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b) In the test group, primary wound closure was achieved at surgery (left).
Whilst the stability of the implants achieved at surgery was excellent, it was decided to adopt a delayed loading approach which also gave time for the maxillectomy defect to stabilise prior to the construction of the definitive prosthesis.
Depending on the stability achieved at surgery, some of these children may need a hip spica cast for several weeks after surgery to protect against displacement at the osteotomy site.
Accurately defining the stability of tibial plateau fractures following surgical reduction could be important for analysis of the quality of fixation achieved at surgery and the extent of fracture healing, and to guide postoperative management.
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The amount of rotation achieved at the surgery averaged 28.8° (range 20° 50°).
In 88.5% of patients a R0 resection had been achieved at former surgery.
On the other hand, the percentage of nuclear survivin positivity was higher in cases in which tumour cytoreduction was achieved at primary surgery (20 out of 46, 43.5%) with respect to patients subjected to exploratory laparotomy (nine out of 45, 20%) (P=0.024).
Clinical improvements were achieved at 6 months post-surgery, and at 12 months post-surgery the defects were confirmed to be filled while one of the cases' histology indicated a fibrocartilaginous tissue in the defect, not hyaline cartilage (Wakitani et al. 2007).
After brace removal progressive passive flexion was commenced with 95° of painless flexion achieved at 2 months after surgery.
In HTO, the implant used for fixation should be able to retain the correction achieved at the time of surgery.
The process of marking the cornea to properly align the toric lens may also be less than perfect and the axis alignment achieved at the time of surgery may not be exact.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com