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Emilio Calvo Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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María Valencia Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Antonio Maria Foruria Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Juan Aguilar Gonzalez Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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challenging situation. Since it is a non-anatomic technique, subsequent revision surgery can be seriously compromised not only by scar tissue obscuring normal tissue planes but also by alterations of anatomic stabilizing structures. Furthermore, the number of

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May Fong Mak Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland; Department of Orthopaedics, Waikato Hospital, New Zealand

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Richard Stern Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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Mathieu Assal Center for Surgery of the Foot & Ankle, Hirslanden Clinique La Colline, Switzerland

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stability. 20 There is increasing awareness of this fact and more consideration is given to fixing posterior malleolar fractures regardless of size or displacement for direct posterior stabilization of the syndesmosis. An anatomically fixed posterior

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John Edwin Kings College Hospital, London, UK

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Shahbaz Ahmed Pulvertaft Hand Centre, Royal Derby Hospital, Derby, UK

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Shobhit Verma Kings College Hospital, London, UK

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Graham Tytherleigh-Strong Cambridge University Hospitals, UK

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Karthik Karuppaiah Kings College Hospital, London, UK

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Joydeep Sinha Kings College Hospital, London, UK

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, traumatic structural; Type II, atraumatic structural; and Type III, muscle patterning (neuromuscular). The treatment for Type I injuries has been discussed above. Type II may rarely require stabilization and Type III injuries are almost always treated with

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Philipp Schleicher Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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Andreas Pingel Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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Frank Kandziora Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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dislocation prior to posterior surgical stabilization of the occipital-atlanto-axial joint complex presence of any neurological deficit, which might be caused by cerebral hypoperfusion. The diagnostic value of CT-angiography and MR

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Martin C Jordan Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany
TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany

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Konrad F Fuchs Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany

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Steven C Herath Department for Traumatology and Reconstructive Surgery, BG Trauma Center, University of Tübingen, Tübingen, Germany

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Joachim Windolf TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

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Rainer H Meffert Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany

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Anne Neubert TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

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fixation alone to inadequately stabilize APC II injuries. Therefore, they predominately prefer additional posterior fixation using a sacroiliac screw (SP + SIS). The present systematic literature review investigates both treatment options for APC II

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Kaustubh Ahuja Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Syed Ifthekar Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Samarth Mittal Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Gagandeep Yadav Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Bhaskar Sarkar Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Pankaj Kandwal Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Introduction Spinal instability constitutes an important indication for surgical stabilization in a number of spinal pathologies. Since the time of the description of the ‘middle path regime’ by Tuli in 1975, spinal instability has constituted

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Hao-Ran Xu Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yong-Hui Zhang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yi-Li Zheng Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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) Interpretations Scale Duration Sample size Group number Effect P 1 P 2 Heterogeneity I 2 Quality of evidence Effect size Other Owen et al . ( 5 )  Stabilization vs no treatment

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Diana Cabral Teixeira Faculty of Medicine, University of Porto, Porto, Portugal
These authors contributed equally to the article and should all be considered first authors

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Luís Alves Orthopaedic and Traumatology Department, São João Hospital Center, Porto, Portugal
These authors contributed equally to the article and should all be considered first authors

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Manuel Gutierres Orthopaedic and Traumatology Department, São João Hospital Center, Porto, Portugal
These authors contributed equally to the article and should all be considered first authors

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thorax) during arm elevation is upward rotation, posterior tilting, and external rotation. 5 The coordination of shoulder joints depends on the pattern of muscular activation. The scapula must be dynamically stabilized in a retracted position during

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Benjamín Cancino Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Hospital Base de Valdivia, Valdivia, Chile
Universidad Austral de Chile, Valdivia, Chile

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injuries were non-accidental. Anatomy The ankle joint is made up of the distal portions of the tibia and the fibula, which form a mortise where the superior aspect of the talus articulates, stabilized by the ligament complexes of the

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Geke A. W. Denissen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Liza N. van Steenbergen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Wouter T. Lollinga Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Nico J. J. Verdonschot Dept. of Biomechanics, Radboud University Medical Center, Nijmegen, The Netherlands
Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands

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Berend W. Schreurs Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands
Dept. of Orthopaedics, Radboud University Medical Center, Nijmegen, The Netherlands

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Rob G. H. H. Nelissen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands
Dept. of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands

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products. Second, the effect of certain implant characteristics across different implants (e.g. polished tapered hip stems, posterior stabilized knees etc.) can only be analysed with a clear-cut succinct definition of these implant characteristics. For that

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