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elderly is constantly increasing and, given the potential complications of operative treatment, attention has been recently drawn to the non-operative management of these fractures, although the results are still controversial. 3 , 16 – 19 The aim of
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University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark
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fractured fibula was subjected to non-operative treatment in 309 patients, resulting in 113 postoperative varus/valgus deviations of the tibia. When the fibula had been fixed, only 25 patients suffered from a postoperative varus/valgus deviation > 5°. The
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Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
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Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland
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and what would be the best way to achieve this? 2) Which fractures should we treat operatively? 3) How can we predict fracture behaviour during non-operative treatment and based on what premises should we intervene to maximize the
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⩾ 6 mm. 44 Accurate and reproducible imaging and measurement methods should be developed if shortening is to be used as a radiographic indicator for surgery. Non-operative treatment Conservative treatment consists of pain reduction by
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open reduction and internal fixation (ORIF) or minimally invasive plate osteosynthesis (MIPO), and retrograde and antegrade intramedullary nailing (IM) ( 6 , 8 , 9 ). Complications of both conservative and operative treatment approaches are non
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data are available on treatment concepts of fractures of the scapular spine. There is no consensus as to whether operative or non-operative treatment is superior. Furthermore, it is unclear whether the two scenarios – fracture with or without RSA
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, with 90% of patients recovering within one year. Patients with severe or persistent symptoms are suitable for treatment with further conservative or operative options. 4 Aetiology and pathogenesis In the majority of cases, non
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St George’s, University of London, London, UK
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St George’s, University of London, London, UK
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time of injury, sex); mechanism of injury; associated conditions i.e. osteogenesis imperfecta (OI); fracture classification used; criteria for surgical intervention; non-operative treatment details; operative intervention details; post-operative
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absolute radiographic measurements. 13 A classification to describe the position of the sesamoids in relation to the first metatarsal has been introduced by Hardy and Clapham, but is rarely used in clinical practice. 9 Non-operative treatment
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should be the primary approach for stable JOCD of the knee. Although there is a lack of evidence for specific non-operative treatments, most authors recommend at least three to six months before the decision for surgical treatment. Non-operative treatment
