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Shu-Hao Du Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Yong-Hui Zhang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Qi-Hao Yang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yu-Chen Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yu Fang Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Xue-Qiang Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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, nerve root irritation, and certain inflammation ( 5 ). Due to the different characteristics of the two spinal deformities, this paper mainly discusses the postural assessment of non-structural spinal deformities. Body posture is mainly described as the

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Henri d'Astorg Centre Orthopédique Santy, Hôpital Privé Jean Mermoz, Ramsay Santé, Lyon, France

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Stephane Bourret Polyclinique Bordeaux Nord Aquitaine, Vertebra Center, Bordeaux, France

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Sonia Ramos-Pascual ReSurg SA, Rue Saint-Jean 22, Nyon, Switzerland

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Marc Szadkowski Centre Orthopédique Santy, Hôpital Privé Jean Mermoz, Ramsay Santé, Lyon, France

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Jean-Charles Le Huec Polyclinique Bordeaux Nord Aquitaine, Vertebra Center, Bordeaux, France

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° indicating mild scoliosis, and angles above 30° or 40° indicating severe scoliosis ( 4 , 5 , 6 ). With technological advancements, stereo-radiography (EOS) is increasingly used for the diagnosis of scoliosis because it enables the assessment of spinal

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Rory D. S. Gibson Aberdeen Royal Infirmary, Aberdeen, UK

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Ralf Wagner Ligamenta Spine Centre, Frankfurt am Main, Germany

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J. N. Alastair Gibson The Royal College of Surgeons of Edinburgh, Edinburgh, UK

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included in the data analysis. Quality assessment The methodological quality of all patient series found (non-comparative studies with more than three patients) was assessed using the first eight items of the Methodological Index for Non

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

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Xueli Yan Department of Orthopedic, 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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Han Zhang Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Wenjun Pan Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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extracted from the literature that met the inclusion criteria, including author year, study design type, country, sample size, participants, TXA treatment, age, and outcomes. Assessment of risk of bias and quality of evidence Two researchers

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Qi-Hao Yang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Xue-Qiang Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai, China

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lumbar spine, hip joint, and pelvis ( 29 ). It would help determine the extent to which lumbar motion is influenced by hip and pelvic motion, allowing for a more accurate assessment of lumbar flexion and extension and avoiding misinterpretation of hip or

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Wen-Yuan Xing Rehabilitation Medicine Center, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China
Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yong-Hui Zhang Rehabilitation Medicine Center, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China

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Qi-Hao Yang Rehabilitation Medicine Center, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China

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Xue-Qiang Wang Rehabilitation Medicine Center, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China
Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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to the second stage for further assessment. The final selection was determined in the second step by the same reviewers, who screened the full-text studies against the eligibility criteria. Any disagreements were resolved through consensus sessions

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Le Tang Rehabilitation Medicine Center, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China
Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yong-Hui Zhang Rehabilitation Medicine Center, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Shu-Hao Du Rehabilitation Medicine Center, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China
Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Xue-Qiang Wang Rehabilitation Medicine Center, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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-related factor reporting (ORs, RRs, or HRs). If studies did not report prevalence directly, we calculated it by extracting article information. Study Quality Assessment The quality of the included literature was assessed using the criteria recommended by

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Johannes D Bastian Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Silviya Ivanova Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Ahmed Mabrouk Department of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, United Kingdom

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Peter Biberthaler Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany

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Pedro Caba-Doussoux Servicio de Cirugía Ortopédica y Traumatología, Hospital 12 de Octubre, Madrid, España

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Nikolaos K Kanakaris Department of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, United Kingdom
Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom

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  • Segmental femoral fractures represent a rare but complex clinical challenge. They mostly result from high-energy mechanisms, dictate a careful initial assessment and are managed with various techniques. These often include an initial phase of damage control orthopaedics while the initial manoeuvres of patient and soft tissue resuscitation are employed.

  • Definitive fixation consists of either single-implant (reconstruction femoral nails) or dual-implant constructs. There is no consensus in favour of one of these two strategies.

  • At present, there is no high-quality comparative evidence between the various methods of treatment. The development of advanced design nailing and plating systems has offered fixation constructs with improved characteristics.

  • A comprehensive review of the existing evidence with a step-by-step description of these different definitive fixation strategies based on three case examples was conducted. Furthermore, the rationale for using single vs dual-implant strategy in its case is presented with supportive references.

  • The prevention of complications relies mainly on the strict adherence to basic principles of fracture fixation with an emphasis on careful preoperative planning, the quality of the reduction, and the application of soft tissue-friendly surgical methods.

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Tian Cheng Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden

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Elisabet Einarsdottir Department of Gene Technology, School of Engineering Sciences in Chemistry, Biotechnology and Health, Royal Institute of Technology, Stockholm, Sweden

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Juha Kere Department of Biosciences and Nutrition (BioNut), Karolinska Institutet, Stockholm, Sweden
Folkhälsan Research Center, Helsinki, Finland

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Paul Gerdhem Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden
Department of Reconstructive Orthopaedics, Karolinska University Hospital, Stockholm, Sweden

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. Spearman correlations (95% CI) were calculated for studies with available data for curve severity. SPSS version 27 was used for statistical analysis. Risk of bias assessment Risk of bias assessment was performed due to its potential impact on the

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Michaël Moeri Division of Orthopaedic and Trauma Surgery, Geneva University Hospitals, Switzerland

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Dominique A. Rothenfluh Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, UK

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Christoph J. Laux Division of Orthopaedic and Trauma Surgery, Geneva University Hospitals, Switzerland

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Dennis E. Dominguez Division of Orthopaedic and Trauma Surgery, Geneva University Hospitals, Switzerland
Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, UK

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search and added if appropriate. We selected articles containing relevant information to answer the three most common questions when encountering a suspected C-spine injury in blunt trauma patients in the ED: Who needs radiological assessment before C

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