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Francisco Figueroa Knee Unit, Hospital Dr Sotero del Rio, Chile; Knee Unit, Clinica Alemana-Universidad del Desarrollo, Chile

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David Figueroa Knee Unit, Clinica Alemana-Universidad del Desarrollo, Chile

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João Espregueira-Mendes Clínica do Dragão, Espregueira-Mendes Sports Centre - FIFA Medical Centre of Excellence, Portugal; Dom Henrique Research Centre, Portugal; 3B’s Research Group – Biomaterials, Biodegradables and Biomimetics, University of Minho, Portugal; ICVS/3B’s–PT Government Associate Laboratory, Portugal; Orthopaedics Department of Minho University, Portugal

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shown to correlate with patient sex, height, body mass index (BMI) and thigh circumference. 12 - 16 Biomechanical studies have demonstrated that the strength of a graft tendon is related to its size and that the smaller the size of the tendon, the

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Emilio Calvo Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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María Valencia Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Antonio Maria Foruria Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Juan Aguilar Gonzalez Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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, 22 ). Not only are important the size of the glenoid bone and Hill–Sachs lesions but also the status of the transferred coracoid graft. CT scan is necessary not only to measure the glenoid track but also to evaluate the position of the graft as well

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Marc Saab CHU Lille, Orthopaedic and Traumatology Department, Hôpital Roger Salengro, Lille, France
University of Lille, INSERM, CHU Lille, U1008 – Advanced Drug Delivery Systems and Biomaterials, Lille, France

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Cédric Zobrist University of Lille, CNRS, INRAE, Centrale Lille, UMR 8207 – UMET – Unité Matériaux et Transformations, Lille, France

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Nicolas Blanchemain University of Lille, INSERM, CHU Lille, U1008 – Advanced Drug Delivery Systems and Biomaterials, Lille, France

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Bernard Martel University of Lille, CNRS, INRAE, Centrale Lille, UMR 8207 – UMET – Unité Matériaux et Transformations, Lille, France

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Feng Chai University of Lille, INSERM, CHU Lille, U1008 – Advanced Drug Delivery Systems and Biomaterials, Lille, France

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grafting (usually from 6 weeks to 3 months), it requires two surgical interventions during two prolonged hospitalizations ( 2 ). The relative immobility of the patient for several weeks has not only physical consequences, like amyotrophy and joint

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Elena Gálvez-Sirvent Department of Orthopaedic Surgery, ‘Infanta Elena’ University Hospital, Valdemoro, Madrid, Spain

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Aitor Ibarzábal-Gil 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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the previously implanted nail. Nonunions with bone defects: grafts and bone substitutes The morbidity of the donor zone is eliminated with allografts, as well as being able to obtain numerous bone shapes and sizes (demineralized, cancellous

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain
Osteoarticular Surgery Research, La Paz Hospital Health Research Institute – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain

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Primitivo Gómez-Cardero Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain

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

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moderate-sized contained defects, in the form of impaction grafts with morselized cancellous bone. 25 – 28 To ensure the implant’s stability, the bone fragments of the graft should be approximately 3 to 5 mm in diameter. The impaction force should also be

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Bedri Karaismailoglu Ayancik State Hospital, Department of Orthopaedics and Traumatology, Sinop, Turkey

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Mehmet Fatih Guven Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Mert Erenler Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Huseyin Botanlioglu Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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placement of the graft, the blood supply of the graft might diminish or become disrupted completely. Preoperative planning of the graft size and intraoperative adaptation of graft size to the defect area are required to restore scaphoid height and correct

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Joanna Baawa-Ameyaw Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Ricci Plastow Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Fahima Aarah Begum Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Babar Kayani Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Hyder Jeddy Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Fares Haddad Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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-term anterior knee pain compared to BPTB grafts. The maximum load to failure in HT autografts is 4500 Newtons (N) compared to 2600 N in BPTB grafts. The main limitations of HT autografts are residual hamstring weakness, unpredictable graft size and saphenous

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Simon A. Hurst Department of Trauma & Orthopaedic Surgery, Imperial College, St Mary’s Hospital Campus, London, UK

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Thomas M. Gregory Department of Trauma & Orthopaedic Surgery, Avicenne Teaching Hospital, University of Paris 13, Bobigny, France
Department of Mechanical Engineering, Imperial College, London, UK

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Peter Reilly Department of Trauma & Orthopaedic Surgery, Imperial College, St Mary’s Hospital Campus, London, UK

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symptoms Warner et al 23 1998 JBJS ORIF using 3.5 mm cannulated screws + TBW and iliac crest bone grafting Open Prospective single centre case series 14 In favour of ORIF with cannulated screws, TBW, and iliac crest graft

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Paul L Rodham Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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Vasileios P Giannoudis Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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Nikolaos K Kanakaris Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland
Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland

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Peter V Giannoudis Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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wider range of indications. Cancellous bone graft is the mainstay of the induced membrane technique in the management of critical bone defect. Using this technique, union rates of between 80 and 90% are achievable with defect sizes up to 25cm ( 7 ). In

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Luca Pierannunzii Gaetano Pini Orthopedic Institute, Milan, Italy
IRCCS Galeazzi Orthopedic Institute, Milan, Italy

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Luigi Zagra Gaetano Pini Orthopedic Institute, Milan, Italy
IRCCS Galeazzi Orthopedic Institute, Milan, Italy

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stock-restoring techniques (namely bone grafting), although in the last decade the availability of modular porous metal augments 1 , 2 has introduced a viable alternative, especially attractive for older patients unlikely to undergo further

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