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The lengthening process was started 5 7 days after application of the frame.
In clinical practice, application of the Frame technique might be technically more demanding than other fixation methods of the distal humerus.
Active and passive movements of both joints were allowed and encouraged along the entire course of treatment immediately after application of the frame.
At the end of the operation, to prevent (sub luxation, contracture, or potentially harmful pressure on articular and physeal cartilage (due to high tensile forces found in the soft tissues following lengthening (Cai et al. 2006)), knee joints were bridged and the knees were distracted in 14 children for about 1 2 mm after application of the frame, under direct fluoroscopic control.
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There were recurrent deformities in 2 patients who were then managed by a V-shaped osteotomy and application of the Ilizarov frame.
Additional surgery was indicated in two patients: one to fix the avulsed PCL at 1 month after the first surgery, and one patient to remove the prominent tension band wires of the patella 6 months after the application of the hybrid frame.
In some patients, additional surgical procedures were planned during or after application of the Ilizarov frame.
In order to ensure the reliability of the qualitative analysis, the application of the coding frame by independent researchers will be periodically cross checked to establish a degree of uniformity.
Where no frame was identified, however, we found that Jackson's problem diagrams did couch the requirements in their right context, and thus application of the problem frames approach was useful.
These indicate that application of the sub-frame radial bogie would be more effective to decrease wheel rail wear.
Application of the time-frame expansion technique yields similar predictions for the network under perturbation.
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