{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:16:13Z","timestamp":1790622973417,"version":"4.1.0"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T00:00:00Z","timestamp":1752278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T00:00:00Z","timestamp":1752278400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["12474416"],"award-info":[{"award-number":["12474416"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["12474416"],"award-info":[{"award-number":["12474416"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["12474416"],"award-info":[{"award-number":["12474416"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["12474416"],"award-info":[{"award-number":["12474416"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["12474416"],"award-info":[{"award-number":["12474416"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"DOI":"10.1186\/s13018-025-06019-0","type":"journal-article","created":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T08:15:39Z","timestamp":1752308139000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Open surgery and minimally invasive repair of acute Achilles tendon rupture: stratified outcomes based on immobilization duration in a prospective cohort study"],"prefix":"10.1186","volume":"20","author":[{"given":"Yuan","family":"Cao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiuzhi","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zengzhen","family":"Cui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Lv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gao","family":"Si","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,12]]},"reference":[{"key":"6019_CR1","doi-asserted-by":"publisher","first-page":"1542","DOI":"10.1080\/09638280701785494","volume":"30","author":"CN Maganaris","year":"2008","unstructured":"Maganaris CN, Narici MV, Maffulli N. Biomechanics of the Achilles tendon. Disabil Rehabil. 2008;30:1542\u20137.","journal-title":"Disabil Rehabil"},{"key":"6019_CR2","doi-asserted-by":"publisher","first-page":"95","DOI":"10.3390\/jfmk5040095","volume":"5","author":"D Tarantino","year":"2020","unstructured":"Tarantino D, Palermi S, Sirico F, Corrado B. Achilles tendon rupture: mechanisms of injury, principles of rehabilitation and return to play. J Funct Morphol Kinesiol. 2020;5:95.","journal-title":"J Funct Morphol Kinesiol"},{"key":"6019_CR3","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1177\/1071100715619606","volume":"37","author":"CE Gross","year":"2016","unstructured":"Gross CE, Nunley JA. Acute Achilles tendon ruptures. Foot Ankle Int. 2016;37:233\u20139.","journal-title":"Foot Ankle Int"},{"key":"6019_CR4","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0434.R1","volume":"99\u2013B","author":"U Sheth","year":"2017","unstructured":"Sheth U, Wasserstein D, Jenkinson R, Moineddin R, Kreder H, Jaglal SB. The epidemiology and trends in management of acute Achilles tendon ruptures in ontario, canada: a population-based study of 27 607 patients. Bone Joint J. 2017;99\u2013B:78\u201386.","journal-title":"Bone Joint J"},{"key":"6019_CR5","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1007\/s00264-024-06362-7","volume":"49","author":"MA Melinte","year":"2025","unstructured":"Melinte MA, Nistor DV, de Souza Conde RA, Hern\u00e1ndez RG, Wijaya P, Marvin K, et al. Mini-open versus percutaneous surgical repair for acute Achilles tendon rupture: a systematic review and meta-analysis. Int Orthop. 2025;49:259\u201369.","journal-title":"Int Orthop"},{"key":"6019_CR6","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1136\/bjsm.32.2.174","volume":"32","author":"N Maffulli","year":"1998","unstructured":"Maffulli N, Irwin AS, Kenward MG, Smith F, Porter RW. Achilles tendon rupture and sciatica: a possible correlation. Br J Sports Med. 1998;32:174\u20137.","journal-title":"Br J Sports Med"},{"key":"6019_CR7","doi-asserted-by":"publisher","first-page":"243","DOI":"10.32098\/mltj.02.2023.07","volume":"13","author":"S Venkateshaiah","year":"2023","unstructured":"Venkateshaiah S, Reddy AGR, Srikantaiah VC. Transfer of the flexor hallucis longus tendon for neglected and degenerative tendo achillis rupture: A prospective clinical study. MLTJ-Muscles Ligaments Tendons J. 2023;13:243\u201351.","journal-title":"MLTJ-Muscles Ligaments Tendons J"},{"key":"6019_CR8","doi-asserted-by":"publisher","first-page":"1236","DOI":"10.1053\/j.jfas.2017.05.036","volume":"56","author":"S Deng","year":"2017","unstructured":"Deng S, Sun Z, Zhang C, Chen G, Li J. Surgical treatment versus Conservative management for acute Achilles tendon rupture: A systematic review and Meta-Analysis of randomized controlled trials. J Foot Ankle Surg. 2017;56:1236\u201343.","journal-title":"J Foot Ankle Surg"},{"key":"6019_CR9","doi-asserted-by":"crossref","unstructured":"Khan RJ, Carey Smith RL. Surgical interventions for treating acute Achilles tendon ruptures. Cochrane Database Syst Rev. 2010;CD003674.","DOI":"10.1002\/14651858.CD003674.pub4"},{"key":"6019_CR10","doi-asserted-by":"publisher","first-page":"31","DOI":"10.32098\/mltj.01.2023.05","volume":"13","author":"F Bergamin","year":"2023","unstructured":"Bergamin F, Civera M, Reinoso MR, Burgio V, Ruiz OG, Surace C. Worldwide incidence and surgical costs of tendon injuries: A systematic review and Meta-Analysis. MLTJ-Muscles Ligaments Tendons J. 2023;13:31\u201345.","journal-title":"MLTJ-Muscles Ligaments Tendons J"},{"key":"6019_CR11","doi-asserted-by":"publisher","first-page":"2767","DOI":"10.2106\/JBJS.I.01401","volume":"92","author":"K Willits","year":"2010","unstructured":"Willits K, Amendola A, Bryant D, Mohtadi NG, Giffin JR, Fowler P, et al. Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation. J Bone Joint Surg Am. 2010;92:2767\u201375.","journal-title":"J Bone Joint Surg Am"},{"key":"6019_CR12","doi-asserted-by":"publisher","first-page":"2119","DOI":"10.1097\/CORR.0000000000001861","volume":"479","author":"B Meulenkamp","year":"2021","unstructured":"Meulenkamp B, Woolnough T, Cheng W, Shorr R, Stacey D, Richards M, et al. What is the best evidence to guide management of acute Achilles tendon ruptures?? A systematic review and network Meta-Analysis of randomized controlled trials. Clin Orthop Relat Res. 2021;479:2119\u201331.","journal-title":"Clin Orthop Relat Res"},{"key":"6019_CR13","first-page":"152","volume":"57","author":"N Maffulli","year":"1998","unstructured":"Maffulli N. Current concepts in the management of subcutaneous tears of the Achilles tendon. Bull Hosp Jt Dis. 1998;57:152\u20138.","journal-title":"Bull Hosp Jt Dis"},{"key":"6019_CR14","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1007\/s00402-020-03461-z","volume":"141","author":"S Fischer","year":"2021","unstructured":"Fischer S, Colcuc C, Gramlich Y, Stein T, Abdulazim A, von Welck S, et al. Prospective randomized clinical trial of open operative, minimally invasive and Conservative treatments of acute Achilles tendon tear. Arch Orthop Trauma Surg. 2021;141:751\u201360.","journal-title":"Arch Orthop Trauma Surg"},{"key":"6019_CR15","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1177\/03635465211053619","volume":"51","author":"AK Attia","year":"2023","unstructured":"Attia AK, Mahmoud K, d\u2019Hooghe P, Bariteau J, Labib SA, Myerson MS. Outcomes and complications of open versus minimally invasive repair of acute Achilles tendon ruptures: A systematic review and Meta-analysis of randomized controlled trials. Am J Sports Med. 2023;51:825\u201336.","journal-title":"Am J Sports Med"},{"key":"6019_CR16","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1007\/s00402-020-03437-z","volume":"141","author":"M Gatz","year":"2021","unstructured":"Gatz M, Driessen A, Eschweiler J, Tingart M, Migliorini F. Open versus minimally-invasive surgery for Achilles tendon rupture: a meta-analysis study. Arch Orthop Trauma Surg. 2021;141:383\u2013401.","journal-title":"Arch Orthop Trauma Surg"},{"key":"6019_CR17","doi-asserted-by":"publisher","first-page":"ldae019","DOI":"10.1093\/bmb\/ldae019","volume":"153","author":"N Maffulli","year":"2025","unstructured":"Maffulli N, Christidis G, Gougoulias N, Christidis P, Poku D, Hassan R, et al. Percutaneous repair of the Achilles tendon with one knot offers equivalent results as the same procedure with two knots. A comparative prospective study. Br Med Bull. 2025;153:ldae019.","journal-title":"Br Med Bull"},{"key":"6019_CR18","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1186\/s13018-024-04970-y","volume":"19","author":"Y Cao","year":"2024","unstructured":"Cao Y, Gao S, Cui Z, Fu Y, Bai L, Si G, et al. Comparison of different immobilisation durations following open surgery for acute Achilles tendon rupture: a prospective cohort study. J Orthop Surg Res. 2024;19:497.","journal-title":"J Orthop Surg Res"},{"key":"6019_CR19","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1186\/s13018-021-02342-4","volume":"16","author":"XY Xu","year":"2021","unstructured":"Xu XY, Gao S, Lv Y, Zhou F, Jiao C, Fan JX, et al. Duration of immobilisation after Achilles tendon rupture repair by open surgery: a retrospective cohort study. J Orthop Surg Res. 2021;16:196.","journal-title":"J Orthop Surg Res"},{"key":"6019_CR20","doi-asserted-by":"publisher","first-page":"1329","DOI":"10.1136\/bjsports-2015-094935","volume":"49","author":"R McCormack","year":"2015","unstructured":"McCormack R, Bovard J. Early functional rehabilitation or cast immobilisation for the postoperative management of acute Achilles tendon rupture? A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2015;49:1329\u201335.","journal-title":"Br J Sports Med"},{"key":"6019_CR21","doi-asserted-by":"publisher","first-page":"1782","DOI":"10.1016\/j.injury.2014.06.022","volume":"45","author":"M Brumann","year":"2014","unstructured":"Brumann M, Baumbach SF, Mutschler W, Polzer H. Accelerated rehabilitation following Achilles tendon repair after acute rupture - Development of an evidence-based treatment protocol. Injury. 2014;45:1782\u201390.","journal-title":"Injury"},{"key":"6019_CR22","first-page":"49","volume":"2","author":"MR Carmont","year":"2015","unstructured":"Carmont MR, Gr\u00e4vare Silbernagel K, Brorsson A, Olsson N, Maffulli N, Karlsson J. The Achilles tendon resting angle as an indirect measure of Achilles tendon length following rupture, repair, and rehabilitation. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015;2:49\u201355.","journal-title":"Asia Pac J Sports Med Arthrosc Rehabil Technol"},{"key":"6019_CR23","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1177\/107110079401500701","volume":"15","author":"HB Kitaoka","year":"1994","unstructured":"Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1994;15:349\u201353.","journal-title":"Foot Ankle Int"},{"key":"6019_CR24","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1177\/0363546506294856","volume":"35","author":"K Nilsson-Helander","year":"2007","unstructured":"Nilsson-Helander K, Thome\u00e9 R, Silbernagel KG, Thome\u00e9 P, Fax\u00e9n E, Eriksson BI, et al. The Achilles tendon total rupture score (ATRS): development and validation. Am J Sports Med. 2007;35:421\u20136.","journal-title":"Am J Sports Med"},{"key":"6019_CR25","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1007\/s12178-022-09774-3","volume":"15","author":"K Mansfield","year":"2022","unstructured":"Mansfield K, Dopke K, Koroneos Z, Bonaddio V, Adeyemo A, Aynardi M. Achilles tendon ruptures and repair in Athletes-a review of Sports-Related Achilles injuries and return to play. Curr Rev Musculoskelet Med. 2022;15:353\u201361.","journal-title":"Curr Rev Musculoskelet Med"},{"key":"6019_CR26","doi-asserted-by":"publisher","first-page":"e0304197","DOI":"10.1371\/journal.pone.0304197","volume":"19","author":"S Briggs-Price","year":"2024","unstructured":"Briggs-Price S, Mangwani J, Houchen-Wolloff L, Modha G, Fitzpatrick E, Faizi M, et al. Incidence, demographics, characteristics and management of acute Achilles tendon rupture: an epidemiological study. PLoS ONE. 2024;19:e0304197.","journal-title":"PLoS ONE"},{"key":"6019_CR27","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.urology.2017.10.017","volume":"113","author":"AL Godoy-Santos","year":"2018","unstructured":"Godoy-Santos AL, Bruschini H, Cury J, Srougi M, de Cesar-Netto C, Fonseca LF, et al. Fluoroquinolones and the risk of Achilles tendon disorders: update on a neglected complication. Urology. 2018;113:20\u20135.","journal-title":"Urology"},{"issue":"Suppl 1","key":"6019_CR28","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/0021-9290(90)90038-5","volume":"23","author":"PV Komi","year":"1990","unstructured":"Komi PV. Relevance of in vivo force measurements to human biomechanics. J Biomech. 1990;23(Suppl 1):23\u201334.","journal-title":"J Biomech"},{"key":"6019_CR29","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1136\/bjsports-2013-092271","volume":"47","author":"M Gajhede-Knudsen","year":"2013","unstructured":"Gajhede-Knudsen M, Ekstrand J, Magnusson H, Maffulli N. Recurrence of Achilles tendon injuries in elite male football players is more common after early return to play: an 11-year follow-up of the UEFA champions league injury study. Br J Sports Med. 2013;47:763\u20138.","journal-title":"Br J Sports Med"},{"key":"6019_CR30","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1007\/s00402-003-0626-5","volume":"124","author":"K Ilhami","year":"2004","unstructured":"Ilhami K, Gokhan M, Ulukan I, Eray BM, Levent A, Ci\u011fdem T. Biomechanical and histologic comparison of Achilles tendon ruptures reinforced with intratendinous and peritendinous plantaris tendon grafts in rabbits: an experimental study. Arch Orthop Trauma Surg. 2004;124:608\u201313.","journal-title":"Arch Orthop Trauma Surg"},{"key":"6019_CR31","doi-asserted-by":"publisher","first-page":"524","DOI":"10.32098\/mltj.04.2023.02","volume":"13","author":"ZS Kasar","year":"2023","unstructured":"Kasar ZS, Demirci B, Hunler H, Basaloglu H. The effect of L-Carnitine on experimental Achilles tendon injury. MLTJ-Muscles Ligaments Tendons J. 2023;13:524\u201330.","journal-title":"MLTJ-Muscles Ligaments Tendons J"},{"key":"6019_CR32","doi-asserted-by":"publisher","first-page":"337","DOI":"10.3113\/FAI.2011.0337","volume":"32","author":"DP Gwynne-Jones","year":"2011","unstructured":"Gwynne-Jones DP, Sims M, Handcock D. Epidemiology and outcomes of acute Achilles tendon rupture with operative or nonoperative treatment using an identical functional bracing protocol. Foot Ankle Int. 2011;32:337\u201343.","journal-title":"Foot Ankle Int"},{"key":"6019_CR33","doi-asserted-by":"publisher","first-page":"2136","DOI":"10.2106\/JBJS.K.00917","volume":"94","author":"A Soroceanu","year":"2012","unstructured":"Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Surgical versus nonsurgical treatment of acute Achilles tendon rupture: a meta-analysis of randomized trials. J Bone Joint Surg Am. 2012;94:2136\u201343.","journal-title":"J Bone Joint Surg Am"},{"key":"6019_CR34","doi-asserted-by":"publisher","first-page":"1876","DOI":"10.2106\/JBJS.G.01242","volume":"90","author":"AA Suchak","year":"2008","unstructured":"Suchak AA, Bostick GP, Beaupr\u00e9 LA, Durand DC, Jomha NM. The influence of early weight-bearing compared with non-weight-bearing after surgical repair of the Achilles tendon. J Bone Joint Surg Am. 2008;90:1876\u201383.","journal-title":"J Bone Joint Surg Am"},{"key":"6019_CR35","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1016\/j.jshs.2024.04.001","volume":"13","author":"PV Rasmussen","year":"2024","unstructured":"Rasmussen PV, Strange JE, Holt A. Oral fluoroquinolones and the risk of Achilles tendon rupture. J Sport Health Sci. 2024;13:749\u201350.","journal-title":"J Sport Health Sci"},{"key":"6019_CR36","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.1177\/0363546514531014","volume":"43","author":"J Huang","year":"2015","unstructured":"Huang J, Wang C, Ma X, Wang X, Zhang C, Chen L. Rehabilitation regimen after surgical treatment of acute Achilles tendon ruptures: a systematic review with meta-analysis. Am J Sports Med. 2015;43:1008\u201316.","journal-title":"Am J Sports Med"},{"key":"6019_CR37","doi-asserted-by":"publisher","first-page":"54","DOI":"10.32098\/mltj.01.2024.06","volume":"14","author":"FM Guevara-Chavez","year":"2024","unstructured":"Guevara-Chavez FM, Caballero-Alvarado J, Zavaleta-Corvera C. Efficacy of surgical management versus Conservative management to decrease the incidence of Re-Rupture in adult patients with Achilles tendon rupture: A systematic review and Meta-Analysis. MLTJ-Muscles Ligaments Tendons J. 2024;14:54\u201366.","journal-title":"MLTJ-Muscles Ligaments Tendons J"},{"key":"6019_CR38","doi-asserted-by":"publisher","first-page":"1152","DOI":"10.26603\/001c.122643","volume":"19","author":"W Marrone","year":"2024","unstructured":"Marrone W, Andrews R, Reynolds A, Vignona P, Patel S, O\u2019Malley M. Rehabilitation and return to sports after Achilles tendon repair. Int J Sports Phys Ther. 2024;19:1152\u201365.","journal-title":"Int J Sports Phys Ther"},{"key":"6019_CR39","doi-asserted-by":"publisher","first-page":"1969","DOI":"10.2106\/JBJS.17.01364","volume":"100","author":"A Grassi","year":"2018","unstructured":"Grassi A, Amendola A, Samuelsson K, Svantesson E, Romagnoli M, Bondi A, et al. Minimally invasive versus open repair for acute Achilles tendon rupture: Meta-Analysis showing reduced complications, with similar outcomes, after minimally invasive surgery. J Bone Joint Surg Am. 2018;100:1969\u201381.","journal-title":"J Bone Joint Surg Am"},{"key":"6019_CR40","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1016\/j.jss.2003.12.011","volume":"120","author":"C Healy","year":"2004","unstructured":"Healy C, Mulhall KJ, Nelligan M, Murray P, Bouchier-Hayes D. Postoperative stiffness and adhesion formation around repaired and immobilized Achilles tenotomies are prevented using a model of heat shock protein induction. J Surg Res. 2004;120:225\u20139.","journal-title":"J Surg Res"},{"key":"6019_CR41","doi-asserted-by":"publisher","first-page":"161","DOI":"10.2106\/00004623-200202000-00001","volume":"84","author":"M Assal","year":"2002","unstructured":"Assal M, Jung M, Stern R, Rippstein P, Delmi M, Hoffmeyer P. Limited open repair of Achilles tendon ruptures: a technique with a new instrument and findings of a prospective multicenter study. J Bone Joint Surg Am. 2002;84:161\u201370.","journal-title":"J Bone Joint Surg Am"},{"key":"6019_CR42","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1111\/os.13615","volume":"15","author":"L Xu","year":"2023","unstructured":"Xu L, Jin J, Liu Z, Wu M, Peng B, Jiang J, et al. A new technique of Achilles tendon rupture repaired by double transverse Mini-incision to avoid Sural nerve injury: A consecutive retrospective study. Orthop Surg. 2023;15:517\u201324.","journal-title":"Orthop Surg"},{"key":"6019_CR43","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1177\/1071100717742372","volume":"39","author":"JA Zellers","year":"2018","unstructured":"Zellers JA, Carmont MR, Silbernagel KG. Achilles tendon resting angle relates to tendon length and function. Foot Ankle Int. 2018;39:343\u20138.","journal-title":"Foot Ankle Int"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-025-06019-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13018-025-06019-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-025-06019-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T08:28:50Z","timestamp":1757233730000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/s13018-025-06019-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,12]]},"references-count":43,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["6019"],"URL":"https:\/\/doi.org\/10.1186\/s13018-025-06019-0","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,12]]},"assertion":[{"value":"1 April 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 July 2025","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 authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"647"}}