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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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shown that in > 80% of cases CT scans provided additional information about the fracture configuration which resulted in a change of the initially planned surgical approach in 64%. 16 Tornetta and Gorup, 16 on the basis of CT investigations of

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Michael J Raschke Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Sabine Ochman Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Alexander Milstrey Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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– indication for operative management of the PM fragment, for example 25% of the articular surface, is now replaced by a morphology-adapted approach. Here the biomechanical aspect of the unstable syndesmosis is the key ( 25 , 26 ). A direct posterolateral

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Karl Stoffel Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland

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Tamara Horn Clinic of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland

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Luigi Zagra Hip Department, IRCCS Galeazzi Orthopaedic Institute, Milano, Italy

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Michael Mueller Orthopaedic Department, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Carsten Perka Orthopaedic Department, Charité – Universitätsmedizin Berlin, Berlin, Germany

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Henrik Eckardt Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland

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by Duncan and Masri, 22 which was later further expanded into the Unified Classification System. 25 An algorithmic treatment approach for femoral periprosthetic fractures according to the Vancouver classification system is currently widely

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Laurent Nové-Josserand Ramsay Générale de Santé, Hôpital Privé Jean Memoz, Centre Orthopédique Santy, Lyon, France

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due to inadequate surgical exposure. 3 , 4 Anatomical considerations The two classically recognized approaches for shoulder arthroplasty are the deltopectoral approach and the transdeltoid approach. In both cases, the glenoid is exposed

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Daniel Kotrych Department of Orthopedics, Traumatology and Orthopedic Oncology, Pomeranian Medical University, Szczecin, Poland

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Andrea Angelini Department of Orthopedics and Orthopedic Oncology, University of Padova, Italy

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Andrzej Bohatyrewicz Department of Orthopedics, Traumatology and Orthopedic Oncology, Pomeranian Medical University, Szczecin, Poland

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Pietro Ruggieri Department of Orthopedics and Orthopedic Oncology, University of Padova, Italy

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the art and the authors experience on this specific topic. Planning the surgical approach Once the resection has been planned and confirmed at the multidisciplinary consultation meeting, the surgeon can begin the second stage of surgical

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Amer Sebaaly School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Sarah Farjallah Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Khalil Kharrat Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Gaby Kreichati School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Mohammad Daher School of Medicine, Saint Joseph University, Beirut, Lebanon

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the period of growth, posterior arthrodesis is the preferred may be the method of choice, while at the adult age, the two-stage anteroposterior fusion is ideal with more rigid curves ( 51 ). Two-stage approach is the method of choice when deformation

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Maximilian M. Menger Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Benedikt J. Braun Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Steven C. Herath Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Markus A. Küper Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Mika F. Rollmann Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Tina Histing Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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modern vehicles. 5 Since fractures of the femoral head are usually high-energy, intra-articular injuries, they pose unique challenges for the treating surgeon. Treatment of this injury ranges from simple closed reduction to a surgical approach, which

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Scott D. Middleton Scott D. Middleton, Department of Orthopaedic Surgery, The Royal Infirmary and University of Edinburgh, United Kingdom

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Ralf Wagner Ralf Wagner, Ligamenta Spine Centre, Frankfurt am Main, Germany

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J. N. Alastair Gibson J. N. Alastair Gibson, Department of Orthopaedic Surgery, The Royal Infirmary and University of Edinburgh, United Kingdom

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and Gellman 3 described the safe working zone into which instruments could be placed by a transforaminal approach and it was subsequently recognised that this provided an ideal portal for endoscopic access. 4 Following an initial series of

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Michael J. Raschke Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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Christoph Kittl Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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Christoph Domnick Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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the fracture morphology, degree of joint depression and appropriate surgical approach. 4 , 5 Luo et al 4 recently described a CT-based three-column model to evaluate tibial plateau fractures and clinical decision-making ( Fig. 1 ). According

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Salvi Prat-Fabregat Hospital Clinic of Barcelona, Spain

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Pilar Camacho-Carrasco Hospital Clinic of Barcelona, Spain

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approach using external fixation is recommended in complex patterns and high-energy trauma, especially in cases of axial instability. Knee-spanning external fixators can be used to approximate the fracture fragments by the process of ligamentotaxis. 1 , 6

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