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post-traumatic arthritis. 33 In order to improve the articular reduction that can be obtained with external fixation, it is useful in many cases to perform a limited articular ORIF as an adjunct. 34 , 35 Generally, fractures with metaphyseal
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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technically challenging in younger patients with previous (tibial plateau) fractures in whom debilitating post-traumatic arthritis has developed. Old wounds, retained metalwork, bony deficiency and instability can lead to poorer outcomes and higher
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residual step-off and inadequate joint congruency, which frequently leads to the development of post-traumatic arthritis. A 2-mm articular step or depression is considered the maximal limit of ‘permitted’ incongruency that can be managed by non
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: 1429 - 33 . 30 Menth-Chiari WA , Ruch DS , Poehling GG . Arthroscopic excision of the radial head: clinical outcome in 12 patients with post-traumatic arthritis after fracture of the radial head or rheumatoid arthritis
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reduction and internal fixation (ORIF) or fragment removal. In Pipkin type III fractures, surgical treatment depends on signs of arthritis in the hip joint and the physical demands of the patient. If advanced signs of arthritis or immobilization are evident
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radiocapitellar arthritis and (e) DRUJ arthritis. The reducibility of the radius migration should also be addressed. 7 In most cases, an ulnar shortening osteotomy is required in order to level the DRUJ. 7 , 8 In the acute setting, treatment
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. If not, the development of hip joint arthritis in young patients as well can occur in about 10 % ( 20 ), whereas, in the older population, hip arthritis is usually already present. Acetabular fracture types in the elderly In older patients
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segment appeared to have survived ( Fig. 4d , e ). However, the shoulder remained stiff and there was pain, independent of activity. By 6 months there was a clear subarticular fracture with arthritis, although the joint space was relatively preserved
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infection, malunion, nonunion and post-traumatic arthritis. The published results are often difficult to compare because of significant heterogeneity of bone and soft-tissue injuries, the small number of patients in reported series, the retrospective nature
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Surg [Am] 1954 ; 36-A : 451 - 475 . 23 Harris WH . Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation . J Bone
