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This feasibility study had a lower than expected recruitment rate, identified the surgeon-related factors contributing to that, and proposed a modified protocol for a full trial.

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Xavier L Griffin 1,2,*, Matthew L Costa 1,2, Emma Phelps 1, Nicholas Parsons 3, Melina Dritsaki 4, May Ee Png 4, Juul Achten 1, Elizabeth Tutton 2,5, Robin Lerner 1, Alwin McGibbon 6, Janis Baird 7,8

1 Oxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Kadoorie Centre, University of Oxford, Oxford, UK
2 Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK
3 Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick, Coventry, UK
4 Oxford Clinical Trials Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
5 Warwick Research in Nursing, Warwick Medical School, University of Warwick, Coventry, UK
6 Patient and public representative, Coventry, UK
7 Medical Research Council Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Southampton, UK
8 National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
* Corresponding author Email: xavier.griffin@ndorms.ox.ac.uk

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