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Manuel Saavedra Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile

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María Jesús Tuca Clinica Alemana, Santiago, Chile
Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland

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  • Discoid meniscus is the most frequent congenital malformation of the menisci, and primarily affects the lateral meniscus; it is highly prevalent in the Asian population.

  • The anatomic, vascular, and ultrastructural features of the discoid meniscus make it susceptible to complex tears.

  • Discoid meniscus anomalies are described according to their shape; however, there is consensus that peripheral stability of the meniscus should also be defined.

  • Initial workup includes plain X-rays and magnetic resonance imaging, while arthroscopic evaluation confirms shape and stability of the meniscus.

  • Clinical presentation is highly variable, depending on shape, associated hypermobility, and concomitant meniscal tears.

  • Treatment seeks to re-establish typical anatomy using saucerization, tear reparation, and stable fixation of the meniscus.

Cite this article: EFORT Open Rev 2020;5:371-379. DOI: 10.1302/2058-5241.5.190023

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Felix Christoph Finger BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Steffen Schröter Diakonie Klinikum Jung-Stilling GmbH, Department of Trauma and Reconstructive Surgery, Siegen, Germany
Osteotomie Komitee der Deutschen Knie Gesellschaft (DKG), Munich, Germany

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Christoph Ihle BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Moritz Herbst BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Tina Histing BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Marc-Daniel Ahrend BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
Osteotomie Komitee der Deutschen Knie Gesellschaft (DKG), Munich, Germany
AO Research Institute Davos, Davos, Switzerland

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  • The present narrative review provides a summary of postoperative therapy modalities and their effectiveness following osteotomies around the knee.

  • The topics that are discussed in the scientific discourse include support of cartilage cell regeneration, pain management, drainage insertion, tourniquet use, pharmacological and mechanical thromboembolism prophylaxis, weight-bearing protocols and bone consolidation.

  • There is evidence for the use of pharmacological thromboembolism prophylaxis and weight-bearing protocols.

  • A standardized postoperative treatment concept following osteotomies around the knee cannot be derived due to lack of evidence for the other topics in current literature.

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Tristan Ferry Service de Maladies Infectieuses et Tropicales, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France
Université Claude Bernard Lyon 1, Villeurbanne, France
Centre de Références des IOA Complexes de Lyon, CRIOAc Lyon, Lyon, France
StaPath team, Centre International de Recherche en Infectiologie, CIRI, Inserm U1111, CNRS UMR5308, ENS de Lyon, UCBL1, Lyon, France
Education and Clinical Officer of the ESCMID Study Group for Non-traditional Antibacterial Therapy (ESGNTA)

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Jolien Onsea Department of Trauma Surgery, University Hospitals Leuven, Herestraat 49, Leuven, Belgium
Department of Development and Regeneration, KU Leuven, Oude Markt 13, Leuven, Belgium

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Tiphaine Roussel-Gaillard Institut des Agents Infectieux, Centre de Biologie et de Pathologie du Nord, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France

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Cécile Batailler Service de Chirurgie Orthopédique et de Médecine du Sport, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France

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Thomas Fintan Moriarty AO Research Institute Davos, Clavadelerstrasse 8, Davos Platz, Switzerland

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Willem-Jan Metsemakers Department of Trauma Surgery, University Hospitals Leuven, Herestraat 49, Leuven, Belgium
Department of Development and Regeneration, KU Leuven, Oude Markt 13, Leuven, Belgium

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  • The treatment of musculoskeletal infections (MSIs), including periprosthetic joint infection (PJI) and fracture-related infection (FRI), is often complicated by biofilm-related challenges necessitating multiple revision surgeries and incurring substantial costs.

  • The emergence of antimicrobial resistance (AMR) adds to the complexity of the problem, leading to increased morbidity and healthcare expenses.

  • There is an urgent need for novel antibacterial strategies, with the World Health Organization endorsing non-traditional approaches like bacteriophage (phage) therapy.

  • Phage therapy, involving the targeted application of lytic potent phages, shows promise in the treatment of MSIs.

  • Although historical clinical trials and recent case studies present significant milestones in the evolution of phage therapy over the past century, challenges persist, including variability in study designs, administration protocols and phage selection. Efforts to enhance treatment efficacy consist of personalized phage therapy and combination with antibiotics.

  • Future perspectives entail addressing regulatory barriers, standardizing treatment protocols, and conducting high-quality clinical trials to establish phage therapy’s efficacy for the treatment of MSIs.

  • Initiatives like the PHAGEFORCE study and the PHAGEinLYON Clinic programme aim to streamline phage therapy, facilitating personalized treatment approaches and systematic data collection to advance its clinical utility in these challenging infections.

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Alexei Buruian Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Francisco Silva Gomes Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Tiago Roseiro Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Claudia Vale Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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André Carvalho Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Emanuel Seiça Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Antonio Mendes Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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Carlos Pereira Hospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal

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the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification into trochanteric (31A), femoral neck (31B) and femoral head (31C) fractures. Trochanteric fractures are defined as fractures occurring from the

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Pierre J. Hoffmeyer Editor-in-Chief, EFORT Open Reviews

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” awarded the Swiss Orthopaedic Society’s Debrunner Prize. Having been active in the AO Foundation since the seventies, Daniel was a precursor and proponent of non-operative functional treatment which he successfully applied to tibial fractures of skiers

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G. Vilà-Canet ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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A. García de Frutos ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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A. Covaro ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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M.T. Ubierna ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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E. Caceres ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain
Universitat Autónoma de Barcelona, Spain

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of therapeutic decision. In 2013 Winklhofer et al 7 analysed how the use of MRI could change the classification degree of a fracture when compared to a CT scan study alone. They found the AO classification changed in 31% of patients when MRI was

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Alexandre Sitnik Belarus Republic Scientific and Practical Center for Traumatology and Orthopedics, Kizhevatova str 60-4, 220024 Minsk, Belarus

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Aleksander Beletsky Belarus Republic Scientific and Practical Center for Traumatology and Orthopedics, Kizhevatova str 60-4, 220024 Minsk, Belarus

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Steven Schelkun Naval Hospital, San Diego, California, USA

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injuries during the last few decades. The purpose of this article is to describe current concepts of management of intra-articular distal tibial fractures with a special emphasis on the avoidance of complications. Definition According to the AO

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Lars Henrik Frich Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Denmark

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Morten Schultz Larsen Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Denmark

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: a) Ideberg type 1b fracture; b) Bigliani type IIIb fracture; or c) AO type 1a fracture. In 2012, the AO Foundation developed a comprehensive classification of scapular fractures with three main groups described based on anatomical parts. 25

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Jordi Tomás-Hernández Department of Orthopaedic and Trauma Surgery, Hospital Vall d’Hebron, Barcelona, Spain

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. Classifications The most used radiograph classifications for pilon fractures are those of Rüedi and Allgöwer, 4 and the AO Foundation and Orthopaedic Trauma Association classifications (AO/OTA). 15 Rüedi and Allgöwer classified pilon fractures into

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Johannes D Bastian Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Silviya Ivanova Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Ahmed Mabrouk Department of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, United Kingdom

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Peter Biberthaler Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany

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Pedro Caba-Doussoux Servicio de Cirugía Ortopédica y Traumatología, Hospital 12 de Octubre, Madrid, España

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Nikolaos K Kanakaris Department of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, United Kingdom
Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom

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systems or refer to them descriptively (i.e., subcapital/transcervical/basicervical fractures) ( 14 , 15 ). The diaphyseal component of an FN-FD fracture is usually classified with the AO/OTA system ( 16 ). When the diagnosis is attained promptly, the

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