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Haroon Majeed Wrightington Hospital, UK

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James Barrie Royal Blackburn Hospital, UK

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Wendy Munro University of Salford, UK

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Donald McBride The Royal Stoke University Hospital, UK

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internal fixation (ORIF), minimally invasive reduction with percutaneous fixation (MIRPF) or primary arthrodesis. Controversies and variable opinion exist among foot and ankle surgeons regarding the choice of operative or non-operative treatment. The

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Ting-Yu Tu Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan

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Chun-Yu Chen Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan
Department of Occupational Therapy, Shu-Zen Junior College of Medicine and Management, Kaohsiung City, Taiwan
Department of Biomedical Engineering, I-Shou University, Kaohsiung City, Taiwan

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Pei-Chin Lin Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan

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Chih-Yang Hsu Department of Internal Medicine, Division of Nephrology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

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Kai-Cheng Lin Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan

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Review and Meta-analysis (PRISMA) guidelines. PubMed, Cochrane, Embase, and Scopus databases were searched up to June 18, 2021, using the following search terms: ederly, acetabular fracture, replacement, and open reduction and internal fixation (ORIF

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Heri Suroto Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia
These authors contributed equally to this work

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Brigita De Vega Institute of Orthopaedics and Musculoskeletal Science, University College London, London, UK
Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
These authors contributed equally to this work

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Fani Deapsari Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

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Tabita Prajasari Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia

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Pramono Ari Wibowo Department of Orthopaedics & Traumatology, Dr. Soetomo General Hospital / Universitas Airlangga, Surabaya, Indonesia

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Steven K. Samijo Department of Orthopaedics and Traumatology Zuyderland Medisch Centrum, Heerlen, the Netherlands

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patterns such as displaced three- or four-part PHF cause their own challenges. Several surgical intervention options for the treatment of complex PHF are open reduction and internal fixation (ORIF) and arthroplasty/joint replacement (either hemiarthroplasty

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Lorenzo Massimo Oldrini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Alessandro Sangiorgio Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Pietro Feltri Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Francesco Marbach Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Giuseppe Filardo Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland

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Christian Candrian Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland

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displaced or unstable fractures require surgical treatment to achieve an optimal functional outcome ( 8 , 9 ). Various surgical techniques, like open reduction and internal fixation (ORIF) with proximal humeral plate, intramedullary nailing, and

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Olga D. Savvidou First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Frantzeska Zampeli First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece

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George D. Chloros First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Aggelos Kaspiris Department of Trauma and Orthopaedics, Thriasio General Hospital-NHS, Athens, Greece

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Savas Sourmelis First Department of Orthopaedics, Hygeia Hospital, Athens, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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women older than 60 years. 2 Open reduction and internal fixation (ORIF) is the treatment of choice for these fractures. 3 , 4 Achieving rigid internal fixation and anatomical reconstruction by restoring the two columns and the articular

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Alexandre Sitnik Belarus Republic Scientific and Practical Center for Traumatology and Orthopedics, Kizhevatova str 60-4, 220024 Minsk, Belarus

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Aleksander Beletsky Belarus Republic Scientific and Practical Center for Traumatology and Orthopedics, Kizhevatova str 60-4, 220024 Minsk, Belarus

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Steven Schelkun Naval Hospital, San Diego, California, USA

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treatment Adequate restoration of displaced articular fractures cannot usually be achieved by closed reduction methods so open reduction and internal fixation (ORIF) remains the mainstay of surgical treatment of these injuries. Some authors have advocated

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Frédéric Vauclair Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Patrick Goetti Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Ngoc Tram V. Nguyen Mayo Clinic, Rochester, Minnesota, USA

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

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, such as anatomic precontoured locking plates for open reduction and internal fixation (ORIF), and a better understanding of the surgical principles and objectives to consider in order to optimize internal fixation, nonunion after internal fixation of

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Stefan Rammelt University Center of Orthopaedics & Traumatology, University Hospital Carl Gustav Carus, Dresden, Germany

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, 8 including one prospective-randomised study in patients above 55 years of age 8 found significantly better results after open reduction and internal fixation than after non-operative treatment for displaced malleolar fractures in the elderly

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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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widespread use of CT based that decision on plain lateral radiographs; internal fixation was recommended when the amount of fracture exceeded 50% of the height of the coronoid. With the advent of CT with three-dimensional rendering, the understanding of

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Josep Muñoz Vives Hospital Nostra Senyora de Meritxell, Andorra, Spain

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Jean-Christophe Bel Hospices Civils de Lyon, Lyon, France

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Arantxa Capel Agundez Hospital Universitario 12 de Octubre, Madrid, Spain

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Francisco Chana Rodríguez Hospital General Universitario Gregorio Marañón, Madrid, Spain

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José Palomo Traver Hospital General de Castelló, Castelló de la Plana, Spain

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Morten Schultz-Larsen Odense Universitetshospita, Odense, Denmark

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Theodoros Tosounidis Leeds General Infirmary, Leeds, UK

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that case, examination under anaesthesia should be performed immediately after internal fixation and an arthroscopy done at the same index operation if indicated. In a Fraser type II knee, an MRI prior to surgery can help to indicate the need to proceed

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