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was stated to be around 21%. 38 Del Pinal et al 37 applied the ‘dry technique’ 39 for complex distal radial fractures with associated comminution, after a mini-open approach for reduction of diaphyseal-metaphyseal fracture and reduction
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, fractures with significant soft tissue involvement, severe comminuted diaphyseal fractures, difficult joint fractures, some paediatric fractures and serious ligamentous injuries, or while waiting for soft tissue injuries to heal before the fracture can be
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most frequently occurring ones are diaphyseal fractures. According to the Swedish national registry, distal femur fractures are the second most frequent type (27%) and tend to occur more in female than in male subjects ( 12 ). Distal femur fractures
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‘principles’ suggesting, for example, that 2 mm displacement of a distal fibula fracture requires surgical reduction and fixation, or that posterior malleolus fractures affecting less than 25% of the tibial plafond can be treated non-operatively. To illustrate
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considered. In particular, endosteal reaming performed in many intramedullary nailing procedures for diaphyseal fractures and non-unions was considered as a potential augmentation to obtain bone healing. Therefore, aspirating the BM from the endosteal reaming
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fractures. The fragment is reattached with wires passed behind the tibial stem and fixation is usually reinforced with medullary screws. These also avoid proximo-distal migration with subsequent de-tension of the cerclage wiring. If the dimensions of the
Department of Orthopaedics and Traumatology, Freiburg University Hospital, Freiburg, Germany.
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RW Bosse MJ , et al ; BMP-2 Evaluation in Surgery for Tibial Trauma-Allgraft (BESTT-ALL) Study Group . Recombinant human BMP-2 and allograft compared with autogenous bone graft for reconstruction of diaphyseal tibial fractures with
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with previous high tibial osteotomy and sequelae of a diaphyseal tibial fracture. (A) Tibia has an extra-articular valgus deformity. (B) Post-operative radiographs where the extra-articular deformities were addressed with intra-articular tibial cut
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-ROM Noiles (Joint Medical Products/Johnson and Johnson) (1) 3 months Revision was performed to insert a custom tibial tray containing a full-length central metallic reinforcing post The polyethylene post fractured at the inferior tip of the central
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radiotherapy 20 Gy. (B) X-ray after 6 months from surgery and adjuvant radiation therapy showing complete healing of the fracture. AWD after 32 months from humeral surgery. Figure 2 (A) A 63-year-old male with right femur diaphyseal metastasis
