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David González-Martín Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain
Universidad de La Laguna, Tenerife, Spain

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José Luis Pais-Brito Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain
Universidad de La Laguna, Tenerife, Spain

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Sergio González-Casamayor Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain

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Ayron Guerra-Ferraz Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain

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Jorge Ojeda-Jiménez Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain
Universidad de La Laguna, Tenerife, Spain

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Mario Herrera-Pérez Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain
Universidad de La Laguna, Tenerife, Spain

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that in patients with multiple fragments, or comminuted fractures, where osteosynthesis becomes very complicated, if the patient can withstand more aggressive surgery, such as RA, this would be a more suitable option, as it is sufficient to bring the

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Andreas Frodl Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Benjamin Erdle Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Hagen Schmal Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany
University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark

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’s complexity and associated risks are arguments against it. Osteosynthesis of the tibia is usually done by intramedullary nailing, 1 fibular osteosynthesis usually by plating. 2 , 3 We carried out a meta-analysis to discover whether our hypothesis

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Lorenzo Massimo Oldrini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Alessandro Sangiorgio Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Pietro Feltri Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Francesco Marbach Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Giuseppe Filardo Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland

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Christian Candrian Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland

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remains controversial, with two main approaches being widely used: ORIF with open deltopectoral (DP) approach and minimally invasive plate osteosynthesis (MIPO) with deltosplit (DS) approach. The first one is the most common ( 15 , 16 ), being worldwide

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Luca Pacchiarini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Lorenzo Massimo Oldrini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Pietro Feltri Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Stefano Lucchina Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Surgical Department, Hand Surgery Unit EOC, Locarno’s Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland

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Giuseppe Filardo Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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Christian Candrian Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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before distal radius osteosynthesis surgery. Despite these limitations, this systematic review and meta-analysis provides the most updated and comprehensive evidence on this topic, which could be of value to surgeons and patients. This study presents

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Andreas Frodl Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Johannes Hauss Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Andreas Fuchs Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Markus Siegel Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Hagen Schmal Department of Orthopedic Surgery, University Hospital Odense, Odense, Denmark

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Jan Kühle Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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. There were 5 (2.1%) cases of deep wound infections with RIMN ( n  = 241) and 11 (4.0%) with plate osteosynthesis ( n  = 276). A nearly same distribution was seen in superficial wound infections. Three (1.6%) patients out of 191, who underwent RIMN

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Olga D. Savvidou First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Frantzeska Zampeli First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece

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George D. Chloros First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Aggelos Kaspiris Department of Trauma and Orthopaedics, Thriasio General Hospital-NHS, Athens, Greece

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Savas Sourmelis First Department of Orthopaedics, Hygeia Hospital, Athens, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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elbow showing unstable osteosynthesis of the fracture (poor surgical technique) with two one-third tubular plates and a K-wire without olecranon osteotomy. C : CT-scan of the elbow eight months postoperative showing nonunion in the supracondylar area

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Tim Pohlemann Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Steven C. Herath Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Benedikt J. Braun Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Mika F. Rollmann Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Tina Histing Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Antonius Pizanis Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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  • Surgical treatment of acetabular fractures remains challenging even for experienced surgeons.

  • Whilst the ilioinguinal and the Kocher-Langenbeck approach remain the standard procedures to expose the anterior or posterior aspects of the acetabulum, some modified anterior approaches for the stabilization of the acetabulum have been introduced.

  • This article will provide an overview of approaches to the anterior aspect of the acetabulum and explain the efforts that have been made to improve the surgeon’s options for certain fracture modifications, such as fractures with separation of the quadrilateral surface.

Cite this article: EFORT Open Rev 2020;5:707-712. DOI: 10.1302/2058-5241.5.190061

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Julia Riemenschneider Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Jan Tilmann Vollrath Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Nils Mühlenfeld Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Johannes Frank Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Ingo Marzi Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Maren Janko Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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the last years ( 25 , 26 ). However, during the past decades, operative treatment of acetabular fractures has developed and become a standard nowadays. There are three different principles: reduction and osteosynthesis or primary total hip

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Catalin Cirstoiu Orthopedics and Traumatology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania

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Bogdan Cretu Orthopedics and Traumatology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania

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Sergiu Iordache Orthopedics and Traumatology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania

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Mihnea Popa Orthopedics and Traumatology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania

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Bogdan Serban Orthopedics and Traumatology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania

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Adrian Cursaru Orthopedics and Traumatology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania

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osteosynthesis, should be avoided. Indications for surgical treatment Following a multidisciplinary preoperative evaluation, candidates for surgical treatment can be identified and optimal approaches established. The main objective in the case of bone

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Nikolaos Patsiogiannis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK

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Nikolaos K. Kanakaris Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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Peter V. Giannoudis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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union. As demonstrated by Tsiridis et al, this type of osteosynthesis in isolation, without intra- or extramedullary bridging of the fracture site with either a long-stem or strut graft, can be associated with complications. 44 Although good

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