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that, with an infection rate of 7.6%, this ‘common fear does not appear to be clinically grounded’, 7 an even more recent paper analysing proximal and distal tibial fractures 8 supports the view that, with an infection rate of 12% in proximal
Hospital Militar de Santiago, Santiago, Chile
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Clínica Alemana - Universidad del Desarrollo, Santiago, Chile
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the proximal tibiofibular joint. Right: Type II fractures extend distal to the proximal tibiofibular joint and Type III fractures extends into the lateral tibial plateau.. A recent biomechanical study conducted by Kang et al. ( 28
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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differences following tibial plateau fractures versus distal femoral fractures . Trauma Monthly 2015 20 e21635. ( https://doi.org/10.5812/traumamon.21635 ) 117. Liu Z Wang S Tian X Peng A . The relationship between the injury mechanism and the
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-shaft angle (FS–TS) ( Fig. 2 ). This angle is defined by a line drawn from the centre of the proximal femoral shaft towards the knee and a line from the centre of the tibial shaft distal to the knee. To calculate the femoral and tibial shaft points, it usually
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. Choosing the right approach can sometimes be complicated if a double approach was previously performed for a tibial plateau fracture. In such cases, a median incision can be performed, but it has to follow one of the two previous scars distally. Concerning
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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South-West London Elective Orthopaedic Centre, Epsom, UK
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Shamir Medical Center, Zriffin, Israel
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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joint line orientation (severe frontal joint line obliquity, high tibial posterior slope) Patella maltracking Difficulty in estimating native knee anatomy (mainly articular bone loss) Acquired lower limb malalignment from previous fracture malunion
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Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland
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mechanical femoral angle aMDFA 6 ± 1° Anatomical lateral distal femoral angle aLDFA 81 ± 2° Mechanical lateral distal femoral angle mLDFA 87 ± 3° Anatomical medial proximal tibial angle aMPTA 87 ± 3° Mechanical medial
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.1 mm. 9 The femoral attachment is 7.4 mm from the trochlear point, 11.0 mm from the medial arch point and 7.9 mm from the distal articular cartilage. 9 The centre of the ALB tibial attachment site is 6.1 mm from posteromedial meniscus root
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Intraoperative Gaining exposure to stiff knee causing quadriceps tendon rupture, patella tendon rupture or tibial tubercle avulsion V-Y turn down Over resection of patella causing patella fracture (must leave at least 12–15 mm bone) Postoperative Trauma
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stiffness. Patella baja management presents some corrective measures with the aim to reestablishing the joint line. Use of distal femoral augments, tibial tubercle osteotomy with proximal displacement, lengthening of the patellar tendon and placement of the