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Anne J. Spaans Department of Orthopaedic Surgery, Sint Maartenskliniek Nijmegen/Boxmeer, the Netherlands

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C.M. (Lilian) Donders Department of Orthopaedic Surgery, Meander Medical Center Amersfoort, the Netherlands

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J.H.J.M. (Gert) Bessems Department of Children’s Orthopaedics, Erasmus MC- Sophia Children’s Hospital, University Medical Center Rotterdam, the Netherlands
Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands

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Christiaan J.A. van Bergen Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands

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7 d (4–12) intravenous followed by 38 d (30–45) oral 3 stiff elbows No growth disturbances MEPS 86 nm 5/16 Note . d, days; m, months; nm, not mentioned; n , number of patients; MEPS, Morrey Elbow Performance Score; MINORS

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Sitanshu Barik Pediatric Orthopedic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

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Sebastian Farr Orthopedic Hospital Speising, Department of Pediatric Orthopaedics and Adult Foot and Ankle Surgery, Vienna, Austria

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prevent stiffness of joints, and this as well can be better managed in an adolescence. 20 With regard to callus distraction, the healing index is defined as the number of days required for consolidation of one centimetre of the distracted site. It is

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Ignacio Sanpera Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Sandra Villafranca-Solano Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Carmen Muñoz-Lopez Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Julia Sanpera-Iglesias Evelina Children’s Hospital, London, UK

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: 16 Flexible-Flexible Stiff-Flexible Rigid-Flexible Rigid-Stiff Rigid-Rigid Late Rigid-Rigid classified by the following •  Flexible - Dynamic deformity of the forefoot or hindfoot that

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Alfonso Vaquero-Picado Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Gaspar González-Morán Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Luis Moraleda Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Reduction Fractures can be reduced by closed or open means. 44 Open reduction has been related to a higher incidence of infection and stiffness. Closed reduction is a reliable technique for the majority of displaced fractures. Regarding extension

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Daniel Murphy St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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Mohsen Raza St George’s University Hospitals NHS Foundation Trust, London, UK

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Hiba Khan St George’s University Hospitals NHS Foundation Trust, London, UK

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Deborah M. Eastwood Great Ormond Street Hospital, London, UK
University College London (UCL), London, UK

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Yael Gelfer St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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. 6 , 17 Recurrent deformity in a surgically treated clubfoot presents an even greater challenge due to joint stiffness and tissue scarring 18 but may be improved by use of the Ponseti technique. Equinus deformity is reported as the most

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Abdus S. Burahee The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Andrew D. Sanders The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Colin Shirley The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Dominic M. Power The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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additional anterior subluxation of the UN at the medial epicondyle. The result is a segmental inflammation with thickening of the nerve and increased susceptibility to further compression. Chronic inflammation results in increasing nerve stiffness

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Francesco Smeraglia Department of Public Health, Division of Orthopaedic Surgery, ‘Federico II’ University, Naples, Italy

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Federico Tamborini Department of Biotechnology and Life Sciences, Division of Plastic and Reconstructive Surgery, University of Insubria, Varese, Italy

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Leonardo Garutti Department of Biotechnology and Life Sciences, Division of Plastic and Reconstructive Surgery, University of Insubria, Varese, Italy

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Andrea Minini Department of Biotechnology and Life Sciences, Division of Plastic and Reconstructive Surgery, University of Insubria, Varese, Italy

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Morena A. Basso Department of Public Health, Division of Orthopaedic Surgery, ‘Federico II’ University, Naples, Italy

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Mario Cherubino Department of Biotechnology and Life Sciences, Division of Plastic and Reconstructive Surgery, University of Insubria, Varese, Italy

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symptomatology is characterized by forearm pain, stiffness, decreased muscle strength, and paraesthesias. Symptoms disappear when the exercise is stopped. CECS has been described to occur bilaterally in 70% to 100% of patients. 3 Conservative treatment is

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Alpesh Kothari Department of Paediatric Orthopaedics, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom

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Javier Masquijo Department of Pediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina

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associated with a rigid flatfoot deformity (rarely with rigid hindfoot varus), a stiff subtalar joint and in some cases a ‘double medial malleolus’ sign secondary to a bulky middle facet. 29 The diagnosis can be made on plain radiographs, with the

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Bülent Atilla Hacettepe University Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Hande Güney-Deniz Hacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey

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contractures, valgus angulation and joint stiffness. Lateral radiograph of his left knee demonstrates destructive arthritis. Intra-operative radiography of the same patient shows severe bony destruction, cyst formation, haemosiderosis, and dark

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J. Javier Masquijo Department of Pediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina

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Cristian Artigas Hospital Roberto del Rio, Santiago, Chile
Clínica Alemana, Santiago, Chile

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Julio de Pablos Advanced Bone Reconstruction Surgery, Hospital San Juan de Dios y Complejo Hospitalario de Navarra, Pamplona, Spain

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postoperative complications were knee arthrofibrosis and secondary deformity. Knee stiffness occurred in all the cases. Physical therapy was required to restore full range of motion in 14 knees, and gentle manipulation under general anaesthesia in six knees. A

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