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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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with bi- or trimalleolar fracture have the highest incidence of open ankle fractures. 29 Due to the predominance in elderly women, some authors claim that trimalleolar fractures should be regarded as fragility fractures. 28 There also exists a
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classification (Fragility Fractures of the Pelvis) especially integrates osteoporotic insufficiency fractures into the categorization of the injury. While the FFP classification provides some advantages in the elderly, an evaluation of the benefit is under
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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für Osteosynthesefragen/Orthopaedic Trauma Association ( AO/OTA) modified Tile (AO/OTA) classification 13 and Young–Burgess (YB) classification, 14 for high-energy fractures, and the Fragility Fracture of Pelvic ring (FFP) classification
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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with a degeneration related to aging that affects the psychological, physical and social sphere. Therefore, the concept of fragility fracture implies not only a deterioration of the bone structure (osteoporosis) and soft tissues but also the physical
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. introducing a fragility fractures classification ( 15 ). This classification has been widely accepted and led to concept of conservative or surgical therapy ( 15 ). As the acetabulum is a part of the pelvis and its stability is dependent on the pelvic ring
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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fragility fractures, has recently been highlighted. 37 Non-operative treatment of PPFs has been associated with poor outcomes (nonunions, malunions, medical complications) 38 except probably in cases of a critically ill patient unable to undergo
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not recommended before surgery. If used should stop 24 h before surgery 3. Intermittent pneumatic compression devices Blue Book on Fragility Fracture Care, British Orthopaedic Association (BOA) 6 2007 Controversy over thromboprophylaxis
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, a 2.5 times increased risk of non-hip-fragility fractures also exists. 55 , 56 Prevention of subsequent factures is mandatory and may be achieved by pharmacological and non-pharmacological methods. 54 , 55 There is support for routine
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that, by the time of admission in the emergency room, has not caused hemodynamic instability. This concept, however, needs qualification for both the hemodynamics and the pelvic fracture. On the one hand, all patients presenting with hemorrhagic shock
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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Introduction Complex epiphyseal knee fractures are rare. In contrast to the high incidence of femoral neck and proximal humerus fractures, epiphyseal knee fractures account only for up to 1% of annual emergency admissions. Furthermore, the sub