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stiffness. Patella baja management presents some corrective measures with the aim to reestablishing the joint line. Use of distal femoral augments, tibial tubercle osteotomy with proximal displacement, lengthening of the patellar tendon and placement of the
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
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management option will be of vital importance when addressing these issues and avoiding future complications ( 2 ). Any patient suspected of having a distal femur fracture should be examined carefully and subjected to complementary imaging studies, as other
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Hospital Base de Valdivia, Valdivia, Chile
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Universidad Austral de Chile, Valdivia, Chile
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of functional recovery, and is associated with an earlier return to normal activities and a greater degree of patient acceptance, as well as being cost-efficient. Fractures involving displacement at the physeal or joint level may require management
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Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, UK
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a stiff cervical collar (C-collar). For optimal patient management, protocols should predetermine all actions taken in the emergency department (ED). This will help to minimize the time of cervical restriction, without, however, jeopardizing
Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal
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Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal
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impingement as a cause of early osteoarthritis of the hip . J Bone Joint Surg Br 2005 ; 87 : 1012 – 1018 . 5. Tibor LM Leunig M . The pathoanatomy and arthroscopic management of femoroacetabular impingement . Bone Joint Res
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should aim to restore as much as possible joint kinematics with reconstitution of the force couple and shoulder function, which theoretically could slow OA progression. Management of MRCTs must take into consideration patient age, motivation and
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surgery and rehabilitation as well as the principles of graft selection and ideal graft positioning. Conservative versus surgical treatment In young adults that desire to return to pre-injury activity, surgical management of an ACL tear is
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involved in the diagnosis and management of ALTR/ARMD and of clarification of the parameters used in the proposed semi-quantitative scoring systems for its classification has been recently emphasized. 37 The aims of this review article on the
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Introduction Scoliosis is a three-dimensional deformity of spine. Although it is seen predominantly in the adolescent age group, scoliosis in the young age group occasionally exists and requires sophisticated management. Traditionally
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patients with more advanced arthritis, operative management has centred on arthrodesis of the first MTP joint. Multiple joint-sparing procedures such as joint arthroplasty or resurfacing have been described with inconsistent results. Pathophysiology