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Soft tissue considerations may also delay operative fixation and/or contraindicate ORIF altogether.
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Last week, when a thuggish gathering of Republican demonstrators tried to shut down the hand-recount operations in Miami-Dade County, it turned out that key DeLay operatives were right there.
Delayed operative delivery was indicated as one of the avoidable factors.
Poor functional results seem to be associated with inability to achieve anatomical reduction and postoperative loss of reduction of the ankle fracture rather than delayed operative treatment [ 16, 17].
Secondarily displaced, impacted fractures after initial non-operative treatment were the most common reason for the delay in operative treatment.
Median delay to operative repair was 15 days.
Delay in operative delivery was common.
Causes of delay by operative unit discipline are presented in Table 3.
33 Factors that determine the risk include age, displacement of fracture, and delay in operative fixation.
If a delay in operative intervention is likely, appropriate deep cultures should be obtained before starting broad-spectrum antibiotics.
Additionally, if radioisotopes are injected during surgery, the time period required for the tracer to migrate to the SLN may delay the operative procedure.
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