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Paul Hoogervorst OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam

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Peter van Schie OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam

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Michel PJ van den Bekerom OLVG Amsterdam, Department of Orthopaedics and Traumatology, Amsterdam

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incidence of clavicle fractures has increased in recent years and the operative treatment of these fractures has increased disproportionately. 2 , 3 Clavicle fractures are most commonly classified according to the Allman classification and/or the

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Olga D. Savvidou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, Mediterraneo Hospital, Athens, Greece

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Angelos Kaspiris Laboratory of Molecular Pharmacology/ Sector for Bone Research, School of Health Sciences, University of Patras, Patras 26504, Greece

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Leon Naar First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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George D. Chloros First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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distraction of the triceps tendon. 1 , 2 Operative treatment, in order to restore articular congruity, has been the standard choice of care. 5 , 6 However, patients with comorbidities and elderly patients are at increased risk for postoperative

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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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Philipp Vetter Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Christophe Kurze Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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Chui J Farn Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Department of Orthopedic Surgery, National Taiwan University Hospital, Taiwan, Republic of China

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

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% ( 2 , 3 ). Numerous invasive therapies have been described; however, consensus particularly for bigger lesions has yet to be found ( 4 ). The first operative treatment introduced was the sole debridement of unstable cartilage. Today, bone marrow

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Hakan Ömeroğlu TOBB University of Economics and Technology, Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Manuel Cassiano Neves CUF Descobertas Hospital, Department of Paediatric Orthopaedics, Lisbon, Portugal

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, operative treatment in children’s fractures was rarely indicated and this belief was based on the metabolic, anatomic and physiologic characteristics of the skeleton in children, which would lead to rapid fracture healing and remodelling with lower rate of

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Felix Kurt Massen Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Seth Shoap Trauma Training Center, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York, USA

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J Turner Vosseller Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York, USA

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Weija Fan Mailman School of Public Health, Department of Biostatistics, Columbia University, New York, New York, USA

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John Usseglio Augustus C. Long Health Sciences Library, Columbia University Irving Medical Center, New York, New York, USA

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Wolfgang Boecker Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Sebastian Felix Baumbach Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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Hans Polzer Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany

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outcomes, as well as RTW/RTS among different rehabilitation protocols following operative treatment of acute Achilles tendon ruptures. Materials and methods The systematic review was conducted according to the Preferred Reporting Items for

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Andreas Frodl Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Benjamin Erdle Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany

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Hagen Schmal Department of Orthopedics and Traumatology, Freiburg University Hospital, Freiburg, Germany
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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Toni Luokkala Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland

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Minna K. Laitinen Department of Orthopaedics, Helsinki University Hospital, Helsinki, Finland

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Teemu P. Hevonkorpi Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland
Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland

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Lauri Raittio Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland

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Ville M. Mattila Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland

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Antti P. Launonen 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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Julia Sußiek Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Philipp A. Michel Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Michael J. Raschke Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Benedikt Schliemann Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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J. Christoph Katthagen Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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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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Lars Adolfsson Department of Orthopaedics, University Hospital of Linköping, Sweden

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limitation of mobility and conditions causing pain and instability are usually strong indicators for treatment. Conservative treatment In the absence of mechanical conflicts causing restricted joint movement, such as malunion, dislocation and HO, non-operative

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Maria Anna Smolle Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Sandra Bösmüller AUVA Trauma Centre Vienna Meidling, Vienna, Austria

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Paul Puchwein Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Martin Ornig Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Andreas Leithner Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Franz-Josef Seibert Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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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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