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allow the patients to mobilize with full weight-bearing according to their ability. A control CT scan after 10 to 12 days of mobilization should be performed to rule out secondary dislocation. The third pillar of conservative treatment is osteoporotic
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open reduction and internal fixation (ORIF) or minimally invasive plate osteosynthesis (MIPO), and retrograde and antegrade intramedullary nailing (IM) ( 6 , 8 , 9 ). Complications of both conservative and operative treatment approaches are non
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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with pelvic fractures, 12 were managed conservatively, while 21 underwent various surgical treatments. Regarding the 21 mothers who underwent surgical treatments, three mothers died, and out of these, 10 (48%) fetuses also died. Out of the 33
School of Medicine, University of Belgrade, Serbia
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School of Medicine, University of Belgrade, Serbia
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fixation of the wrist in extension. 44 Surgical treatment Surgical treatment is indicated in cases when nerve transection is obvious, as in open injuries or when there is no clinical improvement after a period of conservative treatment. The
Department of Orthopaedics and Trauma Surgery, Hospital San José – Clínica Santa María, Santiago, Chile
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Shoulder, Elbow Unit, Sportsclinicnumber1, Bern, Switzerland
Shoulder, Elbow and Orthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, Bern, Switzerland
Campus Stiftung Lindenhof Bern, Swiss Institute for Translational and Entrepreneurial Medicine, Bern, Switzerland
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with open reduction and internal fixation, generally either conservative treatment or arthroplasty is preferred. Stiffness after PHF develops in a significant proportion of patients, even in undisplaced fractures managed conservatively ( 3 ). PHFs
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. showed in his biomechanical study a mean loss of 40% in supination and a mean loss of 30% in flexion in patients treated conservatively compared to immediate anatomical reattachment ( 31 ). Therefore, conservative treatment is a viable option in very low
School of Medicine, Universidad de La Laguna, Tenerife, Spain
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School of Medicine, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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School of Medicine, Universidad de Sevilla, Sevilla, Spain
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daily practice. The decision to operate on these patients is complex and must be assessed case by case, although the literature has highlighted two aspects: conservative treatment is poorly tolerated in unstable fractures and conventional open reduction
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able to make a valid statement postoperatively, microbiological examination of smears and tissue samples even after long-run incubation and histology are needed. Intramedullary (IM) nail after other previous treatments (surgical and conservative
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, 3 However, early and accurate diagnosis of these injuries are fundamental requirements for their appropriate treatment and to prevent long-term sequelae. Men are two to four times more likely to suffer a Lisfranc joint injury, possibly because
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/Grauer type C injuries); pseudarthroses or locked dislocations of older odontoid fractures after conservative treatment; unstable atlas ring fractures (Gehweiler 3b), which are not suitable for isolated osteosynthesis of the atlas. In Jefferson ‘burst