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Joris Duerinckx Ziekenhuis Oost-Limburg, Genk, Belgium

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Frederik Verstreken Monica Hospital, Antwerp, Belgium

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was 85% ( 27 ). Surgical technique A standardized and meticulous surgical technique is essential to achieve a good outcome. The surgical goal of thumb CMC TJA is double. First, the implant components should be well-positioned and solidly fixed

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Hua Luo Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Chaojun Shen Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Tongyou Qu Department of Pharmacy, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang China

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Lin Chen Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yue Sun Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yu Ren Department of Pharmacy, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang China

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only be used in the subcutaneous and muscle around the incision. What happens if TXA enters the spinal canal or the cerebrospinal fluid? Recently, we used TXA local combined with intravenous administration in a patient with lumbar spine surgery for

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Bülent Atilla Hacettepe University Faculty of Medicine, Ankara, Turkey

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reconstruction. However, it would not be beneficial to use a mini-incision option in type C cases where subtrochanteric osteotomy is required. Generally, anterolateral and posterolateral approaches are adequate for both pelvic and femoral exposure. The supine

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Ilse Degreef Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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Kira Vande Voorde Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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Maarten Van Nuffel Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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under the microscope. This includes the skin incisions. We have a projecting screen, so that not only the surgeon but also the nurses and the patient under regional anesthesia (plexus) can follow the procedure. A useful mounting is shown in Fig. 2

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Koray Şahin Bezmialem Vakif University, Department of Orthopedics and Traumatology, Istanbul, Turkey

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Alper Şükrü Kendirci Erciş Şehit Rıdvan Çevik State Hospital, Department of Orthopedics and Traumatology, Van, Turkey

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Muhammed Oğuzhan Albayrak Istanbul University Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey

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Gökhan Sayer Muş State Hospital, Department of Orthopedics and Traumatology, Muş, Turkey

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Ali Erşen Istanbul University Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey

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beach-chair position. A deltopectoral approach is used with a 7–8 cm incision extending from coracoid process to axilla. Deltoid, pectoralis major muscles and cephalic vein are exposed and dissection is deepened between these two muscles. Then conjoint

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

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Vasileios Lampridis Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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

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local anaesthesia and sedation. Use of tourniquet is not essential. The patient is positioned in a recovery position on the operated side, 31 or prone. A horizontal incision 1 inch distal to the posterior knee crease is made, overlying the proximal

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Panagiotis T. Masouros Department of Orthopaedics, Evangelismos General Hospital, Athens, Greece

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Emmanuel P. Apergis Korgialeneio Mpenakeio Hellenic Red Cross Hospital, Athens, Greece

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George C. Babis Second Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Stylianos S. Pernientakis Korgialeneio Mpenakeio Hellenic Red Cross Hospital, Athens, Greece

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Vasilios G. Igoumenou First Department of Orthopaedics, National and Kapodistrian University of Athens, Athens, Greece

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Andreas F. Mavrogenis First Department of Orthopaedics, National and Kapodistrian University of Athens, Athens, Greece

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Vasileios S. Nikolaou Second Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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first to treat four patients with chronic instability by using a technique with synthetic graft. Through a double-incision technique, two bone tunnels were created through the radius and ulna, respectively. Then, a braided polyethylene graft was allowed

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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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of adjuvant cement. The downsides of using a plate include the large incision needed, a longer surgical procedure and the lack of prophylactic fixation of the entire bone. Prosthetic reconstructions (endoprostheses, segmental prostheses, hemi- and

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Olga D. Savvidou First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Frantzeska Zampeli First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece

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George D. Chloros First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Aggelos Kaspiris Department of Trauma and Orthopaedics, Thriasio General Hospital-NHS, Athens, Greece

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Savas Sourmelis First Department of Orthopaedics, Hygeia Hospital, Athens, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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useful indicators of the appropriate time to intervene. Serum alkaline phosphatase levels and activity on technetium bone scans are no longer believed to be helpful. Ring et al recommended a posterior incision to completely remove HO, beginning at the

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Hua Luo Department of Orthopaedics, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yu Ren Department of Pharmacy, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yongwei Su The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, China

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Feng Xue Department of Orthopaedics, Fengxian District Central Hospital, Shanghai, People’s Republic of China

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Zhenghua Hong Department of Orthopaedics, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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who had undergone open posterior spinal surgery but had no preoperative infection in the spinal region; (iii) intervention measures and intraoperative application of vancomycin in the incision was the main difference between the experimental group and

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