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an extensive open release the elbow was unstable, and they protected a ligament repair with a hinged external fixator. A good outcome and stable joints were reported. Pennig et al 42 and Wang et al 43 used external fixation either as a stand
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a medial soft-tissue repair or adding a temporary external fixator. Medial exposure of the elbow does add some morbidity. Soft-tissue disruption often includes not only the medial collateral ligament but also the common flexor pronator group. All
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in 97 cases. 9 , 11 , 21 , 23 , 25 , 28 , 33 Additionally, in 28 cases of stabilization with screws, a Hoffmann external fixator was used. 9 , 23 In four publications (78 cases), the technique additionally included the use of bone grafts
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, local antibiotic delivery may be provided with antibiotic-loaded beads made of cement or certain bone graft substitutes; the elbow may be stabilized with a brace and rarely requires temporary use of an external fixator with pins very far away from the
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intramedullary nailing (IMN). An external fixator is also an option, however rarely indicated. Undisplaced or minimally displaced HSF are routinely treated conservatively. In fact, anterior angulation of 20°, a varus or valgus of 30°, 15° of malrotation and 3 cm