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Nikolaos Gougoulias Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK

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Hesham Oshba Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK

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Apostolos Dimitroulias Jacobi Medical Center – Trauma Unit – Bronx, New York, USA

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Anthony Sakellariou Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK

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Alexander Wee Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK

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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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Bryant Ho Hinsdale Orthopaedics, Hinsdale, Illinois, USA

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Judith Baumhauer University of Rochester, Department of Orthopaedics, Rochester, New York, USA

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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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Kinner Davda Department of Foot & Ankle Surgery, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Karan Malhotra Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Paul O’Donnell Department of Foot & Ankle Surgery, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Dishan Singh Department of Foot & Ankle Surgery, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Nicholas Cullen Department of Foot & Ankle Surgery, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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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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Lukas Fraissler University of Würzburg, Germany

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Christian Konrads University of Würzburg, Germany

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Maik Hoberg University of Würzburg, Germany

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Maximilian Rudert University of Würzburg, Germany

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Matthias Walcher University of Würzburg, Germany

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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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Michael J Raschke Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Sabine Ochman Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Alexander Milstrey Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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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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Haroon Majeed Wrightington Hospital, UK

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James Barrie Royal Blackburn Hospital, UK

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Wendy Munro University of Salford, UK

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Donald McBride The Royal Stoke University Hospital, UK

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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

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George D Chloros Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK
Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece

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Christos D Kakos Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece

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Ioannis K Tastsidis Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece
University of Patras, School of Medicine, Patras, Greece

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Vasileios P Giannoudis Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK

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Michalis Panteli Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK

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Peter V Giannoudis Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK
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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Manuel Monteagudo Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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Pilar Martínez de Albornoz Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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Borja Gutierrez Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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José Tabuenca Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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Ignacio Álvarez Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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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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Nikolaos Gougoulias Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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Vasileios Lampridis Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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Anthony Sakellariou Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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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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Haroon Majeed Manchester University Foundation NHS Trust, Manchester, United Kingdom

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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

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