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Table 2 Classification of fracture phenomena of the adhesive bonds AF SCF CF DF Adhesive failure Substrate-specific near cohesive failure Cohesive failure Broken by delamination.
For the classification of fracture phenomena of the adhesive bonds according to DIN EN ISO 10365, the following designations from the table were used, whereby a distinction is made between adhesive failure, substrate-specific near cohesive failure, cohesive failure, and broken by delamination.
One possible explanation could be that the classification of fracture reduction, although widely used, has poor validity and is unable to discriminate adequate from poor reduction.
Classification of fracture severity (severe or not severe) will be based on the number of malleoli fractured [ 20] and the presence of dislocation: bi- or tri-malleolar fractures and any fractures with dislocation will be classified as severe.
The available information on classification of fracture type showed that 35% were classified as an intra-articular fracture, 9% as an extra-articular fracture and 56% were not classified in the medical documentation.
Standard X-rays (40° posterior oblique view with external rotation of the humerus, 40° posterior oblique view with internal rotation of the humerus, and an axillary view) and computer tomography will be taken preoperatively and used for classification of fracture type and surgery-planning purposes.
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Table 1 shows classification of fractures in the series.
Open image in new window Fig. 1 AO classification of distal tibial fractures (Müller AO Classification of Fractures-Long Bones, Copyright by AO Foundation, Switzerland).
The term bifocal has been used for the classification of fractures of the tibia and fibula in adults [22].
A number of authors have proposed systems for the classification of fractures of the distal radius, the most known and used being the AO [43], Fernandez [44], Frykman [45], Mayo [46] and Melone [6] classifications.
From 1974, all trauma patients treated and admitted to our level I trauma center were prospectively documented in a trauma database classified according to the arbeitsgemeinschaft für osteosynthesefragen (AO) comprehensive classification of fractures.
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