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Orthopedics and biomechanics

Section edited by Umile Giuseppe Longo

This section concerns all aspects of orthopedic treatments for musculoskeletal disorders including but not limited to: orthopedic surgery and related biomechanics, non-surgical orthoses, and tissue engineering.

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  1. Content type: Research article

    Titanium instrumentations are widely used in orthopedics; the metal bonds with bone in a process called osseointegration. Over time, hydrocarbons adhere to the instrumentation, which weakens the bone-binding a...

    Authors: Hiroyuki Tominaga, Kanehiro Matsuyama, Yukihiro Morimoto, Takuya Yamamoto, Setsuro Komiya and Yasuhiro Ishidou

    Citation: BMC Musculoskeletal Disorders 2019 20:292

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  2. Content type: Research article

    The purpose of this systematic review was to evaluate the accuracy and reliability of wearable devices for objective gait measurement of Lumbar Spinal Stenosis (LSS) patients, with a focus on relevant gait met...

    Authors: Ananya Chakravorty, Ralph J. Mobbs, David B. Anderson, Kaitlin Rooke, Kevin Phan, Nicole Yoong, Monish Maharaj and Wen Jie Choy

    Citation: BMC Musculoskeletal Disorders 2019 20:288

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  3. Content type: Research article

    Primary purpose of this study is to compare the clinical outcomes of patients undergoing arthroscopic arthrolysis in posttraumatic and non-traumatic elbow stiffness. Secondary aims are to compare the level of ...

    Authors: Saroj Rai, Qimin Zhang, Nira Tamang, Shengyang Jin, Hong Wang and Chunqing Meng

    Citation: BMC Musculoskeletal Disorders 2019 20:285

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  4. Content type: Research article

    Reductions in lower extremity muscle strength, size and quality and increased fat content have been reported in advanced hip osteoarthritis (OA). Whether these differences are also evident at earlier stages of...

    Authors: Aderson Loureiro, Maria Constantinou, Belinda Beck, Rod S. Barrett and Laura E. Diamond

    Citation: BMC Musculoskeletal Disorders 2019 20:283

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  5. Content type: Technical advance

    Compared to anterior cervical discectomy and fusion (ACDF), cervical motion segment and disc was retained through anterior transcorporeal herniotomy (ATH). But surgical field and manipulation in traditional AT...

    Authors: Qian Du, Lan-Qiong Lei, Guan-Ru Cao, Wei-Jun Kong, Jun Ao, Xin Wang, An-Su Wang and Wen-Bo Liao

    Citation: BMC Musculoskeletal Disorders 2019 20:280

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  6. Content type: Research article

    Higher tourniquet pressures may be associated with an increased risk of complications. We aimed to determine (1) whether a lower tourniquet pressure [systolic blood pressure (SBP) + 120 mmHg] is as effective a...

    Authors: Tae Kyun Kim, Ankur B. Bamne, Jae Ang Sim, Ji Hyeon Park and Young Gon Na

    Citation: BMC Musculoskeletal Disorders 2019 20:275

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  7. Content type: Research article

    Bone tunnel enlargement following primary anterior cruciate ligament (ACL) reconstruction with soft tissue graft might be a severe disadvantage for revision surgery. The postoperative rehabilitation protocol i...

    Authors: Takuya Tajima, Nami Yamaguchi, Makoto Nagasawa, Yudai Morita, Yoshihiro Nakamura and Etsuo Chosa

    Citation: BMC Musculoskeletal Disorders 2019 20:274

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  8. Content type: Research article

    The treatment strategy for evolutive septic arthritis (SA) with coexistent degenerative joint disease is not well established. The purposes of this study were to 1) investigate treatment outcome and potential ...

    Authors: Chi Xu, Feng-Chih Kuo, Matthew Kheir, Xin Li, Wei Chai and Ji-Ying Chen

    Citation: BMC Musculoskeletal Disorders 2019 20:272

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  9. Content type: Research article

    Periarticular injection (PAI) is a regional analgesia method performed in total hip arthroplasty (THA) for postoperative pain relief. However, its efficacy and safety is still inconclusive. Therefore, we condu...

    Authors: Hsuan-Hsiao Ma, Te-Feng Arthur Chou, Shang-Wen Tsai, Cheng-Fong Chen, Po-Kuei Wu and Wei-Ming Chen

    Citation: BMC Musculoskeletal Disorders 2019 20:269

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  10. Content type: Research article

    About one fourth of patients with hip fracture have cognitive impairment. These patients are at higher risk of surgical and medical complications and are often excluded from participating in clinical research....

    Authors: Målfrid Holen Kristoffersen, Eva Dybvik, Ole Martin Steihaug, Christoffer Andreas Bartz-Johannesen, Mette Irene Martinsen, Anette Hylen Ranhoff, Lars Birger Engesæter and Jan-Erik Gjertsen

    Citation: BMC Musculoskeletal Disorders 2019 20:268

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  11. Content type: Research article

    It is unclear whether postoperative outcomes are associated with the cartilage regeneration after open wedge high tibial osteotomy (OWHTO) combined with microfracture. The purpose of this study was to evaluate...

    Authors: O-Sung Lee, Seung Hoon Lee, Su Jung Mok and Yong Seuk Lee

    Citation: BMC Musculoskeletal Disorders 2019 20:267

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  12. Content type: Research article

    Using data from the Korean Hip Registry, we aimed to investigate mid-term clinical and radiographic outcomes, including the prevalence of periprosthetic joint infection (PJI), osteolysis, and component looseni...

    Authors: Seung-Chan Kim, Young-Wook Lim, Woo-Lam Jo, Hyun-Woo Park, Sung-Bin Han, Soon-Yong Kwon and Yong-Sik Kim

    Citation: BMC Musculoskeletal Disorders 2019 20:263

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  13. Content type: Research article

    Thigh pain and cortical hypertrophies (CH) have been reported in the short term for specific short hip stem designs. The purpose of the study was to investigate 1) the differences in clinical outcome, thigh pa...

    Authors: Moritz M. Innmann, Johannes Weishorn, Thomas Bruckner, Marcus R. Streit, Tilman Walker, Tobias Gotterbarm, Christian Merle and Michael W. Maier

    Citation: BMC Musculoskeletal Disorders 2019 20:261

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  14. Content type: Research article

    The risk of posterior cage migration (PCM) exists when a fusion cage is used for transforaminal lumbar interbody fusion (TLIF). This complication is influenced by contact pressure between the endplate and the ...

    Authors: Yung-Hsueh Hu, Chi-Chien Niu, Ming-Kai Hsieh, Tsung-Ting Tsai, Wen-Jer Chen and Po-Liang Lai

    Citation: BMC Musculoskeletal Disorders 2019 20:260

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  15. Content type: Research article

    There have been only a few reports of subsequent postoperative vertebral fracture following posterior spinal instrumentation fusion, especially in elderly female patients. This study attempted to evaluate the ...

    Authors: Masahiro Nakahashi, Hiroshi Uei, Yasuaki Tokuhashi, Masafumi Maseda, Hirokatsu Sawada, Hirotoki Soma and Hiroyuki Miyakata

    Citation: BMC Musculoskeletal Disorders 2019 20:259

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  16. Content type: Research article

    Different substances are combined to compensate for each other’s drawbacks and create an appropriate biomaterial. A novel Polyvinyl alcohol (PVA)/chitosan (CS) porous hydrogel was designed and applied to the t...

    Authors: Liangquan Peng, Yong Zhou, Wei Lu, Weimin Zhu, Yusheng Li, Kang Chen, Greg Zhang, Jian Xu, Zhenhan Deng and Daping Wang

    Citation: BMC Musculoskeletal Disorders 2019 20:257

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  17. Content type: Research article

    Safe placement of pedicle screws without jeopardizing neurovascular structures medially and anteriorly is important during spine surgery. Inferior breach of pedicle is also dangerous due to low margin of error...

    Authors: Hsi-Hsien Lin, Jung-Pan Wang, Cheng-Li Lin, Yu-Cheng Yao, Shih-Tien Wang, Ming-Chau Chang and Po-Hsin Chou

    Citation: BMC Musculoskeletal Disorders 2019 20:252

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  18. Content type: Research article

    Hip fracture patients are frail and have a high mortality. We investigated whether the introduction of fast track care reduced the 30-day mortality after hip fractures.

    Authors: Christian Thomas Pollmann, Jan Harald Røtterud, Jan-Erik Gjertsen, Fredrik Andreas Dahl, Olav Lenvik and Asbjørn Årøen

    Citation: BMC Musculoskeletal Disorders 2019 20:248

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  19. Content type: Research article

    Managing with diabetic foot osteomyelitis (DFO) is challenging. Even after infective bone resection and thorough debridement, DFO is still difficult to cure and has a high recurrence rate. This retrospective s...

    Authors: Cheng-He Qin, Chun-Hao Zhou, Hui-Juan Song, Guo-Yun Cheng, Hong-An Zhang, Jia Fang and Rui Tao

    Citation: BMC Musculoskeletal Disorders 2019 20:246

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  20. Content type: Research article

    Bone defects may occur because of severe trauma, nonunion, infection, or tumor resection. However, treatments for bone defects are often difficult and have not been fully established yet. We previously designe...

    Authors: Yu Kuroiwa, Tomoaki Fukui, Shunsuke Takahara, Sang Yang Lee, Keisuke Oe, Michio Arakura, Yohei Kumabe, Takahiro Oda, Tomoyuki Matsumoto, Takehiko Matsushita, Toshihiro Akisue, Yoshitada Sakai, Ryosuke Kuroda and Takahiro Niikura

    Citation: BMC Musculoskeletal Disorders 2019 20:237

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  21. Content type: Research article

    Various surgical modalities are available for correction of deformity in late-diagnosed distal radius fractures. This study compared surgical outcomes between intramedullary nailing and plating osteosynthesis ...

    Authors: Alvin Chao-Yu Chen, Chun-Ying Cheng, Chun-Jui Weng and Ying-Chao Chou

    Citation: BMC Musculoskeletal Disorders 2019 20:236

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  22. Content type: Research article

    A significant number of patients use opioids prior to total joint arthroplasty (TJA) in North America and there is growing concern that preoperative opioid use negatively impacts postoperative patient outcomes...

    Authors: C. Michael Goplen, Wesley Verbeek, Sung Hyun Kang, C. Allyson Jones, Donald C. Voaklander, Thomas A. Churchill and Lauren A. Beaupre

    Citation: BMC Musculoskeletal Disorders 2019 20:234

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  23. Content type: Research article

    Total hip replacement (THR) is a procedure which can improve the quality of life in patients with osteoarthritis. However, deficits in static stability and impairment of lower limb efficiency can be observed e...

    Authors: Agnieszka Wareńczak and Przemysław Lisiński

    Citation: BMC Musculoskeletal Disorders 2019 20:229

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  24. Content type: Research article

    Perioperative blood management is an important issue in the treatment of elderly patients at an increased risk of postoperative complications. Accordingly, tranexamic acid (TXA) is widely administered to reduc...

    Authors: Dae-Kyung Kwak, Chul-Young Jang, Dae-Hwan Kim, Sang-Hyun Rhyu, Ji-Hyo Hwang and Je-Hyun Yoo

    Citation: BMC Musculoskeletal Disorders 2019 20:228

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  25. Content type: Research article

    Displaced intracapsular hip fractures are typically treated with hemiarthroplasty (HA) or total hip arthroplasty (THA). A number of professional bodies recommend considering THA for patients that were independ...

    Authors: David Metcalfe, Andrew Judge, Daniel C. Perry, Belinda Gabbe, Cheryl K. Zogg and Matthew L. Costa

    Citation: BMC Musculoskeletal Disorders 2019 20:226

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  26. Content type: Research article

    The purpose of this study was to reveal the clinical history and physical and magnetic resonance imaging (MRI) findings of patients with an inverted-type discoid lateral meniscus (DLM) tear compared with those...

    Authors: Kengo Shimozaki, Junsuke Nakase, Yasushi Takata, Kazuki Asai, Kazu Toyooka, Katsuhiko Kitaoka and Hiroyuki Tsuchiya

    Citation: BMC Musculoskeletal Disorders 2019 20:223

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  27. Content type: Research article

    In order to treat proximal femur fibrous dysplasia (FD) patients combined with hip joint osteoarthritis (OA), the three-dimensional (3D) designing osteotomy and implantation of femoral component was firstly us...

    Authors: Kai Yao, Li Min, Fan Tang, Minxun Lu, Yuqi Zhang, Jie Wang, Yong Zhou, Yi Luo, Wenli Zhang and Chongqi Tu

    Citation: BMC Musculoskeletal Disorders 2019 20:222

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  28. Content type: Research article

    The aim of this study was to review the patient rated outcome (PROM) of surgically treated fractures to the lateral process of the talus (LPTF) and identify factors influencing the outcome.

    Authors: Hubert Hörterer, Sebastian Felix Baumbach, Stefan Lemperle, Sebastian Altenberger, Oliver Gottschalk, Alexander Tobias Mehlhorn, Anke Röser and Markus Walther

    Citation: BMC Musculoskeletal Disorders 2019 20:219

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  29. Content type: Research article

    No consensus exists on the treatment of proximal humerus fractures, especially in the elderly patients with osteoporosis. This study was aimed to evaluate the biomechanical characteristics of a novel external ...

    Authors: Haijing Huang

    Citation: BMC Musculoskeletal Disorders 2019 20:218

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  30. Content type: Research article

    Pelvic lateral compression fractures are the most stable of the unstable fractures. Therefore, decision making regarding operative or non-operative therapy is still a matter of debate.

    Authors: J. Zwingmann, H. Eberbach, P. C. Strohm, N. P. Südkamp, J. Lauritsen and H. Schmal

    Citation: BMC Musculoskeletal Disorders 2019 20:217

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  31. Content type: Study protocol

    The purpose of anterior cruciate ligament reconstruction (ACLR) is to restore stability to the knee. Persistent rotational laxity following ACLR has been correlated with poor outcome and graft failure. We hypo...

    Authors: Alan Getgood, Dianne Bryant and Andrew Firth

    Citation: BMC Musculoskeletal Disorders 2019 20:216

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  32. Content type: Research article

    An interspinous process device, the Device for Intervertebral Assisted Motion (DIAM™) designed to treat lumbar neurogenic disease secondary to the lumbar spinal stenosis, it provides dynamic stabilization afte...

    Authors: Hao-Ju Lo, Chen-Sheng Chen, Hung-Ming Chen and Sai-Wei Yang

    Citation: BMC Musculoskeletal Disorders 2019 20:213

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  33. Content type: Case report

    Chronic nonbacterial osteomyelitis (CNO) is a rare chronic autoinflammatory syndrome affecting mainly children and young adults. The natural history of the disease is marked by recurrent pain as the mainstay o...

    Authors: Patrick Goetti, Chau Pham, Nicolas Gallusser, Fabio Becce, Pietro G. di Summa, Frédéric Vauclair and Stéphane Cherix

    Citation: BMC Musculoskeletal Disorders 2019 20:211

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  34. Content type: Research article

    The purpose of this study was to determine patient reported outcome measures (PROMS) after arthroscopic repair of an isolated labral tear using the validated International Hip Outcome Tool (iHOT-33). The iHOT-...

    Authors: Jesse Renouf, Nicholas Pergaminelis, Phong Tran, Camdon Fary and Oren Tirosh

    Citation: BMC Musculoskeletal Disorders 2019 20:210

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  35. Content type: Research article

    Repair of rotator cuff tears has yielded excellent functional outcomes in recent decades; however, poor outcomes and dissatisfaction have been noted in specific groups. Spontaneous tendon rupture has been repo...

    Authors: Kuan-Ting Wu, Wen-Yi Chou, Jih-Yang Ko, Ka-Kit Siu and Ya-Ju Yang

    Citation: BMC Musculoskeletal Disorders 2019 20:209

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  36. Content type: Research article

    Recent studies support the theory that ill-fitting shoes are an important source of pain and may lead to foot malformations in the medium term. Taking as reference the ideal allowance considered in the literat...

    Authors: María Luisa González Elena and Antonio Córdoba-Fernández

    Citation: BMC Musculoskeletal Disorders 2019 20:208

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  37. Content type: Research article

    Although various surgical methods are used to treat lumbosacral tuberculosis, no unified surgical approach exists. Thus, exploring an optimal operation method has substantial clinical importance. Evaluate the ...

    Authors: Jiantao Liu, Yanzheng Gao, Zhengchao Gao, Binbin Niu, Dongbo Lv and Yin Yang

    Citation: BMC Musculoskeletal Disorders 2019 20:206

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  38. Content type: Research article

    This study aimed to evaluate the safety and feasibility of subaxial cervical pedicle screw (CPS) insertion by comparing the morphological parameters between developmental canal stenosis (DCS) and non-developme...

    Authors: Song Wang, Gangyi Yang, Ce Zhu, Jianping Kang and Qing Wang

    Citation: BMC Musculoskeletal Disorders 2019 20:205

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  39. Content type: Case report

    Total hip arthroplasty (THA) is considerably difficult to perform in patients with Crowe type IV developmental dysplasia of the hip (DDH). Some Crowe type IV DDH patients require a femoral subtrochanteric shor...

    Authors: Song Gong, Weihua Xu, Ruoyu Wang, Shaokai Liu, Lizhi Han, Guo Chen and Bo Wang

    Citation: BMC Musculoskeletal Disorders 2019 20:203

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  40. Content type: Research article

    A total of more than 270,000 fractures are registered in the Swedish Fracture Register (SFR), a national quality register. Fractures are classified following the AO/OTA classification, commonly by a junior doc...

    Authors: Sara Brandt Knutsson, David Wennergren, Alicja Bojan, Jan Ekelund and Michael Möller

    Citation: BMC Musculoskeletal Disorders 2019 20:197

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  41. Content type: Research article

    High molecular weight (HMW) hyaluronic acid (HA) is a treatment option for knee osteoarthritis (OA). The efficacy of HMW-HA in knee OA is investigated extensively, but the effectiveness in patients in the work...

    Authors: Job Hermans, Sita M. A. Bierma-Zeinstra, Pieter K. Bos, Dieu Donne Niesten, Jan A. N. Verhaar and Max Reijman

    Citation: BMC Musculoskeletal Disorders 2019 20:196

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  42. Content type: Research article

    Adverse Reaction to Metal Debris (ARMD) is a major reason for revision surgeries in patients with metal-on-metal (MoM) hip replacements. Most failures are related to excessively wearing implant producing harmf...

    Authors: Lari Lehtovirta, Aleksi Reito, Olli Lainiala, Jyrki Parkkinen, Harry Hothi, Johann Henckel, Alister Hart and Antti Eskelinen

    Citation: BMC Musculoskeletal Disorders 2019 20:195

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  43. Content type: Research article

    Cartilage repair outcomes are compromised in a pro-inflammatory environment; therefore, the mitigation of pro-inflammatory responses is beneficial. Treatment with continuous low-intensity ultrasound (cLIUS) at...

    Authors: Neety Sahu, Hendrik J. Viljoen and Anuradha Subramanian

    Citation: BMC Musculoskeletal Disorders 2019 20:193

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  44. Content type: Research article

    Device-related infections in orthopaedic and trauma surgery are a devastating complication with substantial impact on morbidity and mortality. Systemic suppressive antibiotic treatment is regarded an integral ...

    Authors: Romy Spitzmüller, Denis Gümbel, Claas Güthoff, Sarah Zaatreh, Annett Klinder, Matthias Napp, Rainer Bader, Wolfram Mittelmeier, Axel Ekkernkamp, Axel Kramer and Dirk Stengel

    Citation: BMC Musculoskeletal Disorders 2019 20:184

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  45. Content type: Case report

    Antibiotic-impregnated articulating cement spacers can maintain interim joint motion with the potential to enhance functional status and improve patient satisfaction. Articular surfaces with cement against cem...

    Authors: Yong-Beom Park, Chul-Won Ha, Jae Won Jang and Manyoung Kim

    Citation: BMC Musculoskeletal Disorders 2019 20:179

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  46. Content type: Research article

    A method of closed reduction and internal fixation with cannulated screws was proposed as a surgical treatment of midshaft clavicle fractures. However, there are no mechanical studies about the cannulated scre...

    Authors: Sheng-Hao Wang, Hsiu-Jen Lin, Hsain-Chung Shen, Ru-Yu Pan and Jui-Jung Yang

    Citation: BMC Musculoskeletal Disorders 2019 20:178

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