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. However, long-term follow-up in the largest individual series of 13 reported cases treated non-operatively showed that six months after sustaining an injury, nearly 50% of patients had symptoms severe enough to warrant subsequent surgical intervention. 6
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respond well to non-operative treatment, there are a few indications for surgery, including non-union after a pathologic fracture, persistent pain and severely progressive deformity. Intralesional curettage and bone allograft or vascularized bone graft
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Brighton and Sussex Medical Schools, UK
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may be of some benefit in deciding timing of weight-bearing status or surgery. 22 In a patient with low clinical suspicion of osteomyelitis and no sign of acute Charcot foot on the radiographs, either a triple-phase bone scan or non-contrast MRI
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extremely adaptable. It is designed to be non-obstructive and strong enough to maintain limb alignment and is also adaptable to a wide variety of injuries and patient conditions. 1 – 5 The four basic principles of EF consist of adapting to the anatomy
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School of Surgery, University of Western Australia, Perth, Australia
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) reported one case of asymptomatic fibrous non-union of the osteotomized coracoid process following the Trillat procedure. Gerber et al. ( 26 ) reported the iatrogenic subcoracoid impingement as one of the serious complications associated with the Trillat
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with full articles and minimum 1-year follow-up, at least six patients for traumatic pathology and no minimum number of cases for non-traumatic causes. We excluded studies that included revision surgery, associated acromioclavicular injury or fracture
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Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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the arthrodesis of the MTC joint alone. The most established method for the modified Lapidus procedure comprises a fusion of the first MTC joint using two crossed screws ( Fig. 1 ). However, this procedure is known for its high non-union rate, up to
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loss of cardiac output following a myocardial infarction. The declaration accepts greater risk in these vulnerable groups, provided that the research is necessary without alternative methodology (non-vulnerable study population) and has the necessary
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about research methodology, research ethics, statistics and laboratory work. For non-native English speakers, training in scientific English writing may be needed to succeed. The modern surgeon should ideally have a solid scientific background
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Complications such as fixation failure, delayed or non-unions, and difficulty obtaining an ideal position intraoperatively have been reported, and likely contribute to the lower utilization of this technique. 19 In addition, conversion to a THA is more