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Olga D. Savvidou First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Frantzeska Zampeli First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece

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George D. Chloros First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Aggelos Kaspiris Department of Trauma and Orthopaedics, Thriasio General Hospital-NHS, Athens, Greece

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Savas Sourmelis First Department of Orthopaedics, Hygeia Hospital, Athens, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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locking plates, orthogonal plates (90°:90°), or parallel plates (medial and lateral supracondylar ridges) are currently the most popular choices of treatment for distal humerus fractures. 6 However, despite evolution of ORIF techniques for distal

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Vasileios P Giannoudis Major Trauma Centre, Leeds Teaching Hospitals NHS Trust
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom

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Paul Rodham Major Trauma Centre, Leeds Teaching Hospitals NHS Trust
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom

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Peter V Giannoudis Major Trauma Centre, Leeds Teaching Hospitals NHS Trust
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom

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Nikolaos K Kanakaris Major Trauma Centre, Leeds Teaching Hospitals NHS Trust
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom

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Introduction Trauma, either accidental or violence related, has always been one of the major health problems in human history. The evolution of medicine and surgical procedures was traditionally based on its effective management. At a global

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Luca Dei Giudici Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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Andrea Faini Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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Luca Garro II Orthopaedic Division, Istituto Chirurgico Ortopedico Traumatologico, ICOT, Latina, Italy

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Agostino Tucciarone II Orthopaedic Division, Istituto Chirurgico Ortopedico Traumatologico, ICOT, Latina, Italy

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Antonio Gigante Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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range of movement (ROM), and even after an apparently proper reduction and fixation, there can be complications. 3 , 4 Arthroscopic joint surgery has recently undergone an exponential evolution, expanding its applications in traumatology with ARIF

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Elena Gálvez-Sirvent Department of Orthopaedic Surgery, ‘Infanta Elena’ University Hospital, Valdemoro, Madrid, Spain

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Aitor Ibarzábal-Gil Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Madrid, Spain

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Introduction There is no universal definition of nonunion. The Food and Drug Administration (FDA) defines nonunion as a fracture of at least nine months’ evolution that has shown no signs of bone healing on radiographs taken three months from

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Simon M. Lambert University College London Hospital, UK

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in the evolution of bone healing. Periosteal ‘stripping’ or rupture may have a significant role in failure to heal (either in time or completion), especially as endosteal vessels will also be disrupted by the fracture. 33 Fig. 2 The blood

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Holger Keil BG Trauma Center Ludwigshafen, Germany

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Nils Beisemann BG Trauma Center Ludwigshafen, Germany

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Benedict Swartman BG Trauma Center Ludwigshafen, Germany

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Sven Yves Vetter BG Trauma Center Ludwigshafen, Germany

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Paul Alfred Grützner BG Trauma Center Ludwigshafen, Germany

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Jochen Franke BG Trauma Center Ludwigshafen, Germany

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position of instruments and implants in relation to the bone and the ability for evaluating the reconstruction of joint surfaces and bony alignment, the rapid evolution of minimally invasive surgery would not have been possible 1 , 2 . Examples include

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Ian Garrison Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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Grayson Domingue Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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M. Wesley Honeycutt Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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. Russell TA . Intramedullary nailing: evolutions of femoral intramedullary nailing: first to fourth generations . J Orthop Trauma 2011 ; 25 : S135 – S138 . 36. Lundy DW . Subtrochanteric femoral fractures . J Am Acad Orthop

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Arjun Sivakumar Centre for Orthopaedic & Trauma Research, University of Adelaide, Adelaide, South Australia, Australia

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Suzanne Edwards Adelaide Health Technology Assessment, University of Adelaide, Adelaide, South Australia, Australia

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Stuart Millar Centre for Orthopaedic & Trauma Research, University of Adelaide, Adelaide, South Australia, Australia

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Dominic Thewlis Centre for Orthopaedic & Trauma Research, University of Adelaide, Adelaide, South Australia, Australia

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Mark Rickman Centre for Orthopaedic & Trauma Research, University of Adelaide, Adelaide, South Australia, Australia
Department of Orthopaedics & Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia

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( Supplement 6 ) S95 – S100 . ( https://doi.org/10.1016/j.otsr.2011.06.009 ) 23. Borger RA Borger FA Pires de Araujo R Pereira TF Queiroz RD . Prospective assessment of the clinical, radiographic and functional evolution of treatment for unstable

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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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José M. Martínez-Diez Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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recorded (23%) in patients with extremely severe associated injuries (injury severity score (ISS) over 50), this being the decisive factor that determined the unfavourable evolution in six patients. Mitchell et al found that of the 129 patients receiving

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Juan Ramón Cano Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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José Manuel Bogallo Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Alicia Ramirez Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Enrique Guerado Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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evolution of the wound during the treatment with a vacuum system. Mobile C-arms are essential for C-clamp and for the transiliac-transacral screw technique. Surgeons need to be trained and educated to ensure correct technical conduct and

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