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

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synovitis. Taking into account the risk of infection after surgical procedures in human-immunodeficiency-virus-positive patients, RS is recommended first. RS is also of particular interest in patients with inhibitors, who otherwise are difficult to treat

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Daniel Kotrych Department of Orthopedics, Traumatology and Orthopedic Oncology, Pomeranian Medical University, Szczecin, Poland

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Andrea Angelini Department of Orthopedics and Orthopedic Oncology, University of Padova, Italy

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Andrzej Bohatyrewicz Department of Orthopedics, Traumatology and Orthopedic Oncology, Pomeranian Medical University, Szczecin, Poland

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Pietro Ruggieri Department of Orthopedics and Orthopedic Oncology, University of Padova, Italy

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patients affected by malignant bone tumors of unusual sites including sacrum and pelvis ( 20 , 23 , 24 , 25 , 26 ). These patient-specific special implants and related surgical tools have been initially studied for revision hip arthroplasties in

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Catalin Cirstoiu Carol Davila University of Medicine and Pharmacy, Orthopedics and Traumatology Department, Bucharest, Romania
University Emergency Hospital Bucharest, Romania

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Bogdan Cretu Carol Davila University of Medicine and Pharmacy, Orthopedics and Traumatology Department, Bucharest, Romania
University Emergency Hospital Bucharest, Romania

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Bogdan Serban Carol Davila University of Medicine and Pharmacy, Orthopedics and Traumatology Department, Bucharest, Romania
University Emergency Hospital Bucharest, Romania

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Zsombor Panti Carol Davila University of Medicine and Pharmacy, Orthopedics and Traumatology Department, Bucharest, Romania
University Emergency Hospital Bucharest, Romania

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Mihai Nica Carol Davila University of Medicine and Pharmacy, Orthopedics and Traumatology Department, Bucharest, Romania
University Emergency Hospital Bucharest, Romania

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Introduction The dawn of extremity bone sarcoma management was dominated by amputation as a standard of surgical treatment. Although some attempts were made to perform limb-sparing procedures, by carrying out segmental resection and

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Salvi Prat-Fabregat Hospital Clinic of Barcelona, Spain

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Pilar Camacho-Carrasco Hospital Clinic of Barcelona, Spain

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flexion-extension forces, and tightened in slight traction to reduce the fracture fragments. Analysis of the infection risk of the fracture fixation site after pin site-plate overlap shows controversial results. Even though one recent paper concludes

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Nicolas Gallusser Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Bardia Barimani Division of Orthopedic Surgery, McGill University, Montreal, Canada

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Frédéric Vauclair Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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did not find any other significant differences regarding infection, nonunion, radial nerve injury or implant failure. Surgical treatment: external fixation Indications External fixation remains an option in rare cases such as polytrauma

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Prashant Singh London North West University Healthcare NHS Trust, UK

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Suroosh Madanipour Barts Health NHS Trust, UK

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Andreas Fontalis St. George’s Hospital NHS Trust, UK

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Jagmeet Singh Bhamra Guy’s and St. Thomas’s NHS Trust, UK

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Hani B. Abdul-Jabar London North West University Healthcare NHS Trust, UK

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trainees must have adequate operative experience to be deemed competent in a procedure, this must be balanced with increasing scrutiny of outcomes, the widespread use of joint registries and pressure on surgical teams to maximize efficiency. Concerns have

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Luke Turley Department of Orthopaedics, Midland Regional Hospital Tullamore, Tullamore, Ireland

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Ian Barry Department of Plastic Surgery, Royal Perth Hospital, Perth, Western Australia, Australia

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Eoin Sheehan Department of Orthopaedics, Midland Regional Hospital Tullamore, Tullamore, Ireland

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Samarji R Paul A Hirst P . Early versus delayed surgical treatment of open tibial fractures: effect on the rates of infection and need of secondary surgical procedures to promote bone union . Injury 2005 36 656 – 661 . ( https://doi.org/10.1016/j

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Markus S. Hanke Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Till D. Lerch Department of Diagnostic, Interventional and Pediatric Radiology University Hospital of Bern, Inselspital, University of Bern, Bern, Switzerland

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Florian Schmaranzer Department of Diagnostic, Interventional and Pediatric Radiology University Hospital of Bern, Inselspital, University of Bern, Bern, Switzerland

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Malin K. Meier Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Simon D. Steppacher Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Klaus A. Siebenrock Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Deep wound infection < 1% 119 , 129 3  Complication with surgical therapy or unplanned hospitalization Deep vein thrombosis < 1–3.7% 119 , 130 Femoral neck fracture < 1% 119 , 123 Scrotal skin necrosis

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Timothy Bage The Peripheral Nerve Injury Service, Queen Elizabeth Hospital Birmingham, Birmingham, UK

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Dominic M. Power The Peripheral Nerve Injury Service, Queen Elizabeth Hospital Birmingham, Birmingham, UK

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nerve injury specialist and the patient. The nerve specialist will help to determine the site of injury, the pathophysiological grade of injury and the need for exploration. 5 Surgical exploration is sometimes required to provide an accurate

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Enrique Gómez-Barrena Servicio de Cirugía Ortopédica y Traumatología, Hospital La Paz-IdiPAZ, Universidad Autónoma de Madrid, Madrid, Spain

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Norma G. Padilla-Eguiluz Servicio de Cirugía Ortopédica y Traumatología, Hospital La Paz-IdiPAZ, Universidad Autónoma de Madrid, Madrid, Spain

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Philippe Rosset Service de Chirurgie Orthopédique et Traumatologie, CHU Tours, Université de Tours, Tours, France

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that can be redone after a few weeks if needed, preserving bone stock and avoiding iliac bone harvesting or surgical exposure complications. Although it is not useful in cases with a large fracture gap or infection history, its results are interesting

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