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Ignacio Rodriguez Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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María Jesús Tuca Clinica Alemana, Santiago, Chile
Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile

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and approximately 3% of all proximal tibial fractures. 9 This type of fracture is more frequent in male adolescents. 9 The Osgood-Schlatter lesion has been described as a predisposing factor for avulsive fractures of the tuberosity, and has

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Vanessa Morello Division of Orthopaedic and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland

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Axel Gamulin Division of Orthopaedic and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland

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setting of a tibial fracture. Table 4 summarizes the results of this literature review. Table 4 Literature review key points. Factors associated with ACS Clinical Radiological Proximal tibial fractures Younger age

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Michael J. Raschke Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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Christoph Kittl Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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Christoph Domnick Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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Wolters Kluwer Health. Conventional medial approach The medial tibial surface can be easily approached after performing a longitudinal skin incision. Although anteromedial partial proximal tibial fractures are rare, 5 this approach may

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Thomas Tampere Department of Orthopaedic Surgery, Ghent University Hospital, Ghent, Belgium

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Matthieu Ollivier Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Christophe Jacquet Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Maxime Fabre-Aubrespy Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Sébastien Parratte Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France
Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE

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wound complications - 1 common fibular nerve palsy - 1 tibial tubercle avulsion - 1 deep infection Boureau et al, 2015 4 21 79y (68–96) - 10 distal femoral fractures - 11 proximal tibial fractures - 20 rotating hinge prostheses - 1

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Maria Tennyson Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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Matija Krkovic Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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Mary Fortune The Department of Public Health & Primary Care, Strangeways Research Laboratory, Cambridge, UK

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Ali Abdulkarim Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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fractures. 11 , 12 , 19 , 21 , 22 , 27 , 29 Four studies included only acute fractures 20 , 23 , 24 , 26 and two studies examined nonunions only. 28 , 31 Two studies mixed results for both distal and proximal tibial fractures. 11 , 27 Gao

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Francesco Benazzo Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Stefano M.P. Rossi Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Alberto Combi Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Sanjay Meena SICOT Fellow at Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Matteo Ghiara Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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femoral and proximal tibial fractures are relatively common in young patients as a result of high-energy trauma, and in older patients as a result of low-energy trauma. These fractures may lead to malunion or nonunion, bone defects, limb malalignment

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Josep Muñoz Vives Hospital Nostra Senyora de Meritxell, Andorra, Spain

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Jean-Christophe Bel Hospices Civils de Lyon, Lyon, France

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Arantxa Capel Agundez Hospital Universitario 12 de Octubre, Madrid, Spain

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Francisco Chana Rodríguez Hospital General Universitario Gregorio Marañón, Madrid, Spain

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José Palomo Traver Hospital General de Castelló, Castelló de la Plana, Spain

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Morten Schultz-Larsen Odense Universitetshospita, Odense, Denmark

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Theodoros Tosounidis Leeds General Infirmary, Leeds, UK

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should be considered in peri-prosthetic proximal tibial fractures. 32 Other considerations that should be taken into account and subsequently divert management towards plating in peri-prosthetic fractures include a ‘closed box’ femoral implant and

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Salvi Prat-Fabregat Hospital Clinic of Barcelona, Spain

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Pilar Camacho-Carrasco Hospital Clinic of Barcelona, Spain

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Application for Bicondylar Tibial Plateau Fractures . J Bone Jt Surg 2009 ; 91 : 74 - 8. 3 Lowe JA , Tejwani N , Yoo B , Wolinsky P . Surgical techniques for complex proximal tibial fractures . J Bone Joint Surg

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Christos Garnavos Orthopaedic and Trauma Department, ‘Evangelismos’ General Hospital, Athens, Greece

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et al. Intramedullary nailing supplemented with Poller screws for proximal tibial fractures . J Orthop Surg (Hong Kong) 2012 ; 20 : 307 – 311 . 19. Van Dyke B Colley R Ottomeyer C Palmer R Pugh K

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Cora Rebecca Schindler Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Ramona Sturm Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Jason Alexander Hörauf Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Ingo Marzi Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Philipp Störmann Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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primary-definitive and primary-temporary and secondary-definitive. For the definitive treatment of a femoral shaft fracture in PT patients, locking intramedullary nailing should be performed as the surgical procedure of choice. Unstable proximal tibial

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