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fractures. The fragment is reattached with wires passed behind the tibial stem and fixation is usually reinforced with medullary screws. These also avoid proximo-distal migration with subsequent de-tension of the cerclage wiring. If the dimensions of the
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transverse incisions may be crossed with a longitudinal incision at a right angle. 5 Radiological planning involves three main radiographs: Long-standing weight-bearing radiographs provide information on limb axis and deformity, allowing, in
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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ruptures with good tissue quality ( 13 ). Transosseous tunnels or suture anchors are the most common methods of fixation. Suture anchor repair has demonstrated similar or superior biomechanical properties compared to the traditional technique of trans
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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-articular, the gold standard for treatment is surgery by open reduction and internal fixation (ORIF) with locked plates to restore joint congruence and to achieve an adequate mechanical axis, a stable knee, and early mobilisation ( 6 , 7 , 8 ). In cases with
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requires a comprehensive understanding of the design rationale of a revision system, which is characterized by a high degree of modularity, offset adjustment, metallic augmentation, stem biomechanics and fixation methods, and grade of constraint, according
Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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MPFL reconstruction with fascia lata allograft and b) fixation with anchors and metal screw. The biomechanical effect of MPFL reconstruction was investigated in another cadaveric study. 38 The authors reported that patellar stability, in
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, Murray Hill, New Jersey, USA) to reconstruct chronic patella tendon rupture. The mesh is fixed onto the proximal tibia through a small trough and secured with bone cement and screw fixation. The mesh is then tunnelled through the patella tendon and
Department of Orthopaedic Surgery, University of Cape Town, SA
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Vitallium prosthesis secured with a single transfixing screw to resurface the patella alone, as described by McKeever in 1955, 17 reportedly showing good functional results, and offering an alternative to patellectomy in isolated patellofemoral
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is more common in the tibial compartment due to its relation to the polyethylene insert, gravity and the use of screws for fixation which facilitate wear particle migration into the bone. 70 The access of the bone particles to the bone
