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become intra-thoracic, 30 and displacement of segments of the blade of the scapula such that they pierce the subscapularis and project into the chest wall creating pain and limitation of movement. 31 Isolated fractures of the coracoid process
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Department of Occupational Therapy, Shu-Zen Junior College of Medicine and Management, Kaohsiung City, Taiwan
Department of Biomedical Engineering, I-Shou University, Kaohsiung City, Taiwan
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Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan
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.029; Fig. 7 ). The SF-36 questionnaire showed that the aTHA ± ORIF group bear greater bodily pain (MD = -13.045, P = 0.001; Fig. 8 ), better physical function (MD = -6.475, P = 0.008), better physical component summary (MD = −4.721, P = 0.001), and
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suggest that around 8.5 million people in the UK are affected by joint pain secondary to arthritis, and a rise in the ageing population has resulted in an increase in THA operations of around 4% per year over the last six years. 1 Multiple studies
Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
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Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
The Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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true in the long-term remains to be seen. Femoral head size The main argument for using larger heads in THA is that they are expected to decrease dislocation rates. On the other hand, bearing wear, taper-trunnion corrosion and groin pain may
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High tibial osteotomy (HTO) is a relatively conservative surgical option in the management of medial knee pain. Thus far, the outcomes have been variable, and apparently worse than the arthroplasty alternatives when judged using conventional metrics, owing in large part to uncertainty around the extent of the correction planned and achieved.
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This review paper introduces the concept of detailed 3D planning of the procedure, and describes the 3D printing technology that enables the plan to be performed.
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The different ways that the osteotomy can be undertaken, and the varying guide designs that enable accurate registration are discussed and described. The system accuracy is reported.
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In keeping with other assistive technologies, 3D printing enables the surgeon to achieve a preoperative plan with a degree of accuracy that is not possible using conventional instruments. With the advent of low dose CT, it has been possible to confirm that the procedure has been undertaken accurately too.
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HTO is the ‘ultimate’ personal intervention: the amount of correction needed for optimal offloading is not yet completely understood.
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For the athletic person with early medial joint line overload who still runs and enjoys life, HTO using 3D printing is an attractive option. The clinical effectiveness remains unproven.
Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170075.
Centre for Spinal Surgery, Queens Medical Centre, Nottingham University NHS Trust, Nottingham, UK
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Introduction Disc herniation is a localized displacement of disc material beyond the normal margins of the intervertebral disc space. The pain pathway originates in impingement of the nerve root by the herniated disc, which may in turn lead to
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, which may include motor control modification and resumption of activities of daily living, work and physical activity and enhancement of pain-coping strategies. Rehabilitation programs may consist of supervised individual sessions, group training, home
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activity. The patient's backache aggravated in the past 3 months, accompanied by radiating pain in the left lower extremity (buttock, back of the left calf). The MRI showed lumbar 5/sacral 1 (L5/S1) intervertebral disc herniation ( Fig. 1A and B ). The
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hyperintensity signal on T2 scans, a marker of oedema that is correlated with pain levels and to non-surgical management success ( Fig. 1 ). 8 Percutaneous treatment of these types of fractures consists of bone cement augmentation with or without the use of
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-articular causes for hip impingement. Arthroscopic treatment of FAI in the literature is shown to be effective in terms of short-term pain relief and functional outcome. 3 , 10 - 12 Arthroscopic osteoplasty is equally effective as open surgical dislocation
