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assessment of the injury and failure to restore pelvic circumferential stability due to inadequate synthesis of the anterior frame. Apart from being post-traumatic, this type of instability can also be observed after childbirth with a large foetus which
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Department of Orthopaedics & Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia
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the studies passing the initial eligibility screening and assessed for eligibility using the same approach with disagreements discussed to reach a consensus. Quality assessment Quality assessment of the studies was conducted using the Cochrane
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and planning of any surgery. 2 This review will analyse the principles of stability assessment for ankle fractures and provide a rationale for diagnosis and management. Applied anatomy, biomechanics, and classifications The ankle joint
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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Similarly, periprosthetic acetabular fractures are relevant to uncemented press-fit elliptical cups; however, they may also occur postoperatively following high- or low-energy trauma. 17 , 30 Initial assessment Good clinical history and
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and biomechanically important bony changes such as diffuse idiopathic skeletal hyperostosis or ankylosing spondylitis. The assessment and classification of the injury according to the AOSpine classification for sub-axial injuries facilitates
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-searched. Study quality assessment for clinical studies For clinical studies reporting on patient outcomes, the risk of bias was evaluated using the modified Coleman methodology score ( 12 ), which is a 15-item questionnaire with scores ranging from 0 to 100
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must apply for a special qualification to be allowed to operate devices that emit ionizing radiation or even to supervise the operation of such a device. The curriculum for this qualification includes the assessment of the technical aspect of images but
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-tissue injury in severity. The OTA open fracture classification system, proposed by Agel et al in 2010, considers five categories in assessment of injury severity: skin injury; arterial injury; muscle injury; contamination; and bone loss. 9 The
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intubated, sedated or obtunded patients. In this perspective, red flags or predictors need to be recognized ( 45 , 46 ). When present, these risk factors should lead the physician in charge to perform frequent clinical assessments and/or repeated or
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Surgical Department, Hand Surgery Unit EOC, Locarno’s Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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the mean and s.d. , and a meta-analysis was not feasible due to the heterogeneity of the included studies. Assessment of risk of bias and quality of evidence The Downs and Black’s ‘Checklist for Measuring Quality’ was used to evaluate the risk