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. These volumes are cubic with a length of the edges of typically 12 to 14 cm. A typical example is shown in Figure 7 . In these views, implant position and reduction of the fracture as well as the reduction of the distal fibula in the tibial incision can
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Introduction The term syndesmotic injury is used to describe a lesion of the ligaments that connect the distal fibula and the tibial notch surrounded on both sides by the anterior and posterior tibial tubercles, with or without an associated
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/46 Distal femur (63); Proximal tibia (41) All primary GCTs NF ∅ 33 Notes . NF, data not found; N, number; M/F, male/female; GCTs, giant cell tumours; #, fracture; PMMA, polymethyl methacrylate. All tumours were surgically
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snip does not result in adequate exposure, a V-Y quadricepsplasty might be considered. 9 For this approach, the arthrotomy is continued in a distal lateral direction at 45º, combining the snip with an extensive lateral release. This approach is
Osteoarticular Surgery Research, La Paz Hospital Health Research Institute – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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Longer stems cause tibial pain at the end of the stem in up to 10% of patients, and an off-setting might be required if diaphyseal engagement results in malalignment or a higher risk of fracture, 32 – 35 which is why cementless stems are preferred if
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primary-definitive and primary-temporary and secondary-definitive. For the definitive treatment of a femoral shaft fracture in PT patients, locking intramedullary nailing should be performed as the surgical procedure of choice. Unstable proximal tibial
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Casa di Cura Villa Betania, Rome, Italy
Marrelli Hospital, Crotone, Italy
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et al have described in detail the anatomy of the POL, distinguishing three fascial attachments that course off the distal aspect of the SM tendon, which were previously termed as the superficial, central (tibial) and capsular arms. 11 The
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can be found, then the Thompson Test should be carried out to exclude a tendo Achilles injury. Tenderness should be also checked using the sites of Ottawa Ankle Rules ( Fig. 7 ) since distal tibial or fibular tenderness may reveal a fracture
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neurological injury. Diagnosis The knee dislocation may be associated with fractures, and plain radiographs should be supplemented with computed tomography (CT) where indicated. Magnetic resonance imaging (MRI) is indicated in all multi
Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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. Rotational abnormalities Tibial tuberosity–trochlear groove (TT-TG) distance ( Fig. 4 ): the TT-TG distance is used to determine the degree of lateralisation of the tibial tubercle in relation to the deepest part of the trochlear groove. A TT-TG distance of
