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CH1rޟMeBu?%t5aŅcO]l"28U-qڶX20/,6 ^hTZY.ۂ JٱBzhN ZUT|ߛ6$.BdEaJz033gw?{eTXRtYI(Yz,?i.WK_).w϶05Y/vzO Rn{*tt}40sIL|Ŷ8bP{)ڢjVwĥ\_0-ȁIa()?x>)NIs[9PDDa*_AlPɅs'VG$zAJ'Vp3O*= $N!ӻs8_C%m jLij0;_gl7ԮO.9*m謲~);קC3̿NrsY'°.F6jǠtN"Va~/]*f|D³9ps\5|_bvv4cgzpygnVEyⶄwl~x7ǁt>, U@\.t~jQ&*91"zN'Q!y\?'j[ M%UL% Q!]kdcK)wԕ_gPq;/q/sQ ^" h)^^Q4bY3a0#ƺ+#R竑O:-;U:pf~Jv&Wzf/6趔[K"é`o0߮ϯ$}rQbFK#:@ێ+{IFbߘr-.^u }9p[g ªvk'r3-;{`xXQm5('4,r/<7}1ٵ")|\Eo`ǁX%}:x/_%jQJgyiLAU4QуcmѺxVw-)>\k8\f"ዹ,7hdj8a)xՐ PF4 t=ukqUM.ḿڱʶpQUܴܩV.y`33ׯ2ɰϳ'/Ԇ`G'%1 ye&؋XSe B4'MyG1=9)x~^R)پd͞o31qo&G`|ɸ[ȪwoL^Jr5vƘaOZggrJ7V`|6b2'yW3^&ScF>oZqiX%4SL3}[NcAF埿wEYCyrk[LG7-G&QYyD7f0 ^VIp%"c^ż _m֓M)K+a޽vؠcj/>RɌx%-yӓ  r蕈܌܃ ',+b"Nc cFo??7%<?Dy#&d&<:lPF% 2?r^詞/q^z;;`\gR-ߖmTa[suU?/{%/lκޕܖO޵-Ͼ>|~߿Wj\8!Nx!9*מ"A%B+Sw s endstream endobj 50 0 obj << /G3 199 0 R /gs2 140 0 R >> endobj 51 0 obj << /Length 98 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 200 0 R >> /BBox [0 0 3 150] /Group 201 0 R /Filter /FlateDecode >> stream xU1@@`XY%"*7A #:׼N$E(~PZTp> +9v Yg.dUuo}<ӂھ endstream endobj 52 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 202 0 R >> /BBox [0 0 13 76] /Group 203 0 R /Filter /FlateDecode >> stream xU10 ݧ8v%cAB:thB*Ʒ/' 5C ql<Ջk!G$V;a?}ˉnwXPWIr< endstream endobj 53 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 204 0 R >> /BBox [0 0 62 67] /Group 205 0 R /Filter /FlateDecode >> stream xU10~_|J?@((p!*r@<[bJ_ɤ=s8䁒5Vǣۊ~\7綿Ǽ2 5Ug'p|r endstream endobj 54 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 206 0 R >> /BBox [0 0 62 68] /Group 207 0 R /Filter /FlateDecode >> stream xU10 ݧN%cAB:thB*Ʒ/'Sɖ!h4!W4l^ˇ]IBkԎAm^NtSOFO.# endstream endobj 55 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 208 0 R >> /BBox [0 0 59 69] /Group 209 0 R /Filter /FlateDecode >> stream xU10 ݧ8v%cAB:thB*Ʒ/' 5C Q-qc|H8ƻNhj|orz%'ԕ6z0tpO endstream endobj 56 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 210 0 R >> /BBox [0 0 62 67] /Group 211 0 R /Filter /FlateDecode >> stream xU1@_avvg[*!TzCXXp+Cx ʿ:&%ż.o(%yd춡"~wM7/r endstream endobj 57 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 212 0 R >> /BBox [0 0 63 103] /Group 213 0 R /Filter /FlateDecode >> stream xU10 ݧ8v%cAB:thB*Ʒ/' 5C 1 -Qa|H8ƻNhj|orz%'ԕ6z0tn endstream endobj 58 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 214 0 R >> /BBox [0 0 16 93] /Group 215 0 R /Filter /FlateDecode >> stream xU10 ݧqGPpTъbB>^4I ղ9: VׄMΞE,pn+aݨ?<i9^ОЍ@_vY endstream endobj 59 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 216 0 R >> /BBox [0 0 59 69] /Group 217 0 R /Filter /FlateDecode >> stream xU10 ݧ8v%cAB:thB*Ʒ/' 5C !shƍՋk!G$V;a?}ˉnwXPWIs endstream endobj 60 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 218 0 R >> /BBox [0 0 5 68] /Group 219 0 R /Filter /FlateDecode >> stream xU10 ݧqPU: PE+_ u|{QIU+$Z6tX=\˛8K}:mOmҎX\~wzA{J7灾q endstream endobj 61 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 220 0 R >> /BBox [0 0 3 68] /Group 221 0 R /Filter /FlateDecode >> stream xU10 ݧqPU: PE+_ u|{$U+:j]6VׄMΞE,pna۩>y9^Оҍy/s  endstream endobj 62 0 obj << /Length 101 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 222 0 R >> /BBox [0 0 2250 3] /Group 223 0 R /Filter /FlateDecode >> stream x+30040024U0P0P@'r陙*Y(Y)c,Jw7VH/w,*LKL.Qpubdnfba`djPʕ] endstream endobj 63 0 obj << /Length 101 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 224 0 R >> /BBox [0 0 2250 3] /Group 225 0 R /Filter /FlateDecode >> stream x+30040024U0P0P@'r陙*Y(Y)c,Jw7VH/w,*LKL.Qpubdnfba`djPʕ] endstream endobj 64 0 obj << /F17 226 0 R /F18 227 0 R /F19 228 0 R /F20 229 0 R /F21 230 0 R >> endobj 65 0 obj << /Length 12036 /Filter /FlateDecode >> stream x}[%qDKox!Dr %;k+;#ò ,U4uN(SIUź&."/3$J)^}xç}˫_~sb~_~J;o݇u~w<|s%~G!%/F9yBFctWE S}Redw=7#U*o#T%X\pzC4v8mq{\/CT0\JD+} ]FGA^ir.^>Pކ48aw2j 0)d0` 0sw*-/a(MzZHHAK1j)HqPKeD 2*`cR+%6:ghZ< 20+´Eģ.y `D)-)b7¤ B1|GF ru`gWeR@ !ﴈڬe ]4uZoQ޺QCROxLC|U ta<>07q4BȰ"F G+%.3㆑`&ٚd)-u*+-LҚB*Ltbf%AB(_$!mAc/]!h0F!Hb2@`kw:ШO YI0g~aIg*+4  a =>ܳ!0*>3Z4%EN(:܇ϳպtRb . 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VTLxhl>NN~m;NmSo=?V1>ΉFt|_QWWN)WYZZaa@RV$6\\|U:CdzQR7-rwL5x&Q@Nj:7'* 8{iJ};Y*B\ߓlfFT`T'\jz\*N#yք1LKK/˱5IN}{w[GO..vsOG:0?f 0oP(1'ά "ZR1t覈?xuXV,Ӱܛ+nVmsO8lu-ҷo'BϵfH$* R +Lk=y18gLNp#}{V8c$hs\IF{bEdXWctI;m.]('KFvyg\ 4F7p{˻1&U441#Ae Q4L:-UDsUwAZe9"T$֏ZR ՠ4,%u.ijr")MW1;lղ9d9-J6: OjpB{y DR%}h߽>( ZmL@MIxd˕xt4ӫ ۭ(,fXf .xQV֥ )>8[T[4y-5)Saǒ6o1Ju@fk :&OA+Ɗ~ c,RVwI|O9ng`OPaM涶[~^3,i'p[r9ctKo~bqh4޵ILTñTsw߮xYvOyh;㆐YXNsnTy$/ :-ܙX;ƜX&94:[ 5FWC 8fl<ϘE2[-=}wχb'Kdca^y w:i^8N(TD`vodEŃ uf ˆMLiq_6#{~ a=HW#蓄xW4v5>/}F (%DjђӴs}nkm*c]0$Ag #!erCk~Y+<-+6zڶ -N.w\{44'J0Z D䭯 ֔{ w%rg;-Fv %qr`kQF'Isc:; $XKQ1Hj8Х!zk}ƱZ i) SN؋5Tcqj";|W{0G L$T2co|&Iuw#v=PW{}̊8],~qB+|k1Dx(a ~ sv"=.A^8z vց]yJ'Q4Ǜ N:!tK(?I qnΞ̤Xk3 )TX]DZR_7ʬ?n qj׷VMTUNZ)Lw`aI;>Gੜ*}% 2_ͤLFI vٛ T–2S6)dg1%)4¶;24 5 #߮D ?]jt4Iknnb#7o|I*9B0{Z۫S'rg;IpFRBִ>W8o` q#k*T*kˋK8oڜ~Ku ʬ=x9c~؁ P"!H/ԑ^7zTӝвKNM9$74Dl8=啬#ldvr}46spi mL4t$88˴:IX}i&F$W7u9:%ꯗ;V͌4Qrsg2YJ<`otŰ{SݡHqp<{)v~t]y$ˤ0'zxdUoyL {gu:h:dLTr :D GۭE0Qcܵ_;")Gbđ(6B^EJ^r 'N1jR@#1H?R;ۉ3"e% r{**1 bקMGs`m&"/ы!Oy .uZfj ^y2"SMiΔ+W)jE%d$kiNxUkq kyMf_O\zi RUO\|֎͔t=;ɩdq~@)es/x4IB -~jaqgVN,C"rN<8AbJKwҜɎjLE`iýQ'2HUξ݊Y@ϭ'h=[0L.* Yʤ/qߩnץΙ*UL7)OtQO}PW81 >U/r "&m)ﾢKˑX9_dQ]VD9*OL'Rl}gynn:<=8h2C`"ɳ8ֹW4 )ԂK?9<pԹ?Q$?ITz3Du#n8uS܉St\8QdVL"ω0߲9Wef 7z5H(9~*y<1X-bB:qf=sǩJ۱?*Ǵ;?W>I9XN0Lo?q@z4Mupn~Kzv[Oux K5g{x}x+ؽr&3&DyQg .{c<VPR}Îovg~&;#;!}{IߩSwi*+4/=?-DTN茊h2Dphf=Ed! U$r*c5n'"O*gឫ&oHQ;<ncOWRH5ۤt]I\T.nJczl\vOx<QK, ?ʪf3na"^|)EPu<)8WuIRbSAw㊡b=((v:CK;N,A[J'Cyy;S%ߙhU;d#( s~f\A%q 3ŒGT&D⫇ZO|O_54f`*RȋNJ.YU/:8] nlYa4 "i)%\NpÞ\:-J^T E(dtBf endstream endobj 66 0 obj << /Type /StructElem /S /Part /P 13 0 R /Pg 10 0 R /K [84 0 R 85 0 R 88 0 R 89 0 R 72 0 R 90 0 R 83 0 R 75 0 R 77 0 R 74 0 R 79 0 R 78 0 R 80 0 R 81 0 R 82 0 R 73 0 R 76 0 R 86 0 R 87 0 R 69 0 R 91 0 R 71 0 R 70 0 R 92 0 R] >> endobj 67 0 obj << /Type /StructElem /S /Part /P 13 0 R /Pg 11 0 R /K [98 0 R 96 0 R 97 0 R 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 93 0 R 106 0 R 95 0 R 94 0 R 107 0 R] >> endobj 68 0 obj << /Type /StructElem /S /Part /P 13 0 R /Pg 12 0 R /K [130 0 R 122 0 R 231 0 R 131 0 R 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R 118 0 R 119 0 R 120 0 R 121 0 R 108 0 R 132 0 R 110 0 R 109 0 R 133 0 R] >> endobj 69 0 obj << /Type /StructElem /S /P /P 66 0 R /E (1) /Pg 10 0 R /K [0] >> endobj 70 0 obj << /Type /StructElem /S /P /P 66 0 R /E /Pg 10 0 R /K [1] >> endobj 71 0 obj << /Type /StructElem /S /H5 /P 66 0 R /T (www.inovedis.com) /E (www.inovedis.com) /Pg 10 0 R /K [2] >> endobj 72 0 obj << /Type /StructElem /S /H3 /P 66 0 R /T (INTRODUCTION) /E (INTRODUCTION) /Pg 10 0 R /K [3] >> endobj 73 0 obj << /Type /StructElem /S /P /P 66 0 R /E ( ) /Pg 10 0 R /K [4] >> endobj 74 0 obj << /Type /StructElem /S /P /P 66 0 R /E ( ) /Pg 10 0 R /K [5] >> endobj 75 0 obj << /Type /StructElem /S /P /P 66 0 R /E (Gluteus medius and minimus tendon tears are increasingly recognized as clinically relevant causes of lateral hip pain, abductor weakness, Trendelenburg gait, and functional impairment.5 Although open and endoscopic repair techniques generally improve pain and patient-reported outcomes, the current surgical treatment landscape remains characterized by several unresolved limitations: delayed diagnosis, heterogeneous surgical techniques, uncertain structural healing rates, incomplete understanding of footprint restoration, variable patient satisfaction, and a lack of consensus regarding the optimal fixation construct.5 These limitations create a strong rationale for repair strategies that simplify surgical execution while improving tendon-bone contact mechanics, footprint coverage, and load distribution.) /Pg 10 0 R /K [6 9 7 10 8] >> endobj 76 0 obj << /Type /StructElem /S /H3 /P 66 0 R /T (RETEARS) /E (RETEARS) /Pg 10 0 R /K [11] >> endobj 77 0 obj << /Type /StructElem /S /P /P 66 0 R /E ( ) /Pg 10 0 R /K [12] >> endobj 78 0 obj << /Type /StructElem /S /H4 /P 66 0 R /T (Reported retear rates may underestimate true structural failure) /E (Reported retear rates may underestimate true structural failure) /Pg 10 0 R /K [13] >> endobj 79 0 obj << /Type /StructElem /S /P /P 66 0 R /E ( ) /Pg 10 0 R /K [14] >> endobj 80 0 obj << /Type /StructElem /S /P /P 66 0 R /E (Reported retear rates after gluteal tendon repair are relatively low compared with rotator cuff repair, but this comparison is limited. Many gluteal tendon studies define failure clinically or obtain postoperative MRI only in symptomatic patients.) /Pg 10 0 R /K [15] >> endobj 81 0 obj << /Type /StructElem /S /P /P 66 0 R /E (As a result, the true rate of asymptomatic retears, partial structural insufficiency, scar elongation, incomplete footprint healing, or subclinical abductor dysfunction remains unknown.2,6) /Pg 10 0 R /K [16] >> endobj 82 0 obj << /Type /StructElem /S /P /P 66 0 R /E <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> /Pg 10 0 R /K [17 19 18] >> endobj 83 0 obj << /Type /StructElem /S /P /P 66 0 R /E (For a procedure whose goal is to restore a key pelvic stabilizer, the relevant end point should not only be tendon attachment, but also restoration of durable force transmission from tendon to bone.1,5,6 A device concept that aims to improve tendon-bone fixation, broaden compression over the footprint, and reduce focal stress concentrations directly addresses one plausible mechanism behind incomplete functional recovery: suboptimal mechanical restoration of the tendon-bone interface.5,7) /Pg 10 0 R /K [20 22 21 23] >> endobj 84 0 obj << /Type /StructElem /S /H1 /P 66 0 R /T (Role of ĢƵ in Gluteus Medius Repair ) /E (Role of ĢƵ in Gluteus Medius Repair ) /Pg 10 0 R /K [24] >> endobj 85 0 obj << /Type /StructElem /S /H5 /P 66 0 R /T (Tobias Goetz, BSc, Stefan Welte, MD) /E (Tobias Goetz, BSc, Stefan Welte, MD) /Pg 10 0 R /K [25] >> endobj 86 0 obj << /Type /StructElem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g 10 0 R /K [26 29 27 30 28 31] >> endobj 87 0 obj << /Type /StructElem /S /P /P 66 0 R /E (This creates an important clinical argument: absence of revision or gross retear is not equivalent to a fully successful repair. Patients may remain limited by persistent pain, abductor weakness, limp, incomplete gait normalization, or reduced activity tolerance. ) /Pg 10 0 R /K [32] >> endobj 88 0 obj << /Type /StructElem /S /H2 /P 66 0 R /T (TM) /E (TM) /Pg 10 0 R /K [33] >> endobj 89 0 obj << /Type /StructElem /S /Figure /P 66 0 R /Pg 10 0 R /A [232 0 R 0] /K [34] >> endobj 90 0 obj << /Type /StructElem /S /Figure /P 66 0 R /Pg 10 0 R /A [233 0 R 0] /K [35] >> endobj 91 0 obj << /Type /StructElem /S /Figure /P 66 0 R /Pg 10 0 R /A [234 0 R 0] /K [36] >> endobj 92 0 obj << /Type /StructElem /S /Figure /P 66 0 R /Pg 10 0 R /A [235 0 R 0] /K [37] >> endobj 93 0 obj << /Type /StructElem /S /P /P 67 0 R /E (2) /Pg 11 0 R /K [0] >> endobj 94 0 obj << /Type /StructElem /S /P /P 67 0 R /E /Pg 11 0 R /K [1] >> endobj 95 0 obj << /Type /StructElem /S /H2 /P 67 0 R /T (www.inovedis.com) /E (www.inovedis.com) /Pg 11 0 R /K [2] >> endobj 96 0 obj << /Type /StructElem /S /P /P 67 0 R /E (Current surgical techniques include transosseous repair, single-row anchors, double-row constructs, transosseous-equivalent repairs, suture-bridge techniques, knotless constructs, rip-stop configurations, and augmented repairs. However, there is no clear consensus on which construct is optimal for which tear pattern. Current reviews emphasize that although multiple fixation constructs and augmentation techniques have been described, comparative clinical and biomechanical evidence remains limited, and further studies are needed to define the optimal construct and the role of augmentation.5) /Pg 11 0 R /K [3] >> endobj 97 0 obj << /Type /StructElem /S /P /P 67 0 R /E (This heterogeneity creates several problems for surgeons. Anchor-based repairs can be technically demanding, particularly endoscopically. Suture passage, knot tying, tensioning, anchor placement, and management of degenerative tissue can be time-consuming and technique-sensitive. Open repair offers exposure and may be preferable for large or retracted tears, but at the cost of greater soft-tissue dissection. Endoscopic repair may reduce morbidity, but is technically demanding and less suitable for severely retracted, atrophic, or irreparable tears.4,6) /Pg 11 0 R /K [4] >> endobj 98 0 obj << /Type /StructElem /S /H1 /P 67 0 R /T (The optimal fixation construct) /E (The optimal fixation construct) /Pg 11 0 R /K [5] >> endobj 99 0 obj << /Type /StructElem /S /H1 /P 67 0 R /T (Surgical Complexity) /E (Surgical Complexity) /Pg 11 0 R /K [6] >> endobj 100 0 obj << /Type /StructElem /S /P /P 67 0 R /E (Gluteus medius/minimus repair can be technically demanding. Open repair may be required for larger, retracted, revision, or poor-quality tears, whereas endoscopic repair is less invasive but technically more complex. Current anchor-based techniques may require multiple implants, suture management, knot tying, careful tensioning, and complex spatial orientation around the greater trochanter.5,6 ĢƵ was designed as a simplified technique that is easy to learn, with a two-step implantation process while simplifying repair with no suture management or knot tying steps.) /Pg 11 0 R /K [7 9 8] >> endobj 101 0 obj << /Type /StructElem /S /P /P 67 0 R /E (A simplified, reproducible implant could reduce technique dependency, shorten learning curve, and make footprint oriented repair more accessible, especially for surgeons who do not perform high volumes of complex endoscopic hip abductor repairs.) /Pg 11 0 R /K [10] >> endobj 102 0 obj << /Type /StructElem /S /H1 /P 67 0 R /T (Footprint Coverage) /E (Footprint Coverage) /Pg 11 0 R /K [11] >> endobj 103 0 obj << /Type /StructElem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g 11 0 R /K [12] >> endobj 104 0 obj << /Type /StructElem /S /P /P 67 0 R /E (This is probably the strongest scientific rationale for a footprint-focused implant. In rotator cuff repair, footprint coverage, contact area, contact pressure, pressure distribution, and gap formation have been extensively studied because they are thought to influence tendon-to-bone healing. In contrast, comparable biomechanical data for gluteal tendon repair remain limited. Current literature specifically identifies footprint coverage, tendon-bone contact area, mean and peak contact pressure, pressure distribution, local stress concentrations, cyclic displacement, gap formation, load to failure, and micromotion as clinically relevant variables that still require systematic evaluation in gluteus medius/minimus repair.5) /Pg 11 0 R /K [13] >> endobj 105 0 obj << /Type /StructElem /S /P /P 67 0 R /E (ĢƵ secures tissue by distributing compression across a broad surface area in contrast to suture-based fixation approaches that may concentrate forces and have been associated with tendon cut-through mechanisms. This design rationale maps directly onto one of the major unmet needs in gluteal tendon repair: restoration of broad tendon-bone contact rather than focal point fixation.) /Pg 11 0 R /K [14] >> endobj 106 0 obj << /Type /StructElem /S /Figure /P 67 0 R /Pg 11 0 R /A [236 0 R 0] /K [15] >> endobj 107 0 obj << /Type /StructElem /S /Figure /P 67 0 R /Pg 11 0 R /A [237 0 R 0] /K [16] >> endobj 108 0 obj << /Type /StructElem /S /P /P 68 0 R /E (3) /Pg 12 0 R /K [0] >> endobj 109 0 obj << /Type /StructElem /S /H2 /P 68 0 R /T /E /Pg 12 0 R /K [1] >> endobj 110 0 obj << /Type /StructElem /S /H1 /P 68 0 R /T (www.inovedis.com) /E (www.inovedis.com) /Pg 12 0 R /K [2] >> endobj 111 0 obj << /Type /StructElem /S /H1 /P 68 0 R /T (ĢƵ Inc. ) /E (ĢƵ Inc. ) /Pg 12 0 R /K [3] >> endobj 112 0 obj << /Type /StructElem /S /H2 /P 68 0 R /T (7625 Golden Triangle Dr., Suite G ) /E (7625 Golden Triangle Dr., Suite G ) /Pg 12 0 R /K [4] >> endobj 113 0 obj << /Type /StructElem /S /H2 /P 68 0 R /T (Eden Prairie, MN 55344) /E (Eden Prairie, MN 55344) /Pg 12 0 R /K [5] >> endobj 114 0 obj << /Type /StructElem /S /H2 /P 68 0 R /T (Phone: 612-445-8362) /E (Phone: 612-445-8362) /Pg 12 0 R /K [6] >> endobj 115 0 obj << /Type /StructElem /S /H2 /P 68 0 R /T (Mail: cs@inovedis.com) /E (Mail: cs@inovedis.com) /Pg 12 0 R /K [7] >> endobj 116 0 obj << /Type /StructElem /S /H2 /P 68 0 R /T (Legal Manufacturer: BAAT Medical Products B.V., RJ Hengelo, The Netherlands) /E (Legal Manufacturer: BAAT Medical Products B.V., RJ Hengelo, The Netherlands) /Pg 12 0 R /K [8] >> endobj 117 0 obj << /Type /StructElem /S /H3 /P 68 0 R /T (DISCLAIMER ) /E (DISCLAIMER ) /Pg 12 0 R /K [9] >> endobj 118 0 obj << /Type /StructElem /S /P /P 68 0 R /E (This white paper is for informational purposes only and does not constitute medical, legal, or professional advice. The information contained herein ) /Pg 12 0 R /K [10] >> endobj 119 0 obj << /Type /StructElem /S /P /P 68 0 R /E (is based on the knowledge and research available at the time of writing and is subject to change without notice. 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The Gluteus-Score-7 Predicts the Likelihood of Both Clinical Success and Failure Following Surgical Repair of the Hip Gluteus Medius and/or Minimus. 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