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  • Paediatrics x
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Thomas J. Holme St George’s University Hospitals NHS Foundation Trust, London, UK

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Marta Karbowiak St George’s, University of London, London, UK

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Magnus Arnander St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, 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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predispose to worse outcomes. 24 This article systematically reviewed the available literature in order to evaluate the management strategies used, the impact of different types of conservative and surgical treatment on clinical and radiological

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland

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Cecilia Téllez Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Víctor Villablanca Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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) Radiographic images of the right knee of a 2-year-old girl with this type of fracture. Treatment Conservative and surgical management are valid alternatives for the treatment of these fractures. Choosing between both alternatives depends on

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Ignacio Rodriguez Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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María Jesús Tuca Clinica Alemana, Santiago, Chile
Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile

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compromised. There are two possibilities for treatment: conservative management and surgical management ( Fig. 12 ). When analysing the literature for the management of this type of fracture, we found that 88% of published cases were treated using surgical

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Djandan Tadum Arthur Vithran Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

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Xu Liu Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Miao He Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Anko Elijah Essien Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Michael Opoku Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Yusheng Li Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Ming-Qing Li Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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neutral/inverted hindfoot or >15° With inversion of hindfoot or < −15° Poor Recurrence of deformity; requires triple joint fusion surgery Treatment of cavovarus Conservative

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Gyula Domos Department of Orthopaedics, Semmelweis University, Budapest, Hungary
Centre for Translational Medicine, Semmelweis University, Budapest, Hungary

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Szilárd Váncsa Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary
Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary

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Csenge Szeverényi Department of Orthopaedics, University of Debrecen, Debrecen, Hungary

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Gergely Agócs Department of Biophysics and Radiation Biology, Semmelweis University, Budapest, Hungary

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Péter Hegyi Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary
Institute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary

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Anna Perge Department of Orthopaedics, Semmelweis University, Budapest, Hungary

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Krisztina Békési Klinik Chirurgie, Spital Bülach, Bülach, Switzerland

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Csaba Varga Department of Orthopaedics, Semmelweis University, Budapest, Hungary
Centre for Translational Medicine, Semmelweis University, Budapest, Hungary

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György Szőke Department of Orthopaedics, Semmelweis University, Budapest, Hungary

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). However, the treatment protocol varies between countries and different institutes. The age of the child significantly influences which treatment method is chosen first: in several countries, under the age of 6 months conservative treatment with abduction

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Valeria Pintar St George’s Hospital, London, UK

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Charlotte Brookes St George’s Hospital, London, UK

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Alex Trompeter St George’s Hospital, London, UK
St George’s University of London, UK

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Anna Bridgens St George’s Hospital, London, UK

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Caroline Hing St George’s Hospital, London, UK
St George’s University of London, UK

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Yael Gelfer St George’s Hospital, London, UK
St George’s University of London, UK

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cm also on the posterior thigh, which again was managed conservatively. In the first and more severe case, no shut-off was used to isolate the tourniquet and the padding under the tourniquet had become soaked with antiseptic. Tourniquet pressures were

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