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(MIPO) is the most accepted technique, when applicable; 1 other options are the classical open reduction and internal fixation (ORIF), fluoroscopy-assisted procedures, and arthroscopically-assisted reduction and internal fixation (ARIF). Fluoroscopy
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, the management of AC joint injuries has been shifted from open surgical procedures towards less invasive, arthroscopically-assisted or all-arthroscopic procedures. The principle advantage of arthroscopy is that it allows the patient early release
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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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pain and supersede implant removal, but prospective studies with a high scientific quality are missing to justify routine clinical use. 44 Arthroscopic-assisted open reduction and internal fixation (AORIF) In recent years, there has been a
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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also be identified. MRI will identify a ruptured LCL, scar tissue ( Fig. 4 ), and cartilage damage that can negatively impact outcome, along with common extensor avulsion injury. The MRI can often help guide diagnosis but more commonly assists in
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assisted reduction In the case of a mild articular surface depression and an intact columnar wall (pure articular depression; Schatzker Type III ‘zero-column fractures’ or AO Type B2), ARIF may be considered ( Fig. 7 ). 26 This arthroscopic procedure
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scarred ( 17 ). In recent years, interest in less invasive methods to perform lateral ligament repair has increased, including arthroscopic techniques ( 18 , 19 , 20 ). Arthroscopic-assisted repair combines arthroscopic repair with a percutaneous or
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. Arthroscopic-assisted minimally invasive total knee arthroplasty . Arthroscopy 2011 ; 27 : 290 - 293 . 44. Elmadağ M Imren Y Erdil M Bilsel K. Tuncay I . Excess retained cement in the posteromedial
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-articular injuries make arthroscopic fixation a good substitution method. The use of arthroscopy in the reduction and fixation of bony PCL avulsion was first introduced about 35 years ago with arthroscopic-assisted percutaneous screw fixation in a cadaveric model
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preserving the foundational principles established by Albert Trillat, the surgical technique has been documented to encompass the open method as originally described ( 2 , 4 ), the arthroscopically assisted ( 5 ), and the comprehensive all-arthroscopic
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described the concept of “significant bone loss” that brings about the failure of arthroscopic Bankart repair. They emphasised this important risk factor related to recurrent instability — the significant bone defect of the humeral head that engages with the