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A consensus-based classification of minor complications, major complications, and failure after anterior cruciate ligament reconstruction: A modified delphi study.

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Title: A consensus-based classification of minor complications, major complications, and failure after anterior cruciate ligament reconstruction: A modified delphi study.
Authors: D'Ambrosi R; IRCCS Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy; Link Campus University, Rome, Italy. Electronic address: riccardo.dambrosi@hotmail.it., Ackermann J; Rush University Medical Center, Chicago, IL, USA; Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland. Electronic address: jakob.ackermann@rushortho.com., Deichsel A; Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany. Electronic address: deiadri@unitybox.de., Eckl L; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany. Electronic address: larissa.eckl@outlook.com., Eggeling L; Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Germany. Electronic address: l.eggeling@bgk-hamburg.de., Kittl C; Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany. Electronic address: christoph.kittl@gmail.com., Laky B; Österreichische Gesellschaft für Regenerativen Medizin (RegMed) und Austrian Research Group for Regenerative and Orthopedic Medicine (AURROM), Wien, Austria; Zahnklinik, Fakultät für Medizin, Sigmund Freud Privat Universität, Wien, Austria; Medizinische Universität Wien, Wien, Austria; MedSciCare, Wien, Austria. Electronic address: brenda.laky@aurrom.org., Mathis D; Departement Klinische Forschung, Regenerative Medizin und Biomechanik, Universität Basel, Basel, Switzerland; Praxisgemeinschaft Clarahof, Basel, Switzerland. Electronic address: dominic.mathis@unibas.ch., Merkely GB; Department of Sports Medicine, Semmelweis University, Budapest, Hungary; Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA. Electronic address: gmerkely@bwh.harvard.edu., Muench LN; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany. Electronic address: lukas.muench@tum.de., Muenchgesang M; Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Germany. Electronic address: maiti.muenchgesang@gmx.de., Schmidt AF; Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria. Electronic address: anton.schmidt.med@gmail.com., Schuettler KF; Orthopaedicum Lich/Gießen, Lich, Germany. Electronic address: schuettler@orthopaedicum-lich.de., Wafaisade A; Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Germany. Electronic address: wafaisadea@kliniken-koeln.de., Abermann E; Gelenkpunkt, Innsbruck, Austria. Electronic address: e.abermann@gelenkpunkt.com., Achtnich A; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany; Technical University of Munich, Munich, Germany. Electronic address: a.achtnich@tum.de., Akoto R; Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Germany. Electronic address: r.akoto@bgk-hamburg.de., Angele P; Sporthopaedicum Regensburg, Regensburg Germany. Electronic address: Angele@sporthopaedicum.de., Becker R; Universitätsklinikum Brandenburg an der Havel, Zentrum für Orthopädie und Unfallchirurgie, Brandenburg, Germany. Electronic address: roland_becker@yahoo.de., Brandl G; OrthoZentrum Doebling, Vienna, Austria. Electronic address: georg.brandl@icloud.com., Dejour D; Lyon Ortho Clinic, Lyon, France. Electronic address: corolyon@wanadoo.fr., Dirisamer F; Klinik Diakonissen Linz, Austria. Electronic address: fd@movenow.at., Drews BH; St. Vinzenz Hospital, Pfronten, Germany. Electronic address: bjoern.drews@vinzenz-klinik.de., Egloff C; Schulthess Klinik, Lengghalde 2, 8008 Zurich, Switzerland. Electronic address: christian.egloff@kws.ch., Feucht MJ; Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany. Electronic address: matthias.feucht@gmx.net., Fink C; Gelenkpunkt, Innsbruck, Austria; Research Unit for Orthopedic Sportsmedicine and Injury Prevention (OSMI), UMIT Hall, Austria. Electronic address: c.fink@gelenkpunkt.com., Herbst E; Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany. Electronic address: elmar.herbst@gmail.com., Hohmann E; Medical School, University of Pretoria, South Africa. Electronic address: ehohmannmd@gmail.com., Imhoff AB; Past Chairman Department of Orthopaedic Sports MedicineTUMUniversity Hospital Rechts der Isar Ismaninger Street 22 Munich 81675, Germany. Electronic address: imhoff@tum.de., Jung T; Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany. Electronic address: tobias.jung@charite.de., Koch PP; Gelenkzentrum Winterthur, Schickstrasse 11, CH-8400 Winterthur, Switzerland. Electronic address: peter.koch@gzw.ch., Krause M; Department of Trauma and Orthopaedic Surgery University Medical Center Hamburg - Eppendorf Hamburg Germany, Germany. Electronic address: m.krause@uke.de., Lattermann C; Mass General Brigham, Harvard University Medical School, Boston MA, USA. Electronic address: clattermann@bwh.harvard.edu., Lubowitz JH; Editor-in-chief, Emeritus, Arthroscopy Journal, Germany. Electronic address: jlubowitz@icloud.com., Mehl J; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany. Electronic address: julian.mehl@tum.de., Mengis N; Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, CH-4101, Bruderholz, Switzerland; Department of Clinical Research, Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, University of Basel, CH-4001, Basel, Switzerland. Electronic address: n.mengis@gmail.com., Mushal V; UPMC Freddie Fu Sports Medicine Center, 3200 S Water St, Pittsburgh PA 15203, USA. Electronic address: musahlv@upmc.edu., Nehrer S; Center for Regenerative Medicine, Department for Health Sciences, Medicine and Research, University for Continuing Education Krems, Krems an Der Donau, Austria. Electronic address: stefan.nehrer@donau-uni.ac.at., Pfeiffer T; Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Germany. Electronic address: T.Pfeiffer@email.de., Scheffler S; Sporthopaedicum (Bismarckstrasse 45-47, 10629 Berlin, Germany), Medizinische Hochschule Brandenburg (MHB), Fehrbelliner Straße 38, 16816 Neuruppin. Electronic address: sven.scheffler@gmx.com., Schoepp C; Department of Arthroscopic Surgery, Sports Traumatology and Sports Medicine, BG Klinikum Duisburg GGmbH, Großenbaumer Allee 250, 47249 Duisburg, Germany; Department of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147 Essen, Germany. Electronic address: christian.schoepp@bg-klinikum-duisburg.de., Siebold R; International Center for Orthopedics, ATOS Clinic Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Germany. Electronic address: rainer.siebold@atos.de., Volz M; Sportklinik, Ravensburg, Germany. Electronic address: Dvolz@t-online.de., Williams A; Fortius Clinic, Fitzhardinge Street, London W1H 6EQ, UK. Electronic address: williams@fortiusclinic.com., Willinger L; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany. Electronic address: l.willinger@tum.de., Zantop T; Sporthopaedicum Straubing, Bahnhofplatz 27, 94315, Straubing, Germany; University of Continuing Education, Krems, Austria. Electronic address: zantop@sporthoapdicum.de., Zellner J; Sporthopaedicum Regensburg, Regensburg Germany. Electronic address: zellner@sporthopaedicum.de., Guenther D; Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Germany. Electronic address: DGuenther1@gmx.de.
Corporate Authors: Society for Arthroscopy and Joint Surgery (AGA) Research Committee
Source: Journal of ISAKOS : joint disorders & orthopaedic sports medicine [J ISAKOS] 2026 Jun; Vol. 18, pp. 101104. Date of Electronic Publication: 2026 Mar 30.
Publication Type: Journal Article; Consensus Statement
Journal Info: Publisher: Elsevier Country of Publication: England NLM ID: 101680867 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2059-7762 (Electronic) Linking ISSN: 20597754 NLM ISO Abbreviation: J ISAKOS Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: A consensus-based classification of minor complications, major complications, and failure after anterior cruciate ligament reconstruction: A modified delphi study.
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  Data: <searchLink fieldCode="AU" term="%22D'Ambrosi+R%22">D'Ambrosi R</searchLink>; IRCCS Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy; Link Campus University, Rome, Italy. Electronic address: riccardo.dambrosi@hotmail.it.<br /><searchLink fieldCode="AU" term="%22Ackermann+J%22">Ackermann J</searchLink>; Rush University Medical Center, Chicago, IL, USA; Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland. Electronic address: jakob.ackermann@rushortho.com.<br /><searchLink fieldCode="AU" term="%22Deichsel+A%22">Deichsel A</searchLink>; Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany. Electronic address: deiadri@unitybox.de.<br /><searchLink fieldCode="AU" term="%22Eckl+L%22">Eckl L</searchLink>; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany. Electronic address: larissa.eckl@outlook.com.<br /><searchLink fieldCode="AU" term="%22Eggeling+L%22">Eggeling L</searchLink>; Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Germany. Electronic address: l.eggeling@bgk-hamburg.de.<br /><searchLink fieldCode="AU" term="%22Kittl+C%22">Kittl C</searchLink>; Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany. Electronic address: christoph.kittl@gmail.com.<br /><searchLink fieldCode="AU" term="%22Laky+B%22">Laky B</searchLink>; Österreichische Gesellschaft für Regenerativen Medizin (RegMed) und Austrian Research Group for Regenerative and Orthopedic Medicine (AURROM), Wien, Austria; Zahnklinik, Fakultät für Medizin, Sigmund Freud Privat Universität, Wien, Austria; Medizinische Universität Wien, Wien, Austria; MedSciCare, Wien, Austria. Electronic address: brenda.laky@aurrom.org.<br /><searchLink fieldCode="AU" term="%22Mathis+D%22">Mathis D</searchLink>; Departement Klinische Forschung, Regenerative Medizin und Biomechanik, Universität Basel, Basel, Switzerland; Praxisgemeinschaft Clarahof, Basel, Switzerland. Electronic address: dominic.mathis@unibas.ch.<br /><searchLink fieldCode="AU" term="%22Merkely+GB%22">Merkely GB</searchLink>; Department of Sports Medicine, Semmelweis University, Budapest, Hungary; Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA. Electronic address: gmerkely@bwh.harvard.edu.<br /><searchLink fieldCode="AU" term="%22Muench+LN%22">Muench LN</searchLink>; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany. Electronic address: lukas.muench@tum.de.<br /><searchLink fieldCode="AU" term="%22Muenchgesang+M%22">Muenchgesang M</searchLink>; Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Germany. Electronic address: maiti.muenchgesang@gmx.de.<br /><searchLink fieldCode="AU" term="%22Schmidt+AF%22">Schmidt AF</searchLink>; Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria. Electronic address: anton.schmidt.med@gmail.com.<br /><searchLink fieldCode="AU" term="%22Schuettler+KF%22">Schuettler KF</searchLink>; Orthopaedicum Lich/Gießen, Lich, Germany. Electronic address: schuettler@orthopaedicum-lich.de.<br /><searchLink fieldCode="AU" term="%22Wafaisade+A%22">Wafaisade A</searchLink>; Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Germany. Electronic address: wafaisadea@kliniken-koeln.de.<br /><searchLink fieldCode="AU" term="%22Abermann+E%22">Abermann E</searchLink>; Gelenkpunkt, Innsbruck, Austria. Electronic address: e.abermann@gelenkpunkt.com.<br /><searchLink fieldCode="AU" term="%22Achtnich+A%22">Achtnich A</searchLink>; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany; Technical University of Munich, Munich, Germany. Electronic address: a.achtnich@tum.de.<br /><searchLink fieldCode="AU" term="%22Akoto+R%22">Akoto R</searchLink>; Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Germany. Electronic address: r.akoto@bgk-hamburg.de.<br /><searchLink fieldCode="AU" term="%22Angele+P%22">Angele P</searchLink>; Sporthopaedicum Regensburg, Regensburg Germany. Electronic address: Angele@sporthopaedicum.de.<br /><searchLink fieldCode="AU" term="%22Becker+R%22">Becker R</searchLink>; Universitätsklinikum Brandenburg an der Havel, Zentrum für Orthopädie und Unfallchirurgie, Brandenburg, Germany. Electronic address: roland_becker@yahoo.de.<br /><searchLink fieldCode="AU" term="%22Brandl+G%22">Brandl G</searchLink>; OrthoZentrum Doebling, Vienna, Austria. Electronic address: georg.brandl@icloud.com.<br /><searchLink fieldCode="AU" term="%22Dejour+D%22">Dejour D</searchLink>; Lyon Ortho Clinic, Lyon, France. Electronic address: corolyon@wanadoo.fr.<br /><searchLink fieldCode="AU" term="%22Dirisamer+F%22">Dirisamer F</searchLink>; Klinik Diakonissen Linz, Austria. Electronic address: fd@movenow.at.<br /><searchLink fieldCode="AU" term="%22Drews+BH%22">Drews BH</searchLink>; St. Vinzenz Hospital, Pfronten, Germany. Electronic address: bjoern.drews@vinzenz-klinik.de.<br /><searchLink fieldCode="AU" term="%22Egloff+C%22">Egloff C</searchLink>; Schulthess Klinik, Lengghalde 2, 8008 Zurich, Switzerland. Electronic address: christian.egloff@kws.ch.<br /><searchLink fieldCode="AU" term="%22Feucht+MJ%22">Feucht MJ</searchLink>; Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany. Electronic address: matthias.feucht@gmx.net.<br /><searchLink fieldCode="AU" term="%22Fink+C%22">Fink C</searchLink>; Gelenkpunkt, Innsbruck, Austria; Research Unit for Orthopedic Sportsmedicine and Injury Prevention (OSMI), UMIT Hall, Austria. Electronic address: c.fink@gelenkpunkt.com.<br /><searchLink fieldCode="AU" term="%22Herbst+E%22">Herbst E</searchLink>; Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany. Electronic address: elmar.herbst@gmail.com.<br /><searchLink fieldCode="AU" term="%22Hohmann+E%22">Hohmann E</searchLink>; Medical School, University of Pretoria, South Africa. Electronic address: ehohmannmd@gmail.com.<br /><searchLink fieldCode="AU" term="%22Imhoff+AB%22">Imhoff AB</searchLink>; Past Chairman Department of Orthopaedic Sports MedicineTUMUniversity Hospital Rechts der Isar Ismaninger Street 22 Munich 81675, Germany. Electronic address: imhoff@tum.de.<br /><searchLink fieldCode="AU" term="%22Jung+T%22">Jung T</searchLink>; Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany. Electronic address: tobias.jung@charite.de.<br /><searchLink fieldCode="AU" term="%22Koch+PP%22">Koch PP</searchLink>; Gelenkzentrum Winterthur, Schickstrasse 11, CH-8400 Winterthur, Switzerland. Electronic address: peter.koch@gzw.ch.<br /><searchLink fieldCode="AU" term="%22Krause+M%22">Krause M</searchLink>; Department of Trauma and Orthopaedic Surgery University Medical Center Hamburg - Eppendorf Hamburg Germany, Germany. Electronic address: m.krause@uke.de.<br /><searchLink fieldCode="AU" term="%22Lattermann+C%22">Lattermann C</searchLink>; Mass General Brigham, Harvard University Medical School, Boston MA, USA. Electronic address: clattermann@bwh.harvard.edu.<br /><searchLink fieldCode="AU" term="%22Lubowitz+JH%22">Lubowitz JH</searchLink>; Editor-in-chief, Emeritus, Arthroscopy Journal, Germany. Electronic address: jlubowitz@icloud.com.<br /><searchLink fieldCode="AU" term="%22Mehl+J%22">Mehl J</searchLink>; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany. Electronic address: julian.mehl@tum.de.<br /><searchLink fieldCode="AU" term="%22Mengis+N%22">Mengis N</searchLink>; Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, CH-4101, Bruderholz, Switzerland; Department of Clinical Research, Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, University of Basel, CH-4001, Basel, Switzerland. Electronic address: n.mengis@gmail.com.<br /><searchLink fieldCode="AU" term="%22Mushal+V%22">Mushal V</searchLink>; UPMC Freddie Fu Sports Medicine Center, 3200 S Water St, Pittsburgh PA 15203, USA. Electronic address: musahlv@upmc.edu.<br /><searchLink fieldCode="AU" term="%22Nehrer+S%22">Nehrer S</searchLink>; Center for Regenerative Medicine, Department for Health Sciences, Medicine and Research, University for Continuing Education Krems, Krems an Der Donau, Austria. Electronic address: stefan.nehrer@donau-uni.ac.at.<br /><searchLink fieldCode="AU" term="%22Pfeiffer+T%22">Pfeiffer T</searchLink>; Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Germany. Electronic address: T.Pfeiffer@email.de.<br /><searchLink fieldCode="AU" term="%22Scheffler+S%22">Scheffler S</searchLink>; Sporthopaedicum (Bismarckstrasse 45-47, 10629 Berlin, Germany), Medizinische Hochschule Brandenburg (MHB), Fehrbelliner Straße 38, 16816 Neuruppin. Electronic address: sven.scheffler@gmx.com.<br /><searchLink fieldCode="AU" term="%22Schoepp+C%22">Schoepp C</searchLink>; Department of Arthroscopic Surgery, Sports Traumatology and Sports Medicine, BG Klinikum Duisburg GGmbH, Großenbaumer Allee 250, 47249 Duisburg, Germany; Department of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147 Essen, Germany. Electronic address: christian.schoepp@bg-klinikum-duisburg.de.<br /><searchLink fieldCode="AU" term="%22Siebold+R%22">Siebold R</searchLink>; International Center for Orthopedics, ATOS Clinic Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Germany. Electronic address: rainer.siebold@atos.de.<br /><searchLink fieldCode="AU" term="%22Volz+M%22">Volz M</searchLink>; Sportklinik, Ravensburg, Germany. Electronic address: Dvolz@t-online.de.<br /><searchLink fieldCode="AU" term="%22Williams+A%22">Williams A</searchLink>; Fortius Clinic, Fitzhardinge Street, London W1H 6EQ, UK. Electronic address: williams@fortiusclinic.com.<br /><searchLink fieldCode="AU" term="%22Willinger+L%22">Willinger L</searchLink>; Sektion Sportorthopädie, TUM Universitätsklinikum, München, Germany. Electronic address: l.willinger@tum.de.<br /><searchLink fieldCode="AU" term="%22Zantop+T%22">Zantop T</searchLink>; Sporthopaedicum Straubing, Bahnhofplatz 27, 94315, Straubing, Germany; University of Continuing Education, Krems, Austria. Electronic address: zantop@sporthoapdicum.de.<br /><searchLink fieldCode="AU" term="%22Zellner+J%22">Zellner J</searchLink>; Sporthopaedicum Regensburg, Regensburg Germany. Electronic address: zellner@sporthopaedicum.de.<br /><searchLink fieldCode="AU" term="%22Guenther+D%22">Guenther D</searchLink>; Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Germany. Electronic address: DGuenther1@gmx.de.
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  Data: <searchLink fieldCode="JN" term="%22101680867%22">Journal of ISAKOS : joint disorders & orthopaedic sports medicine</searchLink> [J ISAKOS] 2026 Jun; Vol. 18, pp. 101104. <i>Date of Electronic Publication: </i>2026 Mar 30.
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          Name:
            NameFull: Hohmann E
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          Name:
            NameFull: Imhoff AB
      – PersonEntity:
          Name:
            NameFull: Jung T
      – PersonEntity:
          Name:
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      – PersonEntity:
          Name:
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      – PersonEntity:
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            NameFull: Lubowitz JH
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      – PersonEntity:
          Name:
            NameFull: Mengis N
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            NameFull: Mushal V
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            NameFull: Pfeiffer T
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      – PersonEntity:
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      – PersonEntity:
          Name:
            NameFull: Zellner J
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          Dates:
            – D: 01
              M: 06
              Text: 2026 Jun
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 2059-7762
          Numbering:
            – Type: volume
              Value: 18
          Titles:
            – TitleFull: Journal of ISAKOS : joint disorders & orthopaedic sports medicine
              Type: main
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