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Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands
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drainage by aspiration (arthrocentesis), arthroscopy or arthrotomy followed by intravenous antibiotics, according to the guideline of the European Society for Paediatric Infectious Diseases (ESPID). 1 However, the literature is scarce with respect to
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to antibiotics. 2 In septic arthritis, prompt clearance of the inflammatory products from the joint space is required. The exact mode (arthrotomy vs arthroscopy vs aspiration) has been the topic of controversy. Septic arthritis of the hip in
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survival rate. The approach proceeds in three successive steps: First: arthrotomy by opening the rotator cuff. In the deltopectoral approach, an anterior arthrotomy is performed by opening the subscapularis muscle. This step is not justified in the
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the presence of multiple scars from surgeries that have been performed a long time previously, a mid-line approach is the least disruptive approach. 8 Medial parapatellar arthrotomy Medial parapatellar arthrotomy ( Fig. 1 ) is the standard
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design Control group MINORS score Khazi ZM 11 Arthroscopy 2020 Retrospective case control Arthrotomy 15/24 Kao FC 12 Medicine (Baltimore) 2019 Retrospective case serie NO 13/16 Kim CH 13
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AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile
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Hospital Base de Valdivia, Valdivia, Chile
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Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile
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of injury should be investigated using additional techniques, such as MRI and mini-arthrotomy in order to manage the injury effectively. The incidence of compartment syndrome is low, but can be devastating if not detected and treated properly. The
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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to patellar or quadriceps tendon rupture, patellar fracture or dehiscence of the repaired arthrotomy site. The patients are older and many have medical co-morbidities. The quality of the soft tissues may be attenuated due to infection, multiple
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posterior partial fractures, a modified posterolateral approach may be helpful. 16 In a lateral recumbent position, a skin incision is performed along the long biceps tendon and the proximal fibular line. Conventional anterolateral arthrotomy is
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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South-West London Elective Orthopaedic Centre, Epsom, UK
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Shamir Medical Center, Zriffin, Israel
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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when using cruciate-retaining TKA design Patella resurfacing Lateral facetectomy Lateral arthrotomy with Z-plasty of retinaculm +/-Restricted KA-TKA to reduce severe constitutional valgus deformity, if any. +/- Tibial tuberosity osteotomy +/- MPFL
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can occur during surgical exposure of a stiff knee. When performing a medial parapatellar arthrotomy, it is important to leave a sleeve of periosteal tissue medial to the tibial tubercle and carefully elevate a maximum of 40% of the tibial tubercle to