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(2000) 69 Retrospective study Both 188 169 Nonunion after spinal fusion IV Tay et al (2014) 82 Retrospective study Both 161 262 Nonunion after diaphyseal femoral and tibial fracture IV Rodriguez et al (2014) 83
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shaft, over 15% of all tibial shaft fractures are classified as open ( 1 ). This makes open tibial diaphyseal fractures the most common, comprising 44.7% of all open long bone fractures ( 3 ). These fractures are most commonly the result of high
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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bone defect and soft tissue in the same stage, with good results ( 88 ). Malunion Collapse or irregularity of the articular surface or deformity of the metaphyseal–diaphyseal junction after surgical treatment of tibial plateau fractures can
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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the first choice in the treatment of complex tibial plateau or distal femoral fractures in elderly osteoporotic patients where articular and metaphyseal destruction makes reconstruction and internal fixation hazardous (Femur: AO/33C3 and selected 33C2
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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South-West London Elective Orthopaedic Centre, Epsom, UK
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Shamir Medical Center, Zriffin, Israel
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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joint line orientation (severe frontal joint line obliquity, high tibial posterior slope) Patella maltracking Difficulty in estimating native knee anatomy (mainly articular bone loss) Acquired lower limb malalignment from previous fracture malunion
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closed diaphyseal forearm fractures, 30936 fractures – 64.12% were treated operatively – Rate of operative treatment increased from 59.3% to 70.0% Medical Records of one centre in Eastern US between 1997 and 2008 19 ≤ 16 years, diaphyseal
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due to repeated surgeries. 4 The rate of aseptic non-union of fractures after acute treatment is consistent among observational and interventional studies and varies from 5% to 10%, after two years of follow-up. Diaphyseal fractures of the
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Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
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.1302/0301-620x.82b5.9899 ) 24. Haines NM Lack WD Seymour RB Bosse MJ . Defining the lower limit of a ‘critical bone defect’ in open diaphyseal tibial fractures . Journal of Orthopaedic Trauma 2016 30 e158 – e163 . ( https://doi.org/10.1097/BOT
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complex fracture patterns, a generous use of CT scanning is indicated for planning the operative approach ( Fig. 4 ). This is especially true in the presence of a posterior tibial fragment or with suspected impaction of the tibial plafond, which cannot be
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School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom
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series of retrospective cohort studies by Seyhan et al. investigated the effectiveness of second-generation poller screws ( 32 , 33 , 34 ). One case series used a single poller screw to tackle troublesome tibial metaphyseal and diaphyseal fractures
