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How to treat stiffness after proximal humeral fractures?

J Tomás Rojas Shoulder, Elbow and Orthopaedic Sports Medicine, Orthopädie Sonnenhof, Bern, Switzerland
Department of Orthopaedics and Trauma Surgery, Hospital San José – Clínica Santa María, Santiago, Chile

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Mustafa S Rashid Department of Trauma & Orthopaedic Surgery, Wrightington Hospital, Wigan, United Kingdom

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Matthias A Zumstein Shoulder, Elbow and Orthopaedic Sports Medicine, Orthopädie Sonnenhof, Bern, Switzerland
Shoulder, Elbow Unit, Sportsclinicnumber1, Bern, Switzerland
Shoulder, Elbow and Orthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, Bern, Switzerland
Campus Stiftung Lindenhof Bern, Swiss Institute for Translational and Entrepreneurial Medicine, Bern, Switzerland

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should be ruled out. These include dislocation, avascular necrosis, osteoarthritis, and metalwork failure. At 6 months, up to 23.6% of patients with complex PHF treated with ORIF will develop secondary shoulder stiffness ( 5 ). Of those patients, 75

Article Type:
Review Article
Collections:
Trauma
DOI:
https://doi.org/10.1530/EOR-22-0118
Volume/Issue:
Volume 8: Issue 8
Open access

Neglected Monteggia fracture: a review

Rui Zhang Department of Orthopedics, Shanghai Jiao Tong University affiliated Sixth People’s Hospital, Shanghai, China

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Xiaoyu Wang Department of Orthopedics, Shanghai Jiao Tong University affiliated Sixth People’s Hospital, Shanghai, China

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Jia Xu Department of Orthopedics, Shanghai Jiao Tong University affiliated Sixth People’s Hospital, Shanghai, China

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Qinglin Kang Department of Orthopedics, Shanghai Jiao Tong University affiliated Sixth People’s Hospital, Shanghai, China

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Reggie C Hamdy Department of Pediatric Surgery, Montreal General Hospital, Montreal, Quebec, Canada

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eventually develop osteoarthritis ( 1 , 3 , 4 , 8 , 60 ). Normally, the annular ligament ensures the stability of the radiocapitellar joint by surrounding the radial head. This ligament may get torn or entrapped by the dislocation of the radial head due

Article Type:
Review Article
Collections:
Trauma
DOI:
https://doi.org/10.1530/EOR-21-0087
Volume/Issue:
Volume 7: Issue 4
Open access

Knee arthroplasty for acute fractures around the knee

Thomas Tampere Department of Orthopaedic Surgery, Ghent University Hospital, Ghent, Belgium

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Matthieu Ollivier Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Christophe Jacquet Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Maxime Fabre-Aubrespy Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Sébastien Parratte Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France
Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE

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primary arthroplasty for complex fractures around the knee ( Table 1 ). The first and best indications are intra-articular fractures in elderly osteoporotic patients with pre-existing symptomatic end-stage osteoarthritis. Secondly, arthroplasty might be

Article Type:
Review Article
Collections:
Trauma
DOI:
https://doi.org/10.1302/2058-5241.5.190059
Volume/Issue:
Volume 5: Issue 10
Open access

Lisfranc fracture-dislocations: current management

Inmaculada Moracia-Ochagavía Department of Orthopaedic Surgery, “La Paz” University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, “La Paz” University Hospital-IdiPaz, Madrid, Spain

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-traumatic osteoarthritis (OA), which can occur in up to half of the cases of Lisfranc fracture dislocations ( Fig. 8 ). 4 Fig. 8 Treatment protocol recommended by us for fracture-dislocations of the Lisfranc joint. Non-surgical treatment There is only

Article Type:
Review Article
Collections:
Trauma
DOI:
https://doi.org/10.1302/2058-5241.4.180076
Volume/Issue:
Volume 4: Issue 7
Open access

Percutaneous fixation of acetabular fractures

Horacio Caviglia Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Adrian Mejail Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Maria Eulalia Landro Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Nosratolah Vatani Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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is a predictor of good joint function and reduced risk of post-traumatic osteoarthritis. Therefore, the surgeon should try to obtain reductions with zero displacement or up to 1 mm. The anatomical reduction and stable osteosynthesis of the acetabular

Article Type:
Research Article
Collections:
Trauma
DOI:
https://doi.org/10.1302/2058-5241.3.170054
Volume/Issue:
Volume 3: Issue 5
Open access

Fractures of the femoral head: a narrative review

Maximilian M. Menger Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Benedikt J. Braun Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Steven C. Herath Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Markus A. Küper Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Mika F. Rollmann Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Tina Histing Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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-term complications including osteonecrosis of the femoral head, posttraumatic osteoarthritis and heterotopic ossification may impair the natural course of post-injury healing and rehabilitation, often leading to a poor functional outcome and unsatisfactory clinical

Article Type:
Review Article
Collections:
Trauma
DOI:
https://doi.org/10.1302/2058-5241.6.210034
Volume/Issue:
Volume 6: Issue 11
Open access

Articular impaction injuries in the lower limb

Ippokratis Pountos Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK

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Peter V. Giannoudis Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, and NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, Leeds, UK

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cartilage, which is essential for its viability. 19 A number of studies have demonstrated that abnormal impact loading increases the risk of progressive joint wear and tear leading to post-traumatic osteoarthritis (PA). 20 - 22 Qualitative changes

Article Type:
Research Article
Collections:
Trauma
DOI:
https://doi.org/10.1302/2058-5241.2.160072
Volume/Issue:
Volume 2: Issue 5
Open access

The management of displaced femoral neck fractures: a narrative review

Allan Roy Sekeitto Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Nkhodiseni Sikhauli Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Dick Ronald van der Jagt Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Lipalo Mokete Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Jurek R.T. Pietrzak Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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for FNFs. 6 Patients, their families and healthcare networks must be mindful that emergency THA for FNFs does not correspond with elective THA. Charette et al 40 compared 135,013 THA for osteoarthritis (OA) with 4622 THAs for FNFs and

Article Type:
Review Article
Collections:
Trauma
DOI:
https://doi.org/10.1302/2058-5241.6.200036
Volume/Issue:
Volume 6: Issue 2
Open access

Tibiotalocalcaneal nailing for osteoporotic ankle fractures in the frail patient: a narrative review with a clinical score proposal for the decision-making process

Mario Herrera-Pérez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
School of Medicine, Universidad de La Laguna, Tenerife, Spain

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Pablo Martín-Vélez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain

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David González-Martín Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
School of Medicine, Universidad de La Laguna, Tenerife, Spain

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Miguel Domínguez-Meléndez Foot and Ankle Unit, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain

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Ahmed E Galhoum Specialty Doctor Trauma and Orthopaedics, George Eliot Hospital NHS Trust, Nuneaton, UK

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Victor Valderrabano Schmerzklinik, Basel, Switzerland
University of Basel, Basel, Switzerland

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Sergio Tejero Foot and Ankle Unit, Hospital Universitario Virgen del Rocío, Sevilla, Spain
School of Medicine, Universidad de Sevilla, Sevilla, Spain

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frail elderly patients ( 27 ), when present and symptomatic, it presents with painful limitation of mobility in the ankle. As such, pre-existing ankle osteoarthritis is a clinical factor in favour of TTC nailing. Alcohol abuse and/or smoking

Article Type:
Review Article
Collections:
Trauma
DOI:
https://doi.org/10.1530/EOR-21-0085
Volume/Issue:
Volume 7: Issue 5
Open access

Evaluation of decision-making in the treatment of acetabular fractures

Christof Audretsch BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen, Tübingen, Germany

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Alexander Trulson BG Trauma Center, Department of Trauma Surgery, Murnau am Staffelsee, Germany

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Andreas Höch Department of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Leipzig, Germany

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Steven C Herath BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen, Tübingen, Germany

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Tina Histing BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen, Tübingen, Germany

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Markus A Küper BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen, Tübingen, Germany

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Working Group on Pelvic Fractures of the German Trauma Society
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fractures ( 1 ). Aims of acetabular fracture management, either surgical or conservative, are in the short-term pain relief and early mobilization of the patients and in the long term, the prevention of posttraumatic osteoarthritis due to the incongruence

Article Type:
Review Article
Collections:
Trauma
DOI:
https://doi.org/10.1530/EOR-20-0149
Volume/Issue:
Volume 7: Issue 1
Open access