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Gherardo Pagliazzi Department of Paediatric Orthopaedics, University of Basel Children’s Hospital, Basel, Switzerland
Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Enrico De Pieri Laboratory for Movement Analysis, University of Basel Children’s Hospital, Basel, Switzerland
Department of Biomedical Engineering, University of Basel, Basel, Switzerland

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Michèle Kläusler Department of Paediatric Orthopaedics, University of Basel Children’s Hospital, Basel, Switzerland

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Morgan Sangeux Laboratory for Movement Analysis, University of Basel Children’s Hospital, Basel, Switzerland
Murdoch Children’s Research Institute, Melbourne, Victoria, Australia
The University of Melbourne, Melbourne School of Engineering, Melbourne, Victoria, Australia

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Elke Viehweger Department of Paediatric Orthopaedics, University of Basel Children’s Hospital, Basel, Switzerland
Laboratory for Movement Analysis, University of Basel Children’s Hospital, Basel, Switzerland
Department of Biomedical Engineering, University of Basel, Basel, Switzerland

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studies attempted to find a correlation between overuse injuries and anatomical malalignment ( 3 , 22 , 23 ) in young populations. The term ‘miserable misalignment’, first used by Stanley J. in 1979 to indicate a condition of excessive femoral neck

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Jonathan G. Robin Box Hill Hospital, Eastern Health Network, Australia

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Philippe Neyret Lyon 1 University, France

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plane malalignment and in a stable knee. 1 The aim is to off-load the symptomatic affected compartment by correcting the coronal deformity present in the tibia and thereby reducing pain and improving function. HTO techniques for varus malalignment

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Nicola Krähenbühl Cantonal Hospital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland

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Tamara Horn-Lang Cantonal Hospital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland

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Beat Hintermann Cantonal Hospital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland

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Markus Knupp Mein Fusszentrum, Eichenstrasse 31, 4054 Basel, Switzerland

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and alignment of the hindfoot play a key role. 53 , 54 Both factors can derive from intra-articular pathologies (e.g. post-traumatic malalignment of the tibial plafond) or pathologies of adjacent structures (e.g. tendon insufficiency). The latter

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Xue Ling Chong Centre Assal SA, Foot and Ankle Surgery Centre, La Colline, Geneva, Switzerland

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Lisca Drittenbass Centre Assal SA, Foot and Ankle Surgery Centre, La Colline, Geneva, Switzerland

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Victor Dubois-Ferriere Centre Assal SA, Foot and Ankle Surgery Centre, La Colline, Geneva, Switzerland

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Mathieu Assal Centre Assal SA, Foot and Ankle Surgery Centre, La Colline, Geneva, Switzerland

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surgeons solve this challenging and recurrent issue. We have classified the causes of iatrogenic transfer metatarsalgia based on a multiplanar assessment of the alignment of the operated first ray. According to the type of malalignment, we present a

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Nuno Marques Luís Knee and Ankle Surgery, Arthroscopy and Sports Trauma Unit; Orthopedic Center, Hospital Cuf Descobertas, Lisbon, Portugal

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Ricardo Varatojo Knee and Ankle Surgery, Arthroscopy and Sports Trauma Unit; Orthopedic Center, Hospital Cuf Descobertas, Lisbon, Portugal

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information. Definition of human normal limb alignment and malalignment are formulated from statistics. Thereby, the deformities of the lower limb are defined as a deviation of the physiological axes. Limb alignment deformities may have a congenital or

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Maria Tennyson Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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Matija Krkovic Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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Mary Fortune The Department of Public Health & Primary Care, Strangeways Research Laboratory, Cambridge, UK

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Ali Abdulkarim Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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fragment technically difficult. 6 , 7 This can result in malalignment, malunion, and pain. 6 – 9 The term blocking screw was first introduced by Donald and Seligson in 1983 – as they ‘block’ the nail from malreducing the fracture. 10 Krettek

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Fabian Krause Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Helen Anwander Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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patients with OLT present ankle ligament laxity and 39% of patients with ankle instability present with an OLT ( 5 , 6 ). Subsequently, acute trauma and repetitive micro-traumata due to ankle instability and/or hindfoot malalignment seem to be a leading

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Ahmed Mabrouk Mid Yorkshire Teaching Hospitals, Yorkshire, United Kingdom
Institut du mouvement et de l’appareil locomoteur, Marseille, France

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Jae-Sung An Institut du mouvement et de l’appareil locomoteur, Marseille, France

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Kristian Kley Orthoprofis Hannover, Hannover, Germany

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Komal Tapasvi The Orthopaedic Speciality Clinic, Pune, India

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Sachin Tapasvi The Orthopaedic Speciality Clinic, Pune, India

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Matthieu Ollivier Institut du mouvement et de l’appareil locomoteur, Marseille, France

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lower limb malalignment can threaten the success of these procedures with consequent failures ( 6 , 7 , 8 ). Hence, knee osteotomy is becoming more popular as an additional procedure with cartilage repair surgeries in cases of malalignment to improve

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Javier Pizones Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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Eduardo García-Rey Hip Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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a conventional radiograph. In the case of the spine, alignment evaluates the correct (malalignment being the incorrect) positioning of the spinal curves when maintaining the head over the pelvis. 4 , 7 The classic parameter to measure alignment

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Carlos Maynou CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Christophe Szymanski CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Alexis Thiounn CHU Lille, Orthopaedic Department, F-59000 Lille, France

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adduction, and hindfoot varus or high calcaneal pitch. 1 , 2 Cavovarus deformity can be classified according to the severity of malalignment ranging from a subtle and flexible cavovarus foot to a severe and fixed cavovarus deformity. There are many

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