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four external fixators, two expandable nails, 16 plates and six conservative treatments with plaster of Paris. All had undergone a change to a reamed IM nail, with a 2-cm fibular osteotomy resection and with application of autograft obtained from
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland
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AO Research Institute Davos, Davos Switzerland
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) transsyndesmotic fibula fracture with a medial malleolar fracture after closed reduction of the distal fibula and stabilization with a retrograde fibular nail and open reduction of the medial fracture and stabilization with a compression screw and a K
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patient. Tibiotalocalcaneal (TTC) nailing is a viable alternative to ORIF. This involves the insertion of an intramedullary nail through the plantar surface of the calcaneus, subtalar, and tibiotalar joints into the tibial canal. Advantages include its
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University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark
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’s complexity and associated risks are arguments against it. Osteosynthesis of the tibia is usually done by intramedullary nailing, 1 fibular osteosynthesis usually by plating. 2 , 3 We carried out a meta-analysis to discover whether our hypothesis
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comparison study of a modern fibular nail and distal fibular locking plate in AO/OTA 44C2 ankle fractures . Journal of Orthopaedic Surgery and Research 2016 11 100. ( https://doi.org/10.1186/s13018-016-0435-5 ) 35. Dingemans SA Lodeizen OAP Goslings
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fractures. Metaphyseal fractures treated with statically locked intramedullary nails but with additional procedures such as fibular plating. AO classification (43 A1, 5; 43 A2, 11; 43 A3, 4) Krettek et al 11 1999 Germany Case series
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surgery to become a feasible treatment option in a larger number of patients ( 9 , 10 ). Li et al . reported no survival benefits of amputation in comparison to limb salvage surgery for osteosarcomas ( 11 ). Therefore, distal fibular resection became the
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patients with vulnerable skin conditions, an intramedullary fibular nail may be used to minimise soft tissue compromise. 36 Another simple option to enhance fixation of the distal fibula is the use of a hook plate. 2 , 37 Cement augmentation
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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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contrast to open surgical fixation of distal fibular fractures, a percutaneous method was developed to minimize soft tissue stress while providing a reliable fixation method. Biomechanically, an intramedullary fibular nail provides a robust construct
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complications. 31 In such a scenario, the stabilisation of the fibular fracture with a rod or titanium elastic nail may be an alternative, although Lee et al 32 found a lower rate of malunion and ankle arthrosis when the fibula was fixed by plating
