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Tim Pohlemann Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Steven C. Herath Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Benedikt J. Braun Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Mika F. Rollmann Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Tina Histing Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Antonius Pizanis Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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pattern, such as marginal impactions, intraarticular fragments and cartilage damage, the attending surgeon has to choose between the different options of anterior/posterior or rarely extended or combined surgical approaches. While the Kocher

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Holger Keil BG Trauma Center Ludwigshafen, Germany

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Nils Beisemann BG Trauma Center Ludwigshafen, Germany

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Benedict Swartman BG Trauma Center Ludwigshafen, Germany

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Sven Yves Vetter BG Trauma Center Ludwigshafen, Germany

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Paul Alfred Grützner BG Trauma Center Ludwigshafen, Germany

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Jochen Franke BG Trauma Center Ludwigshafen, Germany

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Introduction Dealing with structures that are usually localized deep inside the surrounding soft tissue, trauma and orthopaedic surgery represent a challenge for intra-operative visualization and orientation to the surgeon. In addition to in

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Deepak Samson The Centre for Nerve Injury and Paralysis, The Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, UK

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Chye Yew Ng The Upper Limb Unit, Wrightington Hospital, UK

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Dominic Power The Centre for Nerve Injury and Paralysis, The Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, UK

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grafting, nerve transfer and tendon transfer. The challenge for the treating orthopaedic surgeon lies in recognising high-grade nerve injuries such that prompt treatment may be instituted, while the selected lower-grade injuries may be released in a timely

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Ian Garrison Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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Grayson Domingue Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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M. Wesley Honeycutt Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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factors include patients undergoing treatment of osteoporosis with bisphosphonates, low total bone mineral density, and chronic diseases such as diabetes mellitus. 4 Anatomy To properly diagnose and treat ST fractures, orthopaedic surgeons must

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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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discover. (2) Children are noncompliant during physical and radiological examination, resulting in poor recognition both in the emergency room and on film. (3) Surgeons pay too much attention on the reduction and fixation of the ulnar fracture without

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Andreas Frodl Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Johannes Hauss Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Andreas Fuchs Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Markus Siegel Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Hagen Schmal Department of Orthopedic Surgery, University Hospital Odense, Odense, Denmark

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Jan Kühle Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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: retrospective study. Risk of bias assessment All included studies possessed an evidence level I–III. Surgical techniques were reported in every study, minimizing the risk of operational bias even in cases in which several surgeons were

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Martin C Jordan Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany
TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany

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Konrad F Fuchs Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany

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

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Joachim Windolf TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

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Rainer H Meffert Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany

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Anne Neubert TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

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provides adequate reduction of the anterior pelvic ring and narrows the partially widened sacroiliac joint until the ligamentous injuries have healed. Surgeons who prefer the combined technique often fear implant failure or malunion and consider isolated SP

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Cora Rebecca Schindler Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Ramona Sturm Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Jason Alexander Hörauf Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Ingo Marzi Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Philipp Störmann Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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unstable pelvic trauma patients over the last decade. In European countries, many trauma surgeons are trained in orthopedic surgery and are familiar with pelvic stabilization techniques and pelvic packing as DCS. Ertel et al. reported success in

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Ioannis Ktistakis School of Medicine, University of Leeds, UK

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Vasileios Giannoudis School of Medicine, University of Leeds, UK

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Peter V. Giannoudis School of Medicine, University of Leeds; National Institute for Health Research, Leeds Biomedical Research Unit, Leeds, UK

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conditions are more complex to manage. A national agreement needs to be developed by surgeons, haematologists and cardiologists in order to avoid delays in patient management and reduce further complications related to hip fracture surgery. Conflict

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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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this surgical treatment. This article provides an updated narrative review on this topic and proposes a clinical score system based on clinical factors to help orthopaedic surgeons in the decision-making process. Methodology First, a narrative

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