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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fixation IO FIX® (Extr. Medical) + compression screw Plantar plate with compression screw Plantar locking plate (Wright Medical) + compression screw (Königssee Implant) Baxter et al. ( 22 ) 2014 USA Yes
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tendinous extensor attachment, but the extensor tendons form a sling-like aponeurotic structure which encircles the MTPJ. This apparatus merges with the plantar plate before inserting on the plantar base of the proximal phalanx. It is termed the extensor
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biomechanical stability than non-locking plates. 25 Current interlocking plate designs are pre-contoured and have a low profile in order to contain smaller fragments, provide more locking options, and avoid skin irritation ( Fig. 6 ). Fixation strength of a
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patients with hallux valgus deformity. 26 The modified Lapidus procedure typically consists of an isolated fusion of the first TMT joint with a lateral and plantar closing-wedge osteotomy of the medial cuneiform. Different types of fixation of the
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; bone grafting of depressed articular and metaphyseal defects; fixation of the metaphysis to the diaphysis with a medial plate. Reported results of this proposed technique are very good: in 84 pilon fractures, the authors noticed wound
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). Care should be taken during the osteotomy so that the plantar hinge is preserved. The osteotomy should be as proximal as possible at the level of the metatarsal and secured with a dorsal plate 2.4 mm. The amount of opening dorsally is dictated by the
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necessary stability. In the case of an arthrodesis of the Lisfranc joint, a plantar plate plus a compression screw appear to be superior and is more in line with the biomechanical principles of the Association for the Study of Internal Fixation (ASIF
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University Hospital for Orthopaedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany
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Joint preparation Joint fixation Weight-bearing Follow-up, months Non-union, n (%) F-O-F Cx/Cn HI P+S CPCS CS Plate Other α FWFPS FWHWS PW No Yes Asif et al. ( 29 ) 104 - 104 - - - 104
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medial plates for their fixation ( Fig. 6 ). 25 Fig. 6 Complex fractures may require a combination of different plates and approaches for fixation. In the majority of pilon fracture cases, posterior fragments can be addressed directly or
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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
