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Jean-Pierre St Mart Department of Trauma and Orthopaedics, King’s College Hospital, London, UK

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En Lin Goh Oxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

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Zameer Shah Department of Trauma and Orthopaedics, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

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heterotopic ossification associated with ROBODOC and CASPAR. 28 , 41 Data regarding intra-operative blood loss are inconclusive. Siebel et al noted that there was significantly greater blood loss with CASPAR. 28 Subsequently, Illgen et al found that

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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criteria for discharge on the day of surgery (DOS): 4 < 500 mL intraoperative blood loss; back in patient ward before 3 pm; received instruction from physiatrist and is safely mobilized; no clinical symptoms of anaemia (paleness, dizziness during

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Kamil Cagri Kose Marmara University Faculty of Medicine Department of Orthopedics and Traumatology, Istanbul, Turkey

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Omer Bozduman Ufuk University Faculty of Medicine Department of Orthopaedics and Traumatology, Ankara, Turkey

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Ali Erkan Yenigul Urfa State Hospital Department of Orthopedics and Traumatology, Istanbul, Turkey

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Servet Igrek Marmara University Faculty of Medicine Department of Orthopaedics and Traumatology, Istanbul, Turkey

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, to previous infection, to blood loss and to prolonged operative time. Underlying co-morbidities like insulin-dependent diabetes mellitus and chronic steroid use and the use of TNF alpha-blockers are also important risk factors for infection

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Ioannis V. Papachristos Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK

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Peter V. Giannoudis Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK
NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK

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treatment is safe, taking into account a greater peri-operative blood loss. 17 Noteworthy, for neuraxial anaesthesia, in the case of clopidogrel or newer antiplatelet drugs prasugrel and ticagrelor, five to seven days of drug cessation are needed prior

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Rafik Yassa North West Deanery, Manchester, UK

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Mahdi Yacine Khalfaoui North West Deanery, Manchester, UK

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Ihab Hujazi North West Deanery, Manchester, UK

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Hannah Sevenoaks North West Deanery, Manchester, UK

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Paul Dunkow Blackpool Victoria Teaching Hospitals, Blackpool, UK

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that there was no difference in bleeding complications, blood loss or transfusion requirements, when compared with those not on antiplatelets. 65 Furthermore, hospital length of stay and overall mortality were also not affected. In a separate study

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Karl Stoffel Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland

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Christoph Sommer Department of Surgery, Kantonsspital Graubuenden, Chur, Switzerland

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Mark Lee Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, California, USA

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Tracy Y Zhu AO Innovation Translation Center, AO Foundation, Davos, Switzerland

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Karsten Schwieger AO Innovation Translation Center, AO Foundation, Davos, Switzerland

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Christopher Finkemeier Sutter Roseville Medical Center, Roseville, California, USA

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) No difference in age, gender, no. of extra location of fractures; Significantly more traffic accidents (83.3% vs 16.7%), type C fracture (100% vs 54.2%), open fracture (91.7% vs 52%) in DP group. No difference in surgery duration and blood loss

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Julie J. Willeumier Department of Orthopaedics, Leiden University Medical Centre, The Netherlands

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Yvette M. van der Linden Department of Orthopaedics, Leiden University Medical Centre, The Netherlands

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Michiel A.J. van de Sande Department of Orthopaedics, Leiden University Medical Centre, The Netherlands

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P.D. Sander Dijkstra Department of Orthopaedics, Leiden University Medical Centre, The Netherlands

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kidney and thyroid cancer, pre-operative embolisation of the metastasis is advised to prevent excessive peri-operative blood loss. 24 Surgery should be performed within 72 hours following embolisation. For all pathological fractures of the long

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Enrique Gómez-Barrena Department of Orthopaedic Surgery and Traumatology, Hospital La Paz-IdiPaz, Universidad Autónoma de Madrid, Madrid, Spain

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Christian Ehrnthaller Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Germany

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with RIA harvesting (up to 44%) ( 60 ) has been substantially decreased (down to 14%) ( 61 ) in other reports. The risk of cortical perforation and the frequently reported relevant intraoperative blood loss are complications that should be anticipated

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Jasmine N. Levesque Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada

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Ajay Shah Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada

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Seper Ekhtiari Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

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James R. Yan Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

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Patrick Thornley Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

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Dale S. Williams Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

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expected low quality of evidence overall, a meta-analysis was not planned. A qualitative assessment of peri-operative outcomes (estimated blood loss (EBL), operative time, and fluoroscopy use) was performed using high-quality (i.e. Level I and Level II

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Pablo Castillón Department of Trauma and Orthopaedic Surgery, Hospital, Universitari Mútua Terrassa, Terrassa, Barcelona, Spain
Universidad Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain

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Josep Maria Muñoz Vives Department of Trauma and Orthopaedic Surgery, Hospital Althaia Manresa. Manresa, Barcelona, Spain
Department of Trauma and Orthopaedic Surgery, Hospital Nostra Senyora de Meritxell, Andorra

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Héctor José Aguado Department of Trauma and Orthopaedic Surgery, Hospital Clínico Universitario de Valladolid. Valladolid, Spain
Universidad de Valladolid, Valladolid, Spain

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Arantxa Capel Agundez Department of Trauma and Orthopaedic Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain

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Alina Ortega-Briones Department of Trauma and Orthopaedic Surgery, Hospital Clínico Universitario de Valladolid. Valladolid, Spain

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Jorge Hassan Núñez Department of Trauma and Orthopaedic Surgery, Hospital, Universitari Mútua Terrassa, Terrassa, Barcelona, Spain
Universidad Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain

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the PISCO Investigators †
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the PISCO Investigators

treatment for PPFFs fixation ( 28 , 29 , 30 ). Kanakaris et al. and Wood et al. discussed that despite the potential advantage of smaller less invasive procedures with less blood loss and improved fracture biology, this should not be at the expense of

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