20136. https:\/\/doi.org\/10.1177\/107110079801900805.","journal-title":"Foot Ankle Int"},{"key":"4972_CR23","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1177\/107110070202300114","volume":"23","author":"MJ Coughlin","year":"2002","unstructured":"Coughlin MJ, Saltzman CL, Nunley JA. Angular measurements in the evaluation of hallux valgus deformities: a report of the ad hoc committee of the american orthop\u00e6dic foot & ankle society on angular measurements. Foot Ankle Int. 2002;23:68\u201374. https:\/\/doi.org\/10.1177\/107110070202300114.","journal-title":"Foot Ankle Int"},{"key":"4972_CR24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/2473011419838500","volume":"4","author":"J Ray","year":"2019","unstructured":"Ray J, Friedman A, Santrock R. Hallux valgus. Foot Ankle Orthop. 2019;4:1\u201312. https:\/\/doi.org\/10.1177\/2473011419838500.","journal-title":"Foot Ankle Orthop"},{"key":"4972_CR25","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1161\/CIRCINTERVENTIONS.118.007586","volume":"12","author":"A Sciahbasi","year":"2019","unstructured":"Sciahbasi A, Sarandrea A, Rigattieri S, Patrizi R, Cera M, Di Russo C, et al. Extended protective shield under table to reduce operator radiation dose in percutaneous coronary procedures: the EXTRA-RAD study. Circ Cardiovasc Interv. 2019;12:1\u20137. https:\/\/doi.org\/10.1161\/CIRCINTERVENTIONS.118.007586.","journal-title":"Circ Cardiovasc Interv"},{"key":"4972_CR26","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.01053","volume":"102","author":"DN Ramoutar","year":"2020","unstructured":"Ramoutar DN, Thakur Y, Batta V, Chung V, Liu D, Guy P. Orthopaedic surgeon brain radiation during fluoroscopy: a cadaver model. J Bone Joint Surg Am. 2020;102:e125. https:\/\/doi.org\/10.2106\/JBJS.19.01053.","journal-title":"J Bone Joint Surg Am"},{"key":"4972_CR27","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1016\/j.fcl.2018.01.009","volume":"23","author":"P Wagner","year":"2018","unstructured":"Wagner P, Wagner E. Is the rotational deformity important in our decision-making process for correction of hallux valgus deformity? Foot Ankle Clin. 2018;23:205\u201317. https:\/\/doi.org\/10.1016\/j.fcl.2018.01.009.","journal-title":"Foot Ankle Clin"},{"key":"4972_CR28","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1053\/j.jfas.2020.05.022","volume":"60","author":"JR Randich","year":"2021","unstructured":"Randich JR, John KJ, Gomez K, Bush W. Frontal plane rotation of the first Ray in hallux valgus using standing computerized tomography (CT). J Foot Ankle Surg. 2021;60:489\u201393. https:\/\/doi.org\/10.1053\/j.jfas.2020.05.022.","journal-title":"J Foot Ankle Surg"},{"key":"4972_CR29","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.fcl.2019.10.009","volume":"25","author":"P Wagner","year":"2020","unstructured":"Wagner P, Wagner E. Role of coronal plane Malalignment in hallux valgus correction. Foot Ankle Clin. 2020;25:69\u201377. https:\/\/doi.org\/10.1016\/j.fcl.2019.10.009.","journal-title":"Foot Ankle Clin"},{"key":"4972_CR30","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1177\/1071100720959029","volume":"42","author":"A Aiyer","year":"2021","unstructured":"Aiyer A, Massel DH, Siddiqui N, Acevedo JI. Biomechanical comparison of 2 common techniques of minimally invasive hallux valgus correction. Foot Ankle Int. 2021;42:373\u201380. https:\/\/doi.org\/10.1177\/1071100720959029.","journal-title":"Foot Ankle Int"},{"key":"4972_CR31","doi-asserted-by":"publisher","unstructured":"Altenberger S, Kriegelstein S, Gottschalk O, Dreyer F, Mehlhorn A, R\u00f6ser A, et al. The minimally invasive Chevron and akin osteotomy (MICA). Oper Orthop Traumatol. 2018. https:\/\/doi.org\/10.1007\/s00064-018-0541-0.","DOI":"10.1007\/s00064-018-0541-0"},{"key":"4972_CR32","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/j.cpm.2019.12.009","volume":"37","author":"M Giakoumis","year":"2020","unstructured":"Giakoumis M. The impact of vitamin D levels in foot and ankle surgery. Clin Podiatr Med Surg. 2020;37:305\u201315. https:\/\/doi.org\/10.1016\/j.cpm.2019.12.009.","journal-title":"Clin Podiatr Med Surg"},{"key":"4972_CR33","doi-asserted-by":"publisher","unstructured":"Weber A, Petrigliano FA. Vitamin C in orthopedic practices: current concepts, novel ideas and future perspectives. J Orthop Res 2000:0\u20132. https:\/\/doi.org\/10.1002\/jor.24947.","DOI":"10.1002\/jor.24947"},{"key":"4972_CR34","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/j.fas.2009.02.002","volume":"15","author":"JL Besse","year":"2009","unstructured":"Besse JL, Gadeyne S, Galand-Desm\u00e9 S, Lerat JL, Moyen B. Effect of vitamin C on prevention of complex regional pain syndrome type I in foot and ankle surgery. Foot Ankle Surg. 2009;15:179\u201382. https:\/\/doi.org\/10.1016\/j.fas.2009.02.002.","journal-title":"Foot Ankle Surg"},{"key":"4972_CR35","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.fas.2017.09.007","volume":"25","author":"CX Chan","year":"2019","unstructured":"Chan CX, Gan JZW, Chong HC, Rikhraj Singh I, Ng SYC, Koo K. Two year outcomes of minimally invasive hallux valgus surgery. Foot Ankle Surg. 2019;25:119\u201326. https:\/\/doi.org\/10.1016\/j.fas.2017.09.007.","journal-title":"Foot Ankle Surg"},{"key":"4972_CR36","doi-asserted-by":"publisher","unstructured":"Holme TJ, Sivaloganathan SS, Patel B, Kunasingam K. Third-generation minimally invasive Chevron akin osteotomy for hallux valgus. Foot Ankle Int. 2020. https:\/\/doi.org\/10.1177\/1071100719874360.","DOI":"10.1177\/1071100719874360"},{"key":"4972_CR37","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1007\/s00064-018-0541-0","volume":"30","author":"S Altenberger","year":"2018","unstructured":"Altenberger S, Kriegelstein S, Gottschalk O, Dreyer F, Mehlhorn A, R\u00f6ser A, et al. The minimally invasive Chevron and akin osteotomy (MICA). Oper Orthop Traumatol. 2018;30:148\u201360. https:\/\/doi.org\/10.1007\/s00064-018-0541-0.","journal-title":"Oper Orthop Traumatol"},{"key":"4972_CR38","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1007\/s00264-018-4006-8","volume":"43","author":"G Kaufmann","year":"2019","unstructured":"Kaufmann G, Dammerer D, Heyenbrock F, Braito M, Moertlbauer L, Liebensteiner M. Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial. Int Orthop. 2019;43:343\u201350. https:\/\/doi.org\/10.1007\/s00264-018-4006-8.","journal-title":"Int Orthop"},{"key":"4972_CR39","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1177\/1071100720969676","volume":"42","author":"C Biz","year":"2021","unstructured":"Biz C, Crim\u00ec A, Fantoni I, Tagliapietra J, Ruggieri P. Functional and radiographic outcomes of minimally invasive intramedullary nail device (MIIND) for moderate to severe hallux valgus. Foot Ankle Int. 2021;42:409\u201324. https:\/\/doi.org\/10.1177\/1071100720969676.","journal-title":"Foot Ankle Int"},{"key":"4972_CR40","doi-asserted-by":"publisher","first-page":"781","DOI":"10.1053\/j.jfas.2019.07.027","volume":"59","author":"E Palmanovich","year":"2020","unstructured":"Palmanovich E, Ohana N, Atzmon R, Slevin O, Brin Y, Feldman V, et al. MICA: a learning curve. J Foot Ankle Surg. 2020;59:781\u20133. https:\/\/doi.org\/10.1053\/j.jfas.2019.07.027.","journal-title":"J Foot Ankle Surg"}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-021-04972-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12891-021-04972-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-021-04972-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T18:12:28Z","timestamp":1700071948000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-021-04972-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,18]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["4972"],"URL":"https:\/\/doi.org\/10.1186\/s12891-021-04972-5","relation":{},"ISSN":["1471-2474"],"issn-type":[{"value":"1471-2474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,18]]},"assertion":[{"value":"22 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 November 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 January 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Institutional Review Board at Kantonsspital St. Gallen \/Switzerland approved the study (EKOS, Ethikkomission Ostschweiz, Switzerland, BASEC Nr.2021\u201301537). The author certifies that all investigations were conducted in conformity with ethical principles. Each patient gave her\/his written consent to participate in this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"This manuscript does not contain any individual person\u2019s data in any form.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author AT is a senior consultant and instructor for Arthrex\u00a9. There are no other competing interest with any of the authors.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"66"}}