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Article History

Received: 25 February 2025

Accepted: 10 August 2025

First Online: 20 August 2025

Declarations

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: AKN is the recipient of an academic scholarship “Olympia-Morata-Programm” which is financially supported by the medical faculty of the University ofHeidelberg. AKN has received lecture fees by DePuy Synthes (unrelated to the subject of thestudy).Sebastian Jaeger reports a relationship with Johnson and Johnson that includes: funding grants.Research support from a company or supplier as a principal Investigator: Johnson & JohnsonDePuy, B. Braun Aesculap, Waldemar Link, Heraeus Medical, Zimmer Biomet, Peter BrehmGmbH, Ceramtec, Implantcast, Medacta, Mathys, Tornier, Stryker, Kerimedical and Medartis.The author declares that he has no known competing financial interests or personal relationshipsthat could have appeared to influence the work reported in this paper.J. Philippe Kretzer has received Grants or Research support from the German ResearchFoundation (DFG), the German Federal Ministry of Education and Research (BMBF), GentUniversity, Stiftung Endoprothetik, Deutsche Arthrose Stiftung, Endocon GmbH, PermedicaS.P.A., Implantcast GmbH, Mathys Orthopädie GmbH, AQ Solutions GmbH, CeramtecGmbH, Peter Brehm Chirurgie-Mechanik e.K., SINTX Technologies, Inc., Questmed GmbH, SpineServ GmbHJ. Philippe Kretzer has received personal support (Consultant, Speaker or travel fees) byArbeitsgemeinschaft Endoprothetik (AE), Mathys Ltd, Ceramtec GmbHDePuy Synthes/Johnson & Johnson Medical GmbH, MedCert GmbH, Consult Invest Beteil.GmbH, Permedica S.P.A.Benjamin Panzram reports a relationship with Medartis that includes: consulting or advisoryand speaking and lecture fees. The author declares that he has no known competing financialinterests or personal relationships that could have appeared to influence the work reported inthis paper.Tobias Renkawitz reports a relationship with DePuy International Ltd that includes: consultingor advisory and funding grants. Tobias Renkawitz has received research support and personalfees from ArbeitsgemeinschaftEndoprothetik (AE), DGOU, DGOOC; BVOU, DePuyInternational, Otto Bock Foundation, Deutsche Arthrose Hilfe, Aesculap, Zimmer, StiftungOskar Helene Heim Berlin, VielberthFoundation Regensburg, the German Ministry ofEducation and Research as well as the German Federal Ministry of Economic Cooperation andDevelopment. He is Medical Director and Chair at the Orthopaedic Department at HeidelbergUniversity Hospital, board member of the German Society for Orthopaedies and Trauma(DGOOC), vice president of the Professional Association of Orthopaedic Specialists andTrauma Surgeons (BVOU) and President of the German Academy of Orthopedic and TraumaSurgeons (AOUC). He is on the editorial board of „Die Orthopädie”, „Die Unfallchirurgie”,„OUMN” (Springer, Heidelberg, Berlin, New York) and on the international advisory board ofthe Journal of the American Academy of Orthopedic Surgeons (AAOS) (Wolters Kluwer, Netherlands). The author declares that he has no known competing financial interests orpersonal relationships that could have appeared to influence the work reported in this paper.Matthias Bülhoff reports a relationship with Stryker Orthopaedics that includes: consulting oradvisory. The author declares that he has no competing financial interests or personalrelationships that could have appeared to influence the work reported in this paper.All other authors, their immediate families, and any research foundation with which they areaffiliated have not received any financial payments or other benefits from any commercialentity related to the subject of this article.