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(2000) 69 Retrospective study Both 188 169 Nonunion after spinal fusion IV Tay et al (2014) 82 Retrospective study Both 161 262 Nonunion after diaphyseal femoral and tibial fracture IV Rodriguez et al (2014) 83
West Hertfordshire Hospitals NHS Trust, London, United Kingdom
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James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, Norfolk, United Kingdom
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Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, Essex, United Kingdom
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School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom
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series of retrospective cohort studies by Seyhan et al. investigated the effectiveness of second-generation poller screws ( 32 , 33 , 34 ). One case series used a single poller screw to tackle troublesome tibial metaphyseal and diaphyseal fractures
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considered. In particular, endosteal reaming performed in many intramedullary nailing procedures for diaphyseal fractures and non-unions was considered as a potential augmentation to obtain bone healing. Therefore, aspirating the BM from the endosteal reaming
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joint linking to the diaphyseal bone. The length of the diaphyseal bone allows an increase in the lever arm of appropriate muscles to improve the power of the joint’s action. The bone contains cells, haemopoietic tissue, and a nerve and blood supply
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graft with suction drainage/irrigation. Bone grafts used in cases of nonunion. At least 4 weeks targeted IV antimicrobial therapy. Khan 2012 31 Radical debridement and stabilization of fracture with open reduction and internal fixation (5
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the same procedure. A high-grade radial nerve rupture can be debrided and primarily repaired after acute shortening the humerus at the level of a diaphyseal fracture, thereby avoiding the need for a later exploration and nerve graft. Trauma surgery
Surgery Department, Hôpital Maisonneuve-Rosemont, Montreal University, Montreal, Québec, Canada
Clinique orthopédique Duval, 1487 Boul des Laurentides, Laval
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Bordeaux Arthroplasty Research Institute - Clinique du Sport Bordeaux-Mérignac 04-06 rue Georges Negrevergne, Mérignac, France
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Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland
Clinical Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, University of Basel, Basel, Switzerland
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Department of Surgery, University of California, San Francisco, California, USA
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. Knee replacement To simplify TKA operations, surgeons selected neutral femoral and tibial cuts to create rectangular flexion and extension gaps and a neutral mechanical axis. Codified under ‘mechanical alignment’, these targets were considered
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or arterial junction, with little tolerance for error. 26 - 27 Other examples include: a) shoulder models, to help design implants to correct fractures of the head of the humerus; b) hip models, which can act as an important treatment planning
