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Hagen Schmal Department of Orthopaedics and Traumatology, Odense University Hospital, Odense, Denmark.
Department of Orthopaedics and Traumatology, Freiburg University Hospital, Freiburg, Germany.

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Michael Brix Department of Orthopaedics and Traumatology, Odense University Hospital, Odense, Denmark.

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Mats Bue Department of Orthopaedic Surgery, Horsens Regional Hospital, Horsens, Denmark

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Anna Ekman Orthopaedic Department, Södersjukhuset, Stockholm, Sweden

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Nando Ferreira Division of Orthopaedics, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg Hospital, Cape Town, South Africa

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Hans Gottlieb Department of Orthopaedic Surgery, Herlev Hospital, Herlev, Denmark

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Søren Kold Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg University, Aalborg, Denmark

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Andrew Taylor Department of Orthopaedic Surgery, Nottingham University Hospitals, UK

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Peter Toft Tengberg Department of Orthopaedic Surgery, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark

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Ilija Ban Department of Orthopaedic Surgery, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark

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Danish Orthopaedic Trauma Society Department of Orthopaedic Surgery, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark

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-free. Nonunion treated with external fixators External fixation is another option to treat nonunions, not contradicting nails or plates. However, it offers good options especially when patients are referred late, already have joint contractures, severe

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Emmanuele Santolini Academic Unit of Trauma and Orthopaedics, University of Genoa, Italy
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK

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Nikolaos K. Kanakaris Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK

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Peter V. Giannoudis Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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bleeding must be promptly identified and addressed (derives from medial and lateral sacral arteries, presacral venous plexus, superior gluteal artery and iliac arteries). 25 , 35 Pelvic stabilization with a pelvic binder, a sheet or an external fixator

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Andreas Frodl Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Benjamin Erdle Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Hagen Schmal Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany
University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark

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Decoster TA Hurwitz SR . Use of an articulated external fixator for fractures of the tibial plafond . J Bone Joint Surg [Am] 1995 ; 77-A : 1498 – 1509 . 18. Williams J Gibbons M Trundle H Murray D

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Nikolaos Gougoulias Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK

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Hesham Oshba Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK

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Apostolos Dimitroulias Jacobi Medical Center – Trauma Unit – Bronx, New York, USA

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Anthony Sakellariou Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK

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Alexander Wee Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK

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in the early period after they sustained a low-energy, unstable ankle fracture, primary ankle arthrodesis was performed. 22 The authors chose circular external fixator or intramedullary nail to obtain arthrodesis, depending on whether patients

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Mario Herrera-Pérez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
Department of Surgery, Universidad de La Laguna, Tenerife, Spain

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Victor Valderrabano Foot and Ankle Unit, Orthopaedic Department, Schmerzklinik, Basel, Switzerland
University of Basel, Basel, Switzerland

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Alexandre L Godoy-Santos Orthopaedic Department, Hospital Israelita, Sao Paulo, Brazil

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César de César Netto Director of the UIOWA Orthopedic Functional Imaging Research Laboratory (OFIRL), Iowa, USA
Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA

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David González-Martín Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
Department of Surgery, Universidad de La Laguna, Tenerife, Spain

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Sergio Tejero Foot and Ankle Unit, Hospital Universitario Virgen del Rocío, Sevilla, Spain
Department of Surgery, Universidad de Sevilla, Sevilla, Spain

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implanting a fixed or hinged external fixator between the tibia and talus while applying a distraction force to the ankle joint, either alone or in combination with other joint techniques (chondroplasty, osteochondral holes, microfractures, hyaluronic acid or

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Nicolas Gallusser Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Bardia Barimani Division of Orthopedic Surgery, McGill University, Montreal, Canada

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Frédéric Vauclair Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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intramedullary nailing (IMN). An external fixator is also an option, however rarely indicated. Undisplaced or minimally displaced HSF are routinely treated conservatively. In fact, anterior angulation of 20°, a varus or valgus of 30°, 15° of malrotation and 3 cm

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Andrew J Harrison Bioventus International, Taurusavenue, Hoofddorp, Netherlands

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Michael R Redler Connecticut Orthopaedics, Department of Orthopaedics, University of Virginia, Frank H. Netter School of Medicine, Quinnipiac University, USA

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David M Taylor Leeds General Infirmary, Leeds, UK

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Ansar Mahmood Department Trauma & Orthopaedic Surgery, Queen Elizabeth Hospital, Birmingham, UK

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John T Jones Statistician - Raleigh, NC

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Yukihiro Arai Department of Orthopaedic Surgery, Teikyo University School of Medicine

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Yoshinobu Watanabe Department of Orthopaedic Surgery, Teikyo University School of Medicine

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-bearing status, mobility and most daily activities. Many are in casts, splits or external fixators such as Ilizarov frames. Failure of treatment in this group has an immediate impact. Many scaphoid non-union patients, especially with non-dominant side injuries

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Toni Luokkala Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland

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Minna K. Laitinen Department of Orthopaedics, Helsinki University Hospital, Helsinki, Finland

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Teemu P. Hevonkorpi Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland
Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland

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Lauri Raittio Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland

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Ville M. Mattila Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland

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Antti P. Launonen Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland

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-plates, fragment-specific plates, anatomical volar locking plates (VLP), external fixators, metal K-wires, nails and screws. Before the introduction of VLP, the most commonly used method was external fixation with or without K-wires. Surgery with VLP was introduced

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Michael Beverly Botnar Research Centre, Nuffield Orthopaedic Centre, University of Oxford, Oxford

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David W Murray Botnar Research Centre, Nuffield Orthopaedic Centre, University of Oxford, Oxford

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Freshly culled calf forefeet may be perfused with calf serum with IOP measured with and without a proximal tourniquet. Skeletal external fixator loading and more physiological loading by direct hoof pressure with both static and dynamic loading regimes to

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Rita Grazina Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Sérgio Teixeira Serviço de Cirurgia Plástica, Reconstrutiva e Estética e Unidade de Queimados, Centro Hospitalar de São João, Portugal

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Renato Ramos Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Henrique Sousa Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Andreia Ferreira Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Rui Lemos Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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severe disease Staged procedure This procedure is indicated for patients with severe PIP contractures. At the first stage, an external fixator is placed across the joint. The tension across the fixator is progressively increased over a period of six

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