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-up of 34 months, a significantly better functional outcome following operative compared with non-operative management. 21 Wojtys and Nelson 22 suggest a treatment strategy based on the levels of shoulder strength or endurance, underlying the
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performed to check the anatomical reduction of intra-articular fragments. Post-operative treatment The post-operative management depends on the type of deformity and correction as well as the bone quality and fixation method. Clinical cases
Low-dose dexamethasone during arthroplasty
What do we know about the risks?
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Introduction In the last decade, many improvements in the peri-operative management of patients undergoing arthroplasty have facilitated the initiation of fast-track surgery, shortening the length of hospital stay up to 60%. 1 A
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total of 1054 patients were admitted with hip fractures, 86 of them were taking warfarin on admission and were retrospectively assessed. Non-operative management accounted for three patients in the warfarin group and 30 patients in the non
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-operative mortality is 2.1%. 24 The aim of pre-operative management is to ensure medical optimization and expedite surgical intervention. On admission, a thorough record of the patient’s cognitive status, 2 , 25 pre-injury medical history, mobility and the
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trochleoplasty is indicated for a symptomatic patient with recurrent patellar instability, which has failed non-operative management. The trochleoplasties performed for trochlear dysplasia type B or D have better outcomes than for trochlear dysplasia without
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to protect ligament healing Distraction arthroplasty In combination with open release or isolated for arthrofibrosis 30° to 90° Continuous passive movement Post-operative management after surgical release Efficacy controversial
Faculty of Medicine, University of Geneva, Switzerland
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, also reduce stability. 47 Heading towards a better understanding of the complex and multifactorial origins of glenohumeral instability and apprehension, post-operative management may in turn also be improved, notably in challenging cases of
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. Kovachevich R , Shah JP , Arens AM , Stuart MJ , Dahm DL , Levy BA . Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review . Knee Surg
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medial malleolus may provide an additional stability in these osteoporotic bones. 50 But Hoelsbrekken et al showed that non-operative management of minimally displaced medial malleolus fractures after fracture reduction in bi- or trimalleolar ankle
