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Authors
Karki, Mandeep https://orcid.org/0000-0001-6867-0041
Sharma, Rachit https://orcid.org/0000-0002-2177-9602
Sunuwar, Dev Ram https://orcid.org/0000-0002-2544-8296
Gupta, Rama Shankar https://orcid.org/0000-0002-4716-5748
Singh, Devendra Raj https://orcid.org/0000-0003-1450-9476
Lama, Sunima https://orcid.org/0009-0000-4891-7246
Bhandari, Kailash Kumar https://orcid.org/0000-0001-6971-9732
Tamang, Ram Krishna https://orcid.org/0000-0002-1521-2511
Chaudhary, Narendra Kumar https://orcid.org/0000-0002-7747-4066
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Article History
Received: 4 November 2024
Accepted: 7 July 2025
First Online: 1 October 2025
Declarations
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: The study adhered to the Declaration of Helsinki, which considers the ethical principles for medical research while involving human participants. The ethical approval was obtained from the Ethical Review Board (ERB) of NHRC (Reference number: 442, issued on 26 August 2022). The clinical trial was registered on clinicaltrials.gov (Identifier: NCT05383040, registered on 17/05/2022). Formal permission was obtained from the Nepal Orthopaedic Hospital, Kathmandu, Nepal, to conduct the study. Written informed consent was obtained from all patients recruited for this study.
: Not applicable.
: The authors declare no competing interests.
