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Leonardo Tassinari I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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Alberto Di Martino I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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Matteo Brunello I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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Valentino Rossomando I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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Francesco Traina Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
Orthopedics-Traumatology and Prosthetic Surgery and Hip and Knee Revision, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Cesare Faldini I Department of Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

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currently plenty of research about functional outcomes between DAA and other surgical approaches, as well as between DAA performed with and without a traction table; however, there is a lack of research examining the differences in the incidence and size of

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Omar A. Al-Mohrej King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia

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Nader S. Al-Kenani King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia

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programme should last between 3 and 6 weeks. During the functional rehabilitation programme, braces, elastic bandages, taping or splints are recommended in order to decrease ankle instability and control swelling. 65 Surgical approach Acute

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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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number of PHFs ( 4 ), only a few reports on the clinical outcomes of the DP and DS surgical approaches have been published so far, especially when considering the need to account for the main confounder: the type of fracture. When evaluating the

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Eduardo Moreira Pinto Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Artur Teixeira Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Ricardo Frada Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Pedro Atilano Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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António Miranda Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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ASD has been extensively studied, although the factors that influence the potential for adjacent segment degeneration following spinal fusion remain controversial. 9 Different surgical approaches, from decompression without fusion to non

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Maximilian M. Menger Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Benedikt J. Braun Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Steven C. Herath Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Markus A. Küper Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Mika F. Rollmann Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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Tina Histing Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany

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modern vehicles. 5 Since fractures of the femoral head are usually high-energy, intra-articular injuries, they pose unique challenges for the treating surgeon. Treatment of this injury ranges from simple closed reduction to a surgical approach, which

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Alexandre Sitnik Belarus Republic Scientific and Practical Center for Traumatology and Orthopedics, Kizhevatova str 60-4, 220024 Minsk, Belarus

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Aleksander Beletsky Belarus Republic Scientific and Practical Center for Traumatology and Orthopedics, Kizhevatova str 60-4, 220024 Minsk, Belarus

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Steven Schelkun Naval Hospital, San Diego, California, USA

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shown that in > 80% of cases CT scans provided additional information about the fracture configuration which resulted in a change of the initially planned surgical approach in 64%. 16 Tornetta and Gorup, 16 on the basis of CT investigations of

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Emmanuel Thienpont University Hospital Saint Luc, Brussels, Belgium

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Barrack RL , Smith P , Munn B , Engh G , Rorabeck C . The Ranawat Award. Comparison of surgical approaches in total knee arthroplasty . Clin Orthop Relat Res 1998 ;( 356 ): 16 - 21 . PMID:9917662. 11

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Daniel Herren Schulthess Klinik, Zurich, Switzerland

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several factors, including the surgeon’s experience, the local anatomical situation, especially the bone stock, and the surgical approach. Silicone devices, which act as joint spacers, are by far the most forgiving implants. They provide reproducible

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Julia E J W Geilen Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen and Heerlen, the Netherlands

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Sem M M Hermans Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen and Heerlen, the Netherlands
Care and Public Health Research Institute (CAPHRI) Maastricht University, Maastricht, the Netherlands

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Ruud Droeghaag Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen and Heerlen, the Netherlands
Care and Public Health Research Institute (CAPHRI) Maastricht University, Maastricht, the Netherlands

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Martijn G M Schotanus Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen and Heerlen, the Netherlands
Care and Public Health Research Institute (CAPHRI) Maastricht University, Maastricht, the Netherlands

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Emil H van Haaren Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen and Heerlen, the Netherlands

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Wouter L W van Hemert Department of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen and Heerlen, the Netherlands

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limiting all these related costs, medical practitioners should implement the most cost-effective and patient-specific treatment when clinical outcomes are comparable. Several surgical approaches are used in THA, each with unique advantages and

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Sebastian Siebenlist Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Germany

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Arne Buchholz Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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Karl F. Braun Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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preferred as the most practicable in clinical use. 17 It not only describes fracture morphology but also includes fracture stability and therefore serves as a guide for choice of surgical approach ( Fig. 2 ). Fig. 2 Mayo classification: type

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