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guided growth. A distal femoral osteotomy should be considered in skeletally mature adolescents for genu valgum exceeding 5°. Osteochondral fractures and cartilage injuries Osteochondral fractures may occur in the medial facet/central ridge of the
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fractures. The fragment is reattached with wires passed behind the tibial stem and fixation is usually reinforced with medullary screws. These also avoid proximo-distal migration with subsequent de-tension of the cerclage wiring. If the dimensions of the
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malleolus. Fig. 6 Portal placement for posterior tibial tendoscopy: 1) navicular; 2) medial malleolus; 3) distal portal; 4) proximal portal. The distal portal is created first. A 1 cm skin incision is made over the PTT, halfway between the
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, especially when significant soft tissue removal is needed ( 22 ). Complications may occur, such as ankle instability due to resection of ligaments around the ankle ( 44 ), pseudarthrosis, or intraoperative distal tibial fracture ( 31 ). The quality of bone
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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its diagnosis can go undetected ( 13 , 14 ). The most common pseudoaneurysm is that of the distal anterior tibial artery (d-ATA), and many clinical cases of such lesions have been published ( 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22
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Australia determined the rate of failure of non-unions according to the type of bone fracture, finding 2.3% of failures in the proximal humerus, 7.8% in the humerus shaft, 4.2% in the subtrochanteric fracture, 13.5% in the femur shaft, 8.4% in the distal
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Osteosynthesis ± PMMA Resection arthrodesis Resection arthrodesis Resection arthrodesis Tibial shaft Resection–reconstruction with modular prosthesis Preventive osteosynthesis ± PMMA Osteosynthesis ±PMMA Distal calf and foot
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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(CORA) which, in the coronal plane, alters the native lateral distal femoral angle (LDFA) or the native medial proximal tibial angle (MPTA), and, in the sagittal plane, alters the posterior distal femoral angle (PDFA) and the posterior proximal tibial
Institut du mouvement et de l’appareil locomoteur, Marseille, France
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patients. Realignment was required in 41 patients (68%) with a high tibial osteotomy done in 25 (61%) and a distal femoral varus osteotomy done in 16 (39%). The graft survival rate was 85% at 10 years and 74% at 15 years. All patients clinically showed
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observed a slightly better functional outcome in patients with tumours located in the distal femur in comparison to the proximal tibia, which could be partly related to the fact that proximal tibial resection often necessitates reconstruction of the
