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Pedro Cano-Luís Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Rocío, Spain

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Miguel Ángel Giráldez-Sánchez Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Rocío, Spain

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Pablo Andrés-Cano Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Rocío, Spain

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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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Arjun Sivakumar Centre for Orthopaedic & Trauma Research, University of Adelaide, Adelaide, South Australia, Australia

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Suzanne Edwards Adelaide Health Technology Assessment, University of Adelaide, Adelaide, South Australia, Australia

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Stuart Millar Centre for Orthopaedic & Trauma Research, University of Adelaide, Adelaide, South Australia, Australia

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Dominic Thewlis Centre for Orthopaedic & Trauma Research, University of Adelaide, Adelaide, South Australia, Australia

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Mark Rickman Centre for Orthopaedic & Trauma Research, University of Adelaide, Adelaide, South Australia, Australia
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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Vasileios Lampridis Frimley Park Hospital, UK

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Nikolaos Gougoulias Frimley Park Hospital, UK

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Anthony Sakellariou Frimley Park Hospital, UK

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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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Nikolaos Patsiogiannis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK

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Nikolaos K. Kanakaris Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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Peter V. Giannoudis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
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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Philipp Schleicher Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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Andreas Pingel Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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Frank Kandziora Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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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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B Kooistra Department of Orthopaedic Surgery, Medische Kliniek Velsen, Velsen-Noord, the Netherlands

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M van den Bekerom Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands

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S Priester-Vink Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands

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R Barco Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain

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on behalf of the ESSKA Elbow and Forearm Committee

-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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Holger Keil BG Trauma Center Ludwigshafen, Germany

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Nils Beisemann BG Trauma Center Ludwigshafen, Germany

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Benedict Swartman BG Trauma Center Ludwigshafen, Germany

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Sven Yves Vetter BG Trauma Center Ludwigshafen, Germany

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Paul Alfred Grützner BG Trauma Center Ludwigshafen, Germany

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Jochen Franke BG Trauma Center Ludwigshafen, Germany

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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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Abdel Rahim Elniel Leeds Teaching Hospitals Trust, UK

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Peter V. Giannoudis Academic Department of Trauma and Orthopaedics, Leeds Teaching Hospitals, University of Leeds, UK; NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, UK

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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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Vanessa Morello Division of Orthopaedic and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland

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Axel Gamulin Division of Orthopaedic and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland

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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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Luca Pacchiarini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Lorenzo Massimo Oldrini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Pietro Feltri Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Stefano Lucchina Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Surgical Department, Hand Surgery Unit EOC, Locarno’s Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland

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Giuseppe Filardo Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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Christian Candrian Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
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

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