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to make strong statements about prefered management strategies, we would need to perform studies which directly compare interventions; ideally, RCTs would be used. There is also poor consistency in post-operative rehabilitation protocols, and no
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( 7 ). Still, even surgically treated patients face a prolonged recovery, and all too often fail to reach pre-injury functional levels even if they do not suffer a re-rupture or complication first ( 8 , 9 , 10 ). Postoperative rehabilitation
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condition who are unable to perform post-operative non-weight-bearing rehabilitation. • Insulin-dependent diabetes. • Altered bone quality due to medication. • Large cysts. • Osteopenia or osteoporosis. • Rheumatoid OA. Special risks • Intra
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performed without using a tourniquet. Post-operative rehabilitation Partial weight-bearing and early functional rehabilitation are recommended for at least six weeks in most cases after successful reduction and fixation with LCP have been performed
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University Hospital for Orthopaedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany
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, which are decisive to further rehabilitation ( 15 ). A systematic review by Korim et al. reflected on literature up to 2016 and mentioned a difference in non-union rates between hallux rigidus and hallux valgus ( 17 ). More recent research suggests
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, LEGEC Expert Group, Davos, Switzerland
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postoperative rehabilitation is more efficient ( 8 ). Two types of elongation techniques are mostly employed: one stage and progressive. The degree of shortening is the main factor that determines the type of lengthening, with cutoff values of 10–15 mm. This
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both patient collectives, whether Broström repair was performed arthroscopically or open. Table 3 Evaluation of postoperative treatment and rehabilitation protocols. Reference Postoperative mobilization Return to activity
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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advantages of reduced morbidity and post-operative pain and earlier rehabilitation. 61 Steenstra and van Dijk were the first to report the outcomes after endoscopic Achilles surgery. 54 In their 16-patient series, after a mean follow-up of six
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fragment laterally. One or two Herbert-type screws are used to gain extra stability, which allows faster rehabilitation. Fig. 3 MIS (Minimal invasive surgery) Chevron osteotomy: 65-year-old female preoperatively and six weeks after surgery. Source
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-third tubular plate with two tri-cortical screws to treat a Maisonneuve fracture, pre- and post-operatively. Fig. 9 Pre- and post-operative radiographs of the procedure mentioned in Figure 8 . To avoid problems associated with screws, in