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Paul L Rodham Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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Vasileios P Giannoudis Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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Nikolaos K Kanakaris Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland
Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland

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Peter V Giannoudis Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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, with techniques including dynamization, percutaneous strain reduction screws, exchange nailing to a larger diameter nail, or the Ilizarov technique ( 178 , 179 , 180 , 181 ). With techniques such as exchange nailing, in addition to improving the

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Erdem Sahin Cankaya Orthopedics, Ankara, Turkiye

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Reha Tandogan Department of Orthopedics & Traumatology, Cankaya Orthopedics, Ankara, Turkiye & Halic University, Istanbul, Turkiye

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Michael Liebensteiner Orthopädie, Knie & Fuß im Zentrum, Innsbruck, Austria

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Guillaume Demey Lyon Ortho Clinic, Lyon, France

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Asim Kayaalp Department of Orthopedics & Traumatology, Cankaya Orthopedics, Ankara, Turkiye & Halic University, Istanbul, Turkiye

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distal tibia. A fibular osteotomy is usually needed and prophylactic peroneal nerve decompression has been advised for the correction of severe deformities ( 42 ). Correction of valgus Genu valgum is an important factor for patellar instability

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Thomas Tampere Department of Orthopaedic Surgery, Ghent University Hospital, Ghent, Belgium

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Matthieu Ollivier Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Christophe Jacquet Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Maxime Fabre-Aubrespy Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Sébastien Parratte Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France
Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE

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demanding as metaphyseal bone loss often limits options for anatomical reconstruction and fixation. Current surgical treatment options, including intramedullary nailing, internal and external fixation, are often complicated by an extended non

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Olga Savvidou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece
These authors contributed equally to this manuscript

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Olympia Papakonstantinou Second Department of Radiology, National and Kapodistrian University of Athens, Medical School, Attikon University General Hospital, Athens, Greece
These authors contributed equally to this manuscript

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Eleftheria Lakiotaki First Department of Pathology, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
These authors contributed equally to this manuscript

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Ioannis Zafeiris First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece

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Dimitra Melissaridou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece

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Pinelopi Korkolopoulou First Department of Pathology, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
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Panayiotis J. Papagelopoulos First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece
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the posterior femur after tumour resection. (G) The resected specimen. (H) Postoperative radiographs of the femur after resection of the tumour and insertion of an intramedullary femoral nail. The most common radiographic appearance of PAO is

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