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, which may develop valgus deformity of the lower extremity and create problems of malalignment. Biomechanical implications of these morphologies are impaired muscle function, relative hip instability with loss of muscle efficiency causing Trendelenburg
Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.
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impairment and ankle instability. 34 Therefore, the surgeon should carry out an adequate risk-benefit analysis, preferring less risky procedures (i.e. fixation with cancellous screws and bone graft). Recently, stem-cell transplant was proposed to treat
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degeneration. However, if these mechanisms become exhausted, then knee and ankle flexion are solicited; and finally, posterior trunk shifting can occur. 15 To maintain the horizontal gaze a reactive cervical hyperlordosis also appears. All these
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-energy violence and is mostly seen in multiple traumatic events. Thus, the various lesions and their consequences are more likely to exhibit a multiplicative effect rather than a purely additive one. In the acute phase, hemodynamic instability is the most common
Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, IBHGC-Institut de Biomécanique Humaine Georges Charpak, HESAM Université, Paris, France
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11999-016-5150-3 ) 18 Wilkin GP Ibrahim MM Smit KM & Beaulé PE . A contemporary definition of hip dysplasia and structural instability: toward a comprehensive classification for acetabular dysplasia . Journal of Arthroplasty 2017 32 S20 – S27
