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motion activities within the first week and then strengthening exercises with a specific focus on scapular stabilisation. During this time, heavy lifting and contact sports must be avoided to allow ligament healing. 7 Surgical treatment, mostly used
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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instrumentations ( 47 ). Surgical management The main indication for surgical management of SK is (1) painful kyphotic deformity that does not respond to non-surgical treatment, (2) cosmetically displeasing deformity, (3) functionally progressive curve or
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. This in itself imparts inherent limitations on the success of treatment; however, the surgical rationale to, where possible, provide a well-aligned, mobile, pain-free foot and ankle is sound and logical. To ensure that this surgical objective is
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after the treatment do not differ significantly between the surgical options. 19 Fig. 1 a) Clinical photograph of a 14-year-old patient with right-sided rib hump on Adam’s forward bending test. This is an important sign of the rotational
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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of evidence, the best treatment strategy for MLKIs remains unclear. It is generally accepted that acute-phase or staged surgical reconstructions give the best results. In addition, an effective repair can only be achieved within the first three weeks
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knee, coupled with the more anatomical techniques of reconstruction, have led to an increased interest in the surgical treatment of these injuries. This article will discuss the current treatment options in isolated and combined medial side injuries
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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extensive soft tissue damage, definitive treatment with a hybrid external fixator may also be considered ( Fig. 1 ). Several studies have supported the use of the fixator in cases where surgical approaches to healthy areas are not considered for ORIF ( 9
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Faculty of Medicine Siriraj Hospital, Mahidol University
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The Steadman Clinic, Vail, Colorado, USA
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The Steadman Clinic, Vail, Colorado, USA
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dependent on age, rupture morphology, and patient expectations. Regardless, if non-operative treatment fails, surgical treatment should be considered. Treatment of MIRCTs remains a challenging dilemma for surgeons. The intricate interaction between an
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review n Study Year Periods Design Surgical treatment Patients (n) Mean age (yrs) Follow-up (mths) 1 Archdeacon et al 13 2013 2000-2009 Retrospective ORIF 38 80 34 2 Bastian et al 14
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union of the fracture, treatment of the pathological fracture is usually less urgent. It is more important to assess the patient’s general condition, the primary tumour site and prognostic factors than to determine the precise surgical procedure, e
