Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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deformity of the fore- and midfoot. Various modifications have been described afterward by several authors, such as Butson or Giannestras ( 5 , 6 ), aiming at achieving stability of the first MTC joint. Today, the modified Lapidus procedure is considered
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laxity as well as recurrent hallux valgus are the main indications in the literature for a corrective fusion of the first TMT joint, the so-called modified Lapidus procedure ( Fig. 7 ). 36 Fig. 7 The modified Lapidus procedure: corrective TMT
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are four possible scenarios: Unrecognised and thus untreated instability of the TMTJ1; Unaddressed intercuneiform instability during a modified Lapidus procedure; Extension malunion of the first ray in a Lapidus procedure
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) and c) the congruent joint and the pathologic distal metatarsal articular angle. The correction has been performed by b) a de-rotating chevron osteotomy in the mild case and by d) a modified Lapidus procedure plus a de-rotating chevron osteotomy in the
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, according to the results of the study groups around Atkinson et al 17 and Choo et al. 27 The osseointegrating Shark Screw is also suitable for proximal (Lapidus) and distal (Chevron/Austin) hallux procedures. Due to its osteoconductive and osteoinductive
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meniscectomies are carried out globally. 3 , 4 It is one of the most popular orthopaedic procedures. But long-term results, even with arthroscopic partial meniscectomy (APM), are not so good and the concept of meniscal preservation has therefore progressed
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versus dorsomedial locked plating for Lapidus arthrodesis: a biomechanical comparison . Foot Ankle Int 2011 ; 32 ( 11 ): 1081 – 1085 . 28. Philpott A Lawford C Lau SC et al. Modified dorsal approach in the
Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK
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NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Leeds, UK
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multicentre trial investigating the use of the agent in both life-threatening bleeding and patients requiring surgery or invasive procedures 68% of participants had cessation of bleeding within 24 h ( 52 , 53 ). Andexanet alfa is a modified recombinant
