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Xinhuan Lei Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Jie Xiang Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Hailan Yang Department of Ultrasound, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Hongya Bao Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Zhong Zhu Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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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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over the past decade has found that tissue concentrations for systemic antibiotic administration do not always meet the minimum inhibitory concentration (MIC) for effective prevention ( 1 ). Intraosseous (IO) techniques were originally used for fluid

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Michael Beverly Botnar Research Centre, Nuffield Orthopaedic Centre, University of Oxford, Oxford

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David W Murray Botnar Research Centre, Nuffield Orthopaedic Centre, University of Oxford, Oxford

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‘mesentery’ ( 2 ) and the early anatomists such as Cooper (1840) dissected out the osseous blood supply ( 3 ). Murray Brookes (1963) defined the intraosseous blood supply ( 4 ). Intraosseous pressure (IOP) has been investigated by several authors including

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Elisa Pala Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Giulia Trovarelli Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Andrea Angelini Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Maria Chiara Cerchiaro Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Pietro Ruggieri Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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intraosseous injection of methylprednisolone acetate into bone cysts and suggested repeating the treatment until the cyst healed. However, this treatment is nowadays reduced due to the morbidity associated with multiple injections and the risk of multiple

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Elena Bravo Plastic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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Raul Barco Upper Limb Unit, Orthopedic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Haemophilia Orthopedic Unit, Orthopedic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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incidence among these patients of 1.14%. 16 Pseudotumours may originate in soft tissues or subperiosteal or intraosseous areas caused by recurrent bleeding. They are classified into three types according to the anatomic sites where bleeding occurs. In

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Gerardo Fusco Humanitas University, Department of Biomedical Sciences, Milan, Italy
IRCCS Humanitas Research Hospital, Milan, Italy
These authors contributed equally to the article and should both be considered first authors

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Francesco M. Gambaro Humanitas University, Department of Biomedical Sciences, Milan, Italy
IRCCS Humanitas Research Hospital, Milan, Italy
These authors contributed equally to the article and should both be considered first authors

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Berardo Di Matteo Humanitas University, Department of Biomedical Sciences, Milan, Italy
First Moscow State Medical University – Sechenov University, Moscow, Russia

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Elizaveta Kon Humanitas University, Department of Biomedical Sciences, Milan, Italy
IRCCS Humanitas Research Hospital, Milan, Italy

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therapy should be proposed with caution, especially when adopting biologic products, and further data should be collected before endorsing its routine application. Subchondral injections Subchondral injections refer to minimally invasive intra-osseous

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Martin Riegger 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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Nermine Habib Department of Orthopedic Surgery, Hopital fribourgeois (HFR) – Freiburger Spital (HFR), Fribourg, Switzerland

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Enrique Adrian Testa Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland

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Jochen Müller 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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Marco Guidi Department of Plastic Surgery and Hand Surgery, Kantonsspital, Aarau, 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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screw 2.7 mm 5-hole locking plate (Synthes) no compression screw Intraosseous fixation IO FIX® (Extr. Medical) + plantar dorsal Intraosseous fixation IO FIX® (Extr. Medical) + dorsal plantar

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Xavier Martin Oliva Department of Anatomy, University of Barcelona, Barcelona, Spain

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Antonio Viladot Voegeli Tres Torres Hospital, Barcelona, Spain

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that can compromise intra-osseous vascular flow. Many other aetiological factors can occur such as abnormal bone development in Kohler disease. Also, osteoarthritis, and systemic metabolic and autoimmune diseases that increase the risk of osteonecrosis

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Hagen Fritzsche University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Anne Weidlich University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Klaus-Dieter Schaser University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Elisabeth Mehnert University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Doreen Winkler University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Stefan Rammelt University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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bone growth and full return to physical activity (E, F). Intraosseous lipoma Cysts with a central calcification are likely to represent a less frequent intraosseous lipoma ( 43 , 44 ), but the distinction between SBC and lipoma can be

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Karl Stoffel Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland

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Christoph Sommer Department of Surgery, Kantonsspital Graubuenden, Chur, Switzerland

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Mark Lee Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, California, USA

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Tracy Y Zhu AO Innovation Translation Center, AO Foundation, Davos, Switzerland

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Karsten Schwieger AO Innovation Translation Center, AO Foundation, Davos, Switzerland

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Christopher Finkemeier Sutter Roseville Medical Center, Roseville, California, USA

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construct failure of one of the devices. Other double fixation constructs Other variations of double fixation constructs have been used in a few case series. Bergin et al. ( 8 ) used an intraosseous plate in additional to a lateral extraosseous

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E. Mascard Necker University Hospital, 75015 Paris, France.

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N. Gaspar Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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L. Brugières Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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C. Glorion Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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S. Pannier Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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A. Gomez-Brouchet Laboratoire d'anatomie et cytologie pathologiques, Institut Universitaire du Cancer de Toulouse- Oncopole, 1 avenue Irène Joliot-Curie. 31059 Toulouse Cedex 9, France

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bone destruction is often more marked than the periosteal reaction, and can be appreciated on CT. MRI helps more than CT in biopsy to determine the intra-osseous and extra-osseous extent of the tumour. 15 Fig. 4 This ten-year-old female had a

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