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Orthopedics and biomechanics

Section edited by Umile Giuseppe Longo

This section concerns all aspects of orthopedic treatments for musculoskeletal disorders including but not limited to: orthopedic surgery and related biomechanics, non-surgical orthoses, and tissue engineering.

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  1. Allografts and polyetheretherketone (PEEK) cages are the two most commonly used materials in anterior cervical discectomy and fusion (ACDF). However, their effectiveness in two-level ACDF remains controversial...

    Authors: Ing How Moo, Carmen Jia Wen Kam, Maksim Wen Sheng Lai, William Yeo and Reuben Chee Cheong Soh

    Citation: BMC Musculoskeletal Disorders 2020 21:331

    Content type: Research article

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  2. The treatment of fracture-related infections (FRI) is still a challenge for orthopedic surgeons. The prevalence of FRI is particularly high in open fractures with extensive soft-tissue damage. This study aimed...

    Authors: Lars Helbig, Thorsten Guehring, Nadine Titze, Dennis Nurjadi, Robert Sonntag, Jonas Armbruster, Britt Wildemann, Gerhard Schmidmaier, Alfred Paul Gruetzner and Holger Freischmidt

    Citation: BMC Musculoskeletal Disorders 2020 21:329

    Content type: Research article

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  3. The most frequently used surgical procedures for treating a proximal humeral fracture (PHF) are plate osteosynthesis, nail osteosynthesis and arthroplasty. Evidence-based recommendations for an appropriate sur...

    Authors: N. Alispahic, S. Brorson, C. Bahrs, A. Joeris, A. Steinitz and L. Audigé

    Citation: BMC Musculoskeletal Disorders 2020 21:327

    Content type: Research article

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  4. Consensus on tibial rotation in total knee arthroplasty (TKA) remains controversial. The present study aimed to investigate the closest anatomical reference to surgical epicondylar axis (SEA) among 10 tibial m...

    Authors: Yufeng Lu, Xiaoyu Ren, Benyin Liu, Peng Xu and Yangquan Hao

    Citation: BMC Musculoskeletal Disorders 2020 21:323

    Content type: Research article

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  5. The popliteus tendon (PT) or lateral collateral ligament (LCL) stabilizes the postero-lateral aspects of the knees. When surgeons perform total knee arthroplasty (TKA), PT and LCL iatrogenic injuries are a ris...

    Authors: Akihito Takubo, Keinosuke Ryu, Takanori Iriuchishima, Masahiro Nagaoka, Yasuaki Tokuhashi and Shin Aizawa

    Citation: BMC Musculoskeletal Disorders 2020 21:322

    Content type: Research article

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  6. Although osteoblastoma is an uncommon benign bone tumor, it sometimes behaves in a locally aggressive fashion. We herein report a case of recurrent lumbar spine osteoblastoma that was treated by repeated surge...

    Authors: Akira Honda, Yoichi Iizuka, Reiko Imai, Masahiro Nishinome, Junko Hirato, Hiromi Koshi, Tokue Mieda, Hiroyuki Sonoda, Sho Ishiwata, Yohei Kakuta, Tsuyoshi Tajika and Hirotaka Chikuda

    Citation: BMC Musculoskeletal Disorders 2020 21:321

    Content type: Case report

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  7. Altered motor unit (MU) activity has been identified after anterior cruciate ligament (ACL) injury, but its effect on muscle tissue properties is unknown. The purpose of this study was to compare thigh muscula...

    Authors: April L. McPherson, Nathaniel A. Bates, Clifton R. Haider, Takashi Nagai, Timothy E. Hewett and Nathan D. Schilaty

    Citation: BMC Musculoskeletal Disorders 2020 21:320

    Content type: Research article

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  8. Severe kyphotic deformities carry high risk for neurological injuries as osteotomies are often required for correction. Surgeons often utilize a staged approach for dealing with these conditions starting with ...

    Authors: Austin Samuel Laifun Lim, Azizul Akram Bin Sali and Jason Pui Yin Cheung

    Citation: BMC Musculoskeletal Disorders 2020 21:318

    Content type: Case report

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  9. The incidence of periprosthetic fractures after total joint arthroplasty (TJA) is rising due to an increasing number of TJAs performed annually and the growing elderly population. In many elderly patients with...

    Authors: Koji Nozaka, Naohisa Miyakoshi, Michio Hongo, Yuji Kasukawa, Hidetomo Saito, Hiroaki Kijima, Hiroyuki Tsuchie, Motoki Mita and Yoichi Shimada

    Citation: BMC Musculoskeletal Disorders 2020 21:317

    Content type: Research article

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  10. Knee osteoarthritis (OA) is a common, chronic, progressive and degenerative disease which affects patients’ quality of life and may cause disability and social isolation. OA is a huge economic burden for the p...

    Authors: Paweł Bąkowski, Jakub Kaszyński, Joanna Wałecka, Kinga Ciemniewska-Gorzela, Kamilla Bąkowska-Żywicka and Tomasz Piontek

    Citation: BMC Musculoskeletal Disorders 2020 21:314

    Content type: Study protocol

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  11. The lifetime implants is a key parameter that the surgeon should take into account at the time of the primary total hip arthroplasty (THA). The aim of this study was a clinical and radiographical evaluation of...

    Authors: Petr Fulin, David Pokorny, Jan Hert and Antonin Sosna

    Citation: BMC Musculoskeletal Disorders 2020 21:311

    Content type: Research article

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  12. Postoperative pulmonary complications (PPCs) seems to be high in patients undergoing pelvic and sacrum tumor resection assisted by abdominal aortic balloon occlusion. We hypothesized that the accumulative occl...

    Authors: Junjun Xu, Huiying Zhao, Xiaodan Zhang and Yi Feng

    Citation: BMC Musculoskeletal Disorders 2020 21:309

    Content type: Research article

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  13. Posterior occipitocervical fixation and fusion are often required to address occipitocervical instability. Safe, stable internal fixation with screws is vital for the success of such surgery. Thus, poor select...

    Authors: Guanyi Liu, Qing Li, Feng Sheng, Nanjian Xu, Ming Li, Yang Wang and Weihu Ma

    Citation: BMC Musculoskeletal Disorders 2020 21:307

    Content type: Case report

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  14. This is a retrospective study of the use of parallel endplate osteotomy (PEO) for correction of severe rigid thoracolumbar spine deformity.

    Authors: Hang Liao, Houguang Miao, Peng Xie, Yueyue Wang, Ningdao Li, Guizhou Zheng, Xuedong Li and Shixin Du

    Citation: BMC Musculoskeletal Disorders 2020 21:306

    Content type: Research article

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  15. Even though surgical techniques and implants have evolved, periprosthetic joint infection (PJI) remains a serious complication leading to poor postoperative outcome and a high mortality. The literature is lack...

    Authors: Emre Yilmaz, Alexandra Poell, Hinnerk Baecker, Sven Frieler, Christian Waydhas, Thomas A. Schildhauer and Uwe Hamsen

    Citation: BMC Musculoskeletal Disorders 2020 21:304

    Content type: Research article

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  16. An arthroscopic narrow posteromedial gap of the knee may cause failure of a meniscus operation. The posteromedial complex (PMC) of the knee, including the posterior part of the medial collateral ligament (MCL)...

    Authors: Xu Han, Peizhao Wang, Jinyang Yu, Xiao Wang and Honglue Tan

    Citation: BMC Musculoskeletal Disorders 2020 21:301

    Content type: Research article

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  17. While multiple in vitro studies examined mesenchymal stromal cells (MSCs) derived from bone marrow or hyaline cartilage, there is little to no data about the presence of MSCs in the joint capsule or the ligame...

    Authors: Mike Wagenbrenner, Tizian Heinz, Konstantin Horas, Axel Jakuscheit, Joerg Arnholdt, Marietta Herrmann, Maximilian Rudert, Boris M. Holzapfel, Andre F. Steinert and Manuel Weißenberger

    Citation: BMC Musculoskeletal Disorders 2020 21:297

    Content type: Research article

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  18. Stemless total shoulder arthroplasty is a well-established and reliable surgical treatment option for glenohumeral osteoarthritis resulting in loss of pain and improvement of shoulder function. Currently the t...

    Authors: Arad Alikhah, Jan-Phillipp Imiolczyk, Anna Krukenberg and Markus Scheibel

    Citation: BMC Musculoskeletal Disorders 2020 21:295

    Content type: Research article

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  19. One of the most common bacteria responsible for most Periprosthetic joint infection (PJI) is Propionibacterium acnes. Even though the rate of infections in patients undergoing total shoulder arthroplasty is incre...

    Authors: Umile Giuseppe Longo, Vincenzo Candela, Gabriella Facchinetti, Anna Marchetti, Silvia Dsoke, Claudia Mazzella, Laura Risi Ambrogioni, Maria Grazia De Marinis and Vincenzo Denaro

    Citation: BMC Musculoskeletal Disorders 2020 21:292

    Content type: Research article

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  20. Percutaneous endoscopic cervical decompression (PECD) is an ideal minimally invasive decompression technique for the treatment of cervical spondylotic radiculopathy (CSR). However, the mainstream is the resect...

    Authors: Yuexin Tong, Zhangheng Huang, Chuan Hu, Zhiyi Fan, Fucheng Bian, Fengkai Yang and Chengliang Zhao

    Citation: BMC Musculoskeletal Disorders 2020 21:290

    Content type: Research article

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  21. There are few reports on the detailed biomechanics of the deltoid ligament, and no studies have measured the biomechanics of each ligamentous band because of the difficulty in inserting sensors into the narrow...

    Authors: Masato Takao, Satoru Ozeki, Xavier M. Oliva, Ryota Inokuchi, Takayuki Yamazaki, Yoshitaka Takeuchi, Maya Kubo, Danielle Lowe, Kentaro Matsui, Mai Katakura and Mark Glazebrook

    Citation: BMC Musculoskeletal Disorders 2020 21:289

    Content type: Research article

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  22. Risk factors for unfavorable surgical outcomes are dependent on the definitions of the unfavorable surgical outcomes. The aims of this study were to compare risk factors for each unfavorable surgical outcome a...

    Authors: Gang-Un Kim, Jiwon Park, Ho-Joong Kim, Feng Shen, Jaewoo Cho, Bong-Soon Chang, Choon-Ki Lee, Heoung-Jae Chun and Jin S. Yeom

    Citation: BMC Musculoskeletal Disorders 2020 21:288

    Content type: Research article

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  23. Focal cartilage defects (FCDs) in the knee joint has a high prevalence. A broad range of treatment options exists for symptomatic patients. Knowledge of patient compensation claims following surgical treatment...

    Authors: Tommy Frøseth Aae, Øystein Bjerkestrand Lian, Asbjørn Årøen, Lars Engebretsen and Per-Henrik Randsborg

    Citation: BMC Musculoskeletal Disorders 2020 21:287

    Content type: Research article

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  24. Monteggia equivalent lesion represents a series of combined elbow and forearm injuries that resemble typical Monteggia fracture either in presentation or mechanism. The term has gradually evolved since its int...

    Authors: Lujie Xu and Wensong Ye

    Citation: BMC Musculoskeletal Disorders 2020 21:282

    Content type: Case report

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  25. Long-term use of steroid may lead to osteonecrosis of the femoral head (ONFH). Mechanical stress may help bone formation and remodeling. This study aimed to probe the role of mechanical stress in the femoral h...

    Authors: Dapeng Fu, Kairong Qin, Sheng Yang, Jianmin Lu, Haoyi Lian and Dewei Zhao

    Citation: BMC Musculoskeletal Disorders 2020 21:281

    Content type: Research article

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  26. Gratifying long-term results are difficult to achieve when reconstructing osteoarthritic finger joints. Implant surgery is the most commonly used method to restore function and dexterity. However, all types of...

    Authors: Daniel Muder, Ola Nilsson and Torbjörn Vedung

    Citation: BMC Musculoskeletal Disorders 2020 21:278

    Content type: Research article

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  27. Glucocorticoid-induced osteonecrosis of the femoral head (ONFH) is closely associated with the dysfunction of the bone microvascular endothelial cells (BMECs). The present study investigated the angiogenic and...

    Authors: Huachen Yu, Pei Liu, Wei Zuo, Xiaowei Sun, Hongzhi Liu, Feifan Lu, Wanshou Guo and Qidong Zhang

    Citation: BMC Musculoskeletal Disorders 2020 21:277

    Content type: Research article

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  28. Endoscopic carpal tunnel release (ECTR) and open carpal tunnel release (OCTR) both have advantages and disadvantages for the treatment of carpal tunnel syndrome (CTS). We compared the effectiveness and safety ...

    Authors: Yueying Li, Wenqi Luo, Guangzhi Wu, Shusen Cui, Zhan Zhang and Xiaosong Gu

    Citation: BMC Musculoskeletal Disorders 2020 21:272

    Content type: Research article

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  29. Non-vascularized bone grafting is a promising head-preserving technique for younger patients diagnosed as non-traumatic osteonecrosis of the femoral head (NONFH). Among the various types of bone grafting techn...

    Authors: Pei Liu, Xiao-hong Mu, Hua-chen Yu, Jian-lei Guan, Zhao-hui Liu, Wei-guo Wang, Qi-dong Zhang and Wan-shou Guo

    Citation: BMC Musculoskeletal Disorders 2020 21:271

    Content type: Research article

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  30. Surgical reattachment of the tendon is still the gold standard for ruptures of the distal biceps brachii tendon. Several fixation techniques have been described in the literature, with suture anchors being one...

    Authors: Manuel Weißenberger, Tizian Heinz, Kilian Rueckl, Maximilian Rudert, Alexander Klug, Reinhard Hoffmann and Kay Schmidt-Horlohé

    Citation: BMC Musculoskeletal Disorders 2020 21:270

    Content type: Case report

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  31. Patellar sleeve avulsion (PSA) fractures are rare injuries that occur in in skeletally immature patients. Initial diagnosis is key to a successful outcome, as these injuries are easily overlooked on plain radi...

    Authors: Andrés Schmidt-Hebbel, Felipe Eggers, Vincent Schütte, Andrea Achtnich and Andreas B. Imhoff

    Citation: BMC Musculoskeletal Disorders 2020 21:267

    Content type: Case report

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  32. We designed the current study to understand the normal trajectories of interleukin-6 (IL-6) and C-reactive protein (CRP) in the immediate hours and days after primary total knee arthroplasty (TKA) under the ma...

    Authors: Ze Yu Huang, Qiang Huang, Li Ying Wang, Yi Ting Lei, Hong Xu, Bin Shen and Fu Xing Pei

    Citation: BMC Musculoskeletal Disorders 2020 21:264

    Content type: Research article

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  33. Prior studies have compared the posterior capsule repair group in primary total hip arthroplasty by posterior approach with the control group without posterior capsule repair suggesting that the posterior caps...

    Authors: Xiaobo Sun, Xingyang Zhu, Yuqing Zeng, Haitao Zhang, Jianchun Zeng, Wenjun Feng, Jie Li and Yirong Zeng

    Citation: BMC Musculoskeletal Disorders 2020 21:263

    Content type: Research article

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  34. For focal cartilage defects, biological repair might be ineffective in patients over 45 years. A focal metallic implant (FMI) (Hemi-CAP Arthrosurface Inc., Franklin, MA, USA) was designed to reduce symptoms. T...

    Authors: Theresa Diermeier, Arne Venjakob, Kevin Byrne, Rainer Burgkart, Peter Foehr, Stefan Milz, Andreas B. Imhoff and Stephan Vogt

    Citation: BMC Musculoskeletal Disorders 2020 21:261

    Content type: Research article

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  35. In 2013, denosumab was introduced as peri-operative adjuvant treatment for giant cell tumor (GCT) of bone as it inhibits osteoclast activity. It is suggested that denosumab relives pain, facilitate curettage i...

    Authors: Xi Chen, Hairui Li, Shibai Zhu, Yiou Wang and Wenwei Qian

    Citation: BMC Musculoskeletal Disorders 2020 21:256

    Content type: Research article

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  36. Osteoporotic vertebral compression fractures (OVCF) is a common and often debilitating complication of osteoporosis, leading to significant morbidity and increased mortality. Percutaneous vertebroplasty (PVP) ...

    Authors: Dehong Yang, Yanlei Zhang, Xiao Ma, Li Huo, Liran Li and Yue Gao

    Citation: BMC Musculoskeletal Disorders 2020 21:255

    Content type: Research article

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  37. In planovalgus deformity with triceps contracture, a midfoot break happens, and ankle dorsiflexion (ADF) occurs at the mid-tarsal joint during gait. Results of standard 3D gait analysis may misinterpret the tr...

    Authors: Ki Hyuk Sung, Chin Youb Chung, Kyoung Min Lee, Ki Bum Kwon, Jeong Hyun Lee and Moon Seok Park

    Citation: BMC Musculoskeletal Disorders 2020 21:250

    Content type: Research article

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  38. Hip dislocation after total hip arthroplasty (THA) or hemi-arthroplasty is a rare but serious complication. Dislocation may be prevented by appropriate positioning of the cup angle of inclination and anteversion.

    Authors: Shintaro Watanabe, Hyonmin Choe, Naomi Kobayashi, Hiroyuki Ike, Daigo Kobayashi, Syota Higashihira and Yutaka Inaba

    Citation: BMC Musculoskeletal Disorders 2020 21:249

    Content type: Case report

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  39. Total knee replacement is a common operative procedure to improve pain, function, and quality of life in patients with end stage knee osteoarthritis. The current study aimed to compare simultaneous bilateral v...

    Authors: Ahmad H. Alghadir, Zaheen A. Iqbal, Shahnawaz Anwer and Dilshad Anwar

    Citation: BMC Musculoskeletal Disorders 2020 21:246

    Content type: Research article

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  40. With an increase in the elderly population, the occurrence of hip fractures, femoral neck fractures, and intertrochanteric fractures (ITFs) is also increasing. It is important to establish effective perioperat...

    Authors: Po-Hsun Lin, Jui-Teng Chien, Jung-Pin Hung, Chih-Kai Hong, Tzung-Yi Tsai and Chang-Chen Yang

    Citation: BMC Musculoskeletal Disorders 2020 21:244

    Content type: Research article

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  41. Atlantoaxial subluxation (AAS) is a not rare abnormality between the atlas (C1) and axis (C2). For AAS patients with persistent neck pain and neurologic symptoms, surgical intervention is a good choice. Nevert...

    Authors: Jianwei Guo, Wencan Lu, Xiangli Ji, Xianfeng Ren, Xiaojie Tang, Zheng Zhao, Huiqiang Hu, Tao Song, Yukun Du, Jianyi Li, Cheng Shao, Tongshuai Xu and Yongming Xi

    Citation: BMC Musculoskeletal Disorders 2020 21:239

    Content type: Research article

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  42. Percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are widely used in the treatment of Kümmell’s disease. The purpose of this article is to investigate the clinical efficacy of PVP and PKP fo...

    Authors: Jian-Zhong Chang, Ming-Jian Bei, Dong-Ping Shu, Cheng-Jun Sun, Ji-Bin Chen and Ya-Ping Xiao

    Citation: BMC Musculoskeletal Disorders 2020 21:238

    Content type: Research article

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  43. Enhanced recovery after surgery (ERAS) has been shown to shorten the length of hospital stay and reduce the incidence of perioperative complications in many surgical fields. However, there has been a paucity o...

    Authors: Jin Li, Saroj Rai, Renhao Ze, Xin Tang, Ruikang Liu and Pan Hong

    Citation: BMC Musculoskeletal Disorders 2020 21:234

    Content type: Research article

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  44. Hereditary multiple osteochondromas (hereditary multiple exostoses, HME) is a rare genetic disease characterized by the development of benign osteocartilaginous tumors that may cause severe limb deformities an...

    Authors: Dariusz Grzelecki, Jan Szneider, Dariusz Marczak and Jacek Kowalczewski

    Citation: BMC Musculoskeletal Disorders 2020 21:233

    Content type: Case report

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  45. Femoral neck fractures are one of the problems in clinical treatment. The prognosis is uncertain. Currently, No internal fixation method is superior to other internal fixation methods in the treatment of femor...

    Authors: Dong-Ping Shu, Ya-Ping Xiao, Ming-Jian Bei, Tao Ji, Yong-Jun Peng, Bing Ma and Shao-Gang Li

    Citation: BMC Musculoskeletal Disorders 2020 21:230

    Content type: Research article

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  46. The objective of this study to evaluate prospectively the effectiveness of Schatzker type IV tibial plateau fractures involving posteromedial plane managed by combined lateral peripatellar and posteromedial ap...

    Authors: Jun Zhang, Bo Yin, Jianmin Zhao, Yihan Li, Peng Yin and Tao Guo

    Citation: BMC Musculoskeletal Disorders 2020 21:229

    Content type: Research article

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  47. Implant anchorage in highly osteoporotic bone is challenging, since it often leads to osteosynthesis failure in geriatric patients with supracondylar femoral fractures. Cementation of screws is presumed to pre...

    Authors: Martin Bäumlein, Antonio Klasan, Christine Klötzer, Benjamin Bockmann, Daphne Eschbach, Matthias Knobe, Benjamin Bücking, Steffen Ruchholtz and Christopher Bliemel

    Citation: BMC Musculoskeletal Disorders 2020 21:226

    Content type: Research article

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