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may develop after an ankle sprain, probably due to a tear of the peroneus longus muscle or an injury to the peroneal artery. 59 Management Conservative approach Acute ankle injury can be managed conservatively using various by RICE
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– indication for operative management of the PM fragment, for example 25% of the articular surface, is now replaced by a morphology-adapted approach. Here the biomechanical aspect of the unstable syndesmosis is the key ( 25 , 26 ). A direct posterolateral
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the fracture morphology, degree of joint depression and appropriate surgical approach. 4 , 5 Luo et al 4 recently described a CT-based three-column model to evaluate tibial plateau fractures and clinical decision-making ( Fig. 1 ). According
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. Current treatment approach involves rest, ice, compression, and elevation followed by active range of motion, neuromuscular training and peroneal strengthening, since a large majority of these injuries are successfully treated conservatively. 1 , 8 , 12
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acute, isolated syndesmotic injuries. The applied classification systems and diagnostics were discussed with current literature and a best evidence diagnostic approach was proposed. Materials and methods The systematic review was conducted
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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aimed at the patient’s safety and well-being. Thus, this study explored this topic with a systematic approach to highlight the evidence by summarizing the biomechanical studies for the MTC joint fusion with the modified Lapidus approach. The Lapidus
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Department of Surgery, EOC, Service of Orthopaedics and Traumatology, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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array of approaches, including nonsteroidal anti-inflammatory drugs (NSAIDs), heel pads or orthoses, physiotherapy, physical therapies such as extracorporeal shock wave therapy (ESWT), ultrasound therapy, or low-level laser therapy, and injections of
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complications, such as wound infection, sural nerve injury and failure of the implants. 3 , 13 - 15 Open reduction and internal fixation ORIF with plate and screws (locking or non-locking plates) via an extensile lateral L-shaped approach has been
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Introduction Hindfoot pathologies can be seen after acute traumatic incidents or as a sequelae of chronic conditions. In general, traditional open approaches can be used effectively for the treatment of these pathologies but open surgery of
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. Approaches can be open, minimally invasive or percutaneous. Percutaneous approaches to the hallux are becoming increasingly popular and constant improvements are reported. 1 , 2 Nevertheless, to date, no strong evidence exists regarding their superiority