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1% of lower extremity fractures. In 70% to 85% of cases, a fibular fracture is also seen, which occurs in more complex injuries. 8 - 11 As these fractures are often the result of high-energy trauma, up to 50% of patients may have additional
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CFD and fibular hemimelia, showing that the anterior cruciate ligament (ACL) was involved in all cases of ligamentous anomalies. 7 Patients with CFD and important limb discrepancy may require multiple procedures to correct shortening and other
Faculty of Medicine, Geneva University, Switzerland
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Faculty of Medicine, Geneva University, Switzerland
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posterior plate need to be as close as possible to the tibiotalar joint and to the fibular incisura (lateral screw) but not through it. The power drill is navigated to ensure satisfactory fixation of the posterior plate screws in terms of trajectory and
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the creation of new bone via bone transportation 9 , 10 or a vascularised fibular graft. 11 All of these procedures show a high rate of complications, require multiple interventions over several months or even years, and represent a severe
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-articular tibial plateau fracture with knee dislocation or fibular fracture were found to be a risk factor for the occurrence of ACS in multivariate analysis of several retrospective studies ( 24 , 32 , 33 , 34 , 40 , 43 ). However, a concomitant fibular
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Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
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fractures (+9.6%) followed by increased ORIF and RTSA (+13.5% and +9.4%, respectively), while rates of other treatment options (including conservative, nail osteosynthesis, and TSA) were decreasing (–7.2%, –8.0%, and –4.4%, respectively). 9 Moreover, the
Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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the most used option ( 54 ). Valgus ankle deformities are more commonly corrected by performing a medial closing wedge osteotomy combined with a fibular osteotomy ( 53 ). In cases with intra-articular varus or valgus asymmetric OA, extraarticular
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the form of special intramedullary nails, have been introduced to prevent the risks associated with the use of external fixation devices. Specific concerns for using bone transport as a reconstruction procedure after sarcoma resections are: the
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-angiographic evaluation and be prepared for a vascular examination. In high-energy trauma, neurological compromise can occur, with neuropraxia, neurotmesis, and laceration of the tibial or common fibular nerve. Valgus deformity has been more frequently associated with
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confirms the correct position. An incision is made in the skin and capsule and the arthroscope is inserted without direct visualization. The posterolateral portal is created in the same manner. The fibular head must be palpated to prevent common peroneal