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form that is commonly used in orthopaedic surgery as it has a finer micro-architecture with porosity resembling cancellous bone, allowing more rapid resorption. 56 TCP is usually available as granules or in blocks, and has similar strength to
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the subtalar joint without blocking it. 47 The concept of ‘manipulation’ of the subtalar joint in approaching flatfoot was firstly reported in 1946 by Chambers, 48 who described the impaction of a wedge-shaped bone block into the anterior
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vertebrae and the skull Treatment of stress fractures Osseous defects of the vertebra and the skull Accelerating repair following osteotomy Pregnant or breast-feeding women Accelerating repair in bone transport procedures Pathological
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, the patient’s weight is borne by a small area, and additional pressure on that small area further aggravates the degenerative process. This pathological pressure on the subchondral bone 8 and living cartilage causes circumscribed joint
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aetiologies of unequal frequency that account for cavovarus foot deformities. Traumatic causes are rare (improperly treated fracture or subluxation of the tarsal bones or scarring from a burn of the sole of the foot). Cavovarus deformity has been long
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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) *No plate has been tested; **No anatomic model: only synthetic bone block in testing protocol. DEXA, dual energy X-ray absorptiometry (for meauring bone density); NR, not relevant. Location of the companies mentioned are as follows - Arthrex: FL
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peroneus brevis and plantaris tendon 43 have all been described in order to re-inforce the SPR using a transosseous fibular tunnel with varying success. Bone block procedures The distal fibula is either rotated or translated posteriorly
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bone loss in conversion to arthrodesis is potentially decreased when using silastic and all metal implants, it is still a complicating factor that may require a bone block ( Fig. 3 ). Fig. 3 Failed hemiarthroplasty. a and b) anteroposterior and
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Introduction Diabetic foot problems include ulcers, infection and Charcot arthropathy, along with numerous underlying risk factors, including peripheral neuropathy, peripheral vascular disease, impaired immune function and delayed bone healing
Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA
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joint space, but early sclerosis and formation of osteophytes 2 Narrowing of the medial joint space 3A Obliteration of this space with subcondral bone contact (medial gutter only) 3B Extension of the obliterarion to the roof of