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increases Achilles tendon tension and dorsiflexion stiffness of the ankle, thus increasing plantar fascia tension during weight-bearing activities. Damaging forces appear when leveraged forces are transmitted to the foot and ankle as the tibia (and the body
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Diagnostic accuracy data (presented as mean n /mm) of tested materials in the included studies. The order of the included studies is chronological. Reference/ operation technique Maximum load to failure Initial stiffness of construct Final
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consists in a timely and eventually open reduction of the fracture, careful examination, and follow-up of the patient. Other soft tissue complications associated with BF include skin necrosis ( 38 ), infection ( 37 ), and ankle stiffness, particularly
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phosphate cement resulted in better stability and stiffness, which theoretically could reduce both the non-weight-bearing post-operative period and the secondary articular collapse. However, one has to be cautious because these are time-zero studies with
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University Hospital for Orthopaedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany
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.3%. Joint preparation with convex/concave reamers and joint fixation with a plate with a lag screw shows the lowest non-union rate. Full postoperative weight-bearing in a stiff-soled postoperative shoe is safe and is not associated with non-union vs a more
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metatarsalgia. 15 Complications of a Weil osteotomy include malunion, excessive shortening, stiffness and a floating toe, which has been shown to be as high as 28% to 43%, and higher in the presence of PIPJ fusion. 33 , 35 A floating toe may occur due
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lesser metatarsals which have to be shortened and the required amount of shortening are calculated as per Maestro Index. Diaphyseal osteotomies avoid the frequent problem of stiffness and floating toes commonly associated with Weil’s osteotomies when such
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, LEGEC Expert Group, Davos, Switzerland
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Hospital Base de Valdivia, Valdivia, Chile
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Clínica Puerto Montt, Puerto Montt, Chile
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Hospital Base de Valdivia, Valdivia, Chile
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bundle peripheral to the affected metatarsal; this affects the distal vasculature and leads to loss of sensation of the toe. This technique may also lead to stiffness or instability at the level of the metatarsophalangeal joint. In addition, it is not
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early as possible for the following reasons: to give time for the ice application to control pain and swelling; to improve and maintain the range of motion; and to minimize the risk of stiffness and muscle wasting, two factors which can delay the patient
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, primarily with dorsiflexion. Clinical evaluation Patients typically present with a history of pain and stiffness that is worse with activities, particularly with first MTP dorsiflexion involvement, such as stairs, running or push-ups. Discomfort during