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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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exceeds 9.3 kPa continuously for more than 2–3 h. To date, however, there are no clear recommendations as to how long a pelvic truss can be safely maintained ( 20 ). Supra-acetabular external fixation and pelvic C-clamp Anterior external fixators

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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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José M. Martínez-Diez Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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Introduction External fixators (EF) are essential tools in trauma emergencies. EF in the emergency department (ED) is used as a provisional method for stabilizing complex, open fractures, for treating fractures in the presence of burns

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Arvin Eslami Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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Mohammadreza Chehrassan Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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Shaya Alimoghadam Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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Karim Pisoudeh Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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Amir Kasaeian Digestive Oncology Research Center, Digestive Diseases Research Institute; Research Center for Chronic Inflammatory Diseases; Clinical Research Development Unit, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Omid Elahifar Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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.0%) 8 (66.7%) 4 (33.3%) 12 (100%)  External fixator 5 (62.5%) 3 (37.5%) 3 (37.5%) 5 (62.5%) 8 (100 %)  Symphyseal plating 5 (100%) 0 (0.0%) 4 (80.0%) 1 (20.0%) 5 (100%)  Iliosacral plating 1 (100%) 0 (0

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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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approach using external fixation is recommended in complex patterns and high-energy trauma, especially in cases of axial instability. Knee-spanning external fixators can be used to approximate the fracture fragments by the process of ligamentotaxis. 1 , 6

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Chilan Bou Ghosson Leite Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Patricia Moreno Grangeiro Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Diego Ubrig Munhoz Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Pedro Nogueira Giglio Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Gilberto Luis Camanho Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Riccardo Gomes Gobbi Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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bone deformities. 7 Different devices are used for limb lengthening, including monolateral fixators, circular external fixators or intramedullary nail. Regardless of the method, complications may occur, 7 and one of the major concern relates

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Jordi Tomás-Hernández Department of Orthopaedic and Trauma Surgery, Hospital Vall d’Hebron, Barcelona, Spain

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external fixation with or without limited ORIF can be a good option. Hybrid external fixators are attached to the distal tibial epiphysis through a partial ring with tensioned wires. Proximally, the hybrid fixator is constructed from conventional external

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Matías Sepulveda Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, LEGEC Expert Group, Davos, Switzerland

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Gabriel Orellana Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Francisco Sanchez Clínica Puerto Varas, Puerto Varas, Chile
Clínica Puerto Montt, Puerto Montt, Chile

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

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distraction external fixator and a subperiosteal metaphyseal osteotomy is performed. The bone callus that forms in the osteotomy focus is elongated progressively. This technique is usually selected in cases where the desired elongation is greater than or equal

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Joaquín Sanchez-Sotelo Mayo Clinic, Rochester, Minnesota, USA

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Mark Morrey Mayo Clinic, Rochester, Minnesota, USA

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a medial soft-tissue repair or adding a temporary external fixator. Medial exposure of the elbow does add some morbidity. Soft-tissue disruption often includes not only the medial collateral ligament but also the common flexor pronator group. All

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Abdel Rahim Elniel Leeds Teaching Hospitals Trust, UK

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Peter V. Giannoudis Academic Department of Trauma and Orthopaedics, Leeds Teaching Hospitals, University of Leeds, UK; NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, UK

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. The BOA/BAPRAS standards recommend provisional stabilization before definitive fixation, unless this can be achieved at primary debridement. In such cases spanning external fixation is recommended. 23 , 24 The use of external fixators in

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Rui Zhang Department of Orthopedics, Shanghai Jiao Tong University affiliated Sixth People’s Hospital, Shanghai, China

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Xiaoyu Wang Department of Orthopedics, Shanghai Jiao Tong University affiliated Sixth People’s Hospital, Shanghai, China

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Jia Xu Department of Orthopedics, Shanghai Jiao Tong University affiliated Sixth People’s Hospital, Shanghai, China

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Qinglin Kang Department of Orthopedics, Shanghai Jiao Tong University affiliated Sixth People’s Hospital, Shanghai, China

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Reggie C Hamdy Department of Pediatric Surgery, Montreal General Hospital, Montreal, Quebec, Canada

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, 34 ). Bor et al. ( 10 ) reported four patients who were treated with closed reduction, proximal ulnar osteotomy, and Ilizarov external fixator received good clinical outcomes. Similar results were then reported by Take et al. ( 10 , 45 ) and

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