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Diabetics are also more likely to undergo secondary operations 1 , 6 and have worse outcomes regarding activity limitation scores. 1 Because of the higher risk of infection and other serious surgical complications, non-operative management of acute
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patients with more advanced arthritis, operative management has centred on arthrodesis of the first MTP joint. Multiple joint-sparing procedures such as joint arthroplasty or resurfacing have been described with inconsistent results. Pathophysiology
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lead to persistent lateral ankle pain and substantial functional problems. The aim of this review is to summarise the current understanding of the anatomy and diagnostic evaluation of the peroneal tendons, and to present both conservative and operative
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Non-operative management of hallux valgus deformity will not produce deformity correction, but can relieve its symptoms. Non-surgical care should especially be considered in patients with general hypermobility, ligamentous laxity or neuromuscular
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– indication for operative management of the PM fragment, for example 25% of the articular surface, is now replaced by a morphology-adapted approach. Here the biomechanical aspect of the unstable syndesmosis is the key ( 25 , 26 ). A direct posterolateral
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calcaneal fractures . Injury 1998 ; 29 ( 4 ): 313 - 316 . 21. Tennent TD Calder PR Salisbury RD Allen PW Eastwood DM. The operative management of displaced intra-articular fractures of the calcaneum: a
Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece
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University of Patras, School of Medicine, Patras, Greece
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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); however, the latter is found to be superior ( 83 ). A distal ulna hook plate was used with good results for displaced tuberosity avulsion fractures ( 85 ). A recent study showed that clinical and radiologic outcomes of operative vs non-operative management
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-operative and operative management is based mostly on Level-III and Level-IV-evidence studies. DiGiovanni et al studied the preferred non-operative and operative treatment of recalcitrant PF among a group of orthopaedic foot and ankle surgeons. 29 At 4
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There is some evidence too, that high-dose Vitamin B6 and B1 can reduce nerve symptoms. 18 Operative management: techniques and outcomes Operative treatment is indicated if nonoperative management has failed to adequately control the patient
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, therefore, the surgical options remain controversial. 3 The traditional options for operative management of end-stage arthritis include excision arthroplasty, implant arthroplasty and arthrodesis. Excision arthroplasty has gradually become less popular