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injury and the quality of the initial fixation attempt. Nonunion complicating a well-performed internal fixation should raise concerns regarding infection, lack of compliance, malnutrition, and other comorbidities. However, poor quality of fixation is the
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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plateau fractures treated by open reduction and internal fixation; seven of eight (87.5%) knees became infected ( 54 ). In 2004, Barei et al . reported an 8.4% rate of deep wound infections. Of the infected patients, 3.6% had associated septic arthritis
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definitive management is no longer a mainstay in management. A meta-analysis comparing the management of open tibial fractures showed no difference in the rate of nonunion and infection with external fixation when compared with internal fixation methods
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anatomical reduction and internal fixation of fractures. 2 The objective of surgery is to achieve exact reduction to restore joint congruence, to adequately fix internal bone fragments, avoid displacement of the fracture and allow rapid rehabilitation
Department of Orthopedics, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
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Department of Orthopedics, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
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Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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exclude open fractures, a significant confounder in wound infections post open reduction and internal fixation (ORIF) ( 27 , 28 , 29 , 30 ). Addressing this research gap, our comprehensive meta-analysis examines the effect of smoking on SSI incidence
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Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
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include a wide variety of internal fixation methods, hemiarthroplasty or total hip replacement. The case for arthroplasty was strengthened by the use of bone cement that allows early mobilization of the fractured, elderly and morbid patients. The aims of
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patients over 55 ( 6 ), open reduction internal fixation (ORIF) have not produced satisfactory outcomes in some studies. Litchfield reported a 22.6% non-union rate (7/31) ( 7 ), whilst Beauchamp et al. reported a total complication rate of 50.1% and an
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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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Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University, Kaohsiung, 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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and ‘minimal’ internal fixation (a, b), complicated by joint destruction due to Charcot neuroarthropathy, without signs of infection. It was salvaged with ankle arthrodesis using a rigid fixation construct (plate with locking screws, augmented by
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obtaining optimal restitution of the function. Definitive and immediate treatment of the infection is not always the priority. Bone healing can be the primary objective, as the internal fixation device can be retrieved once consolidation is obtained
