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locking yields satisfactory results of up to 100% in some series. Even a second nail change after a failed change is a good option, especially if there is some progress in bone healing in the first change. Regarding the need for associated fibular
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patients over a 24-hour period. 28 This study, however, only revealed correction of the INR back to a near therapeutic range. The role of small oral doses remains controversial, with a study demonstrating that up to 66% of patients failed to reach a
Department of Orthopaedics, Fengxian District Central Hospital, Shanghai, China
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Department of Orthopaedics, Fengxian District Central Hospital, Shanghai, China
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intramedullary nailing not only results in considerable morbidity but also increases social and financial burdens. According to the diagnostic criteria made by the United States Food and Drug Administration (FDA), a nonunion is when a fracture fails to union
School of Medicine, Universidad de La Laguna, Tenerife, Spain
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School of Medicine, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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School of Medicine, Universidad de Sevilla, Sevilla, Spain
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.9 Age >60; frail physical state; poor bone stock; poor ankle soft tissues; Unstable fracture pattern; failed primary ORIF. Humeral nail and TTC nail Partial 11 7.7%: one minor wound breakdown one delayed union O´Daly et al. (8) RT IV
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, a biological stimulation is required. Treatment of fractures can be a demanding endeavour for clinicians. In ideal circumstances, the biology of healing will allow for the union of a majority of fractures. When fractures fail to heal, the sequelae
Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Justus Maximilian University Wuerzburg, König-Ludwig-Haus, Brettreichstraße, Würzburg, Germany
Paracelsus Medizinische Privatuniversität, Strubergasse, Salzburg, Austria
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
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Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
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Martin-Luther-University Halle-Wittenberg, Universitätsklinikum Halle (Saale), DOUW - Abteilung für Unfall- und Wiederherstellungschirurgie, Ernst-Grube-Straße, Halle, Germany
BG-Klinikum Bergmannstrost Halle, Halle, Saale, Germany
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and fixed with bone harvested from the osteotomy site, with excellent results regardless of size and/or chronicity. The technique can also be considered in unstable and detached fragments in children after failed conservative treatment, which is the
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University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark
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, and mirrors our meta-analysis’ results. However, Whittle et al failed to confirm such findings in their study. 16 Concerns about fibular fixation include the risk of infection and irritating implants requiring removal. Our study reveals an
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transfer in the setting of complete CPN palsy associated with traumatic knee dislocation. A small series showed mixed results but surgery was typically undertaken late after failed grafting, or in isolation as a late salvage technique when recovery through
Department of Orthopaedics and Traumatology, Freiburg University Hospital, Freiburg, Germany.
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disease is unknown in some cases and can be improved. Therefore, measuring of glycosylated haemoglobin (HbA1c) is highly recommended when diagnosing delayed or failed fracture healing. Furthermore, the peripheral pulse status needs to be examined because
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authors reported that about one-third of patients failed to regain functional arc of motion after ORIF of intercondylar fractures, most patients can expect to have good to excellent results. 48 , 49 Loss of elbow motion can arise from intrinsic or