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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; in fact, in these circumstances the results published in the literature are variable. 53 , 54 Non-surgical treatment Conservative management is usually successful. The goal is to relieve pain, inflammation and tissue stress. Abnormally slow
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Introduction Ankle fusion has traditionally been the “gold standard” treatment for end-stage ankle arthritis. However, because of recent improvements in prosthetic design and encouraging short- to medium-term results, there has been a renewed
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We recommend ultrasound as it is generally more cost-effective. Newer imaging modalities such as ultrasound tissue characterisation and sono-elastography have yielded promising initial results in improving sensitivity, specificity and accuracy in
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comprehensive and complete algorithm for surgical treatment based on this biomechanical understanding. Definition of iatrogenic transfer metatarsalgia We define iatrogenic transfer metatarsalgia as a result of hallux valgus surgeries in patients who
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ankle fractures in diabetics, had been considered by some, in the past, as a safer option. 7 More recent evidence, however, shows that this ‘conservative’ approach may actually result in higher complication rates and more severe, catastrophic
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arthritis with minimal talar tilt. However, these approaches give unpredictable results in cases of more advanced ankle arthritis. 2 Total ankle arthroplasty or arthrodesis are performed for end-stage ankle arthritis. Ankle arthrodesis provides pain
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patients with more advanced arthritis, operative management has centred on arthrodesis of the first MTP joint. Multiple joint-sparing procedures such as joint arthroplasty or resurfacing have been described with inconsistent results. Pathophysiology
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the features of each database (Supplementary File 1, see the section on supplementary materials given at the end of this article). Study selection The titles and abstracts of the search results were screened to check whether the study met the
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rehabilitation) have evolved considerably from non-surgical treatment to open reconstruction to minimally invasive techniques. The transition to surgical treatment was predominantly driven by lower re-rupture rates and better functional results but at the cost of
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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surgery, overviewing and analyzing the results of the different studies. Methods This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), a guideline that describes the items
