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Maria Tennyson Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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Matija Krkovic Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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Mary Fortune The Department of Public Health & Primary Care, Strangeways Research Laboratory, Cambridge, UK

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Ali Abdulkarim Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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most commonly sustained high-energy traumas, and many patients had polytrauma and open fractures’. This may under-estimate the benefit of blocking screws because the groups do not have similar baseline characteristics. 24 As an alternative to

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Benedikt J. Braun Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Germany

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Bernd Grimm Luxembourg Institute of Health, Luxembourg

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Andrew M. Hanflik Los Alamitos Orthopaedics, Los Alamitos, California, USA

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Meir T. Marmor Department of Orthopaedic Surgery, University of California, San Francisco, California, USA

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Peter H. Richter Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Germany

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Andrew K. Sands Weill Cornell Medical College, Foot and Ankle Surgery, Downtown Orthopedic Associates, New York Presbyterian Lower Manhattan Hospital, New York, USA

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Sureshan Sivananthan Orthopaedic Surgery, Pantai Hospital Kuala Lumpur, Malaysia

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that are not directly related to classical EBM. In complex patients, such as those suffering from polytrauma, this approach may turn out to be more effective in predicting the results of interventions in the specific patient. 29 Such data science

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Timothy Bage The Peripheral Nerve Injury Service, Queen Elizabeth Hospital Birmingham, Birmingham, UK

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Dominic M. Power The Peripheral Nerve Injury Service, Queen Elizabeth Hospital Birmingham, Birmingham, UK

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joint widely practised in orthopaedic surgery may not be possible due to soft tissue disruption. In the polytrauma patient requiring damage limitation stabilization surgery, utilizing second-line approaches so that concomitant limb injuries can be

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Elena Gálvez-Sirvent Department of Orthopaedic Surgery, “Infanta Elena” University Hospital, Valdemoro, Madrid, Spain
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain

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Aitor Ibarzábal-Gil Department of Orthopaedic Surgery, “La Paz” University Hospital, Madrid, Spain

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E Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, “La Paz” University Hospital, Madrid, Spain
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain

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scarring of skin and periarticular soft tissue) ( 23 , 24 ). Stiffness-related risk factors include external fixator use, open fractures, polytrauma, the need for fasciotomies, wound complications requiring increased immobilisation, extensor apparatus

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