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four external fixators, two expandable nails, 16 plates and six conservative treatments with plaster of Paris. All had undergone a change to a reamed IM nail, with a 2-cm fibular osteotomy resection and with application of autograft obtained from
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University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark
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’s complexity and associated risks are arguments against it. Osteosynthesis of the tibia is usually done by intramedullary nailing, 1 fibular osteosynthesis usually by plating. 2 , 3 We carried out a meta-analysis to discover whether our hypothesis
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fractures. Metaphyseal fractures treated with statically locked intramedullary nails but with additional procedures such as fibular plating. AO classification (43 A1, 5; 43 A2, 11; 43 A3, 4) Krettek et al 11 1999 Germany Case series
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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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contrast to open surgical fixation of distal fibular fractures, a percutaneous method was developed to minimize soft tissue stress while providing a reliable fixation method. Biomechanically, an intramedullary fibular nail provides a robust construct
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complications. 31 In such a scenario, the stabilisation of the fibular fracture with a rod or titanium elastic nail may be an alternative, although Lee et al 32 found a lower rate of malunion and ankle arthrosis when the fibula was fixed by plating
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1% of lower extremity fractures. In 70% to 85% of cases, a fibular fracture is also seen, which occurs in more complex injuries. 8 - 11 As these fractures are often the result of high-energy trauma, up to 50% of patients may have additional
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-articular tibial plateau fracture with knee dislocation or fibular fracture were found to be a risk factor for the occurrence of ACS in multivariate analysis of several retrospective studies ( 24 , 32 , 33 , 34 , 40 , 43 ). However, a concomitant fibular
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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demanding as metaphyseal bone loss often limits options for anatomical reconstruction and fixation. Current surgical treatment options, including intramedullary nailing, internal and external fixation, are often complicated by an extended non
