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Cementless fixation has evolved to be the predominant technique in femoral revisions.
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External fixation, and circular external fixation in particular, has evolved as an indispensible component of contemporary trauma and limb reconstruction surgery.
Internal fixation of OCD has evolved through the years with the development of newer methods of fixation.
The same approach is translated for the severely injured limb; early extensive surgery through a tenuous soft tissue envelope invites risk of complications and the strategy of a period of temporary stabilisation by spanning external fixation — 'local damage control' — has evolved.
However, TBW fixation has demonstrated a high incidence of reoperation for the removal of symptomatic hardware [ 4- 8], and thus internal fixation of comminuted olecranon fractures has evolved toward the use of more stable constructs [ 9- 11].
The concept of an internal fixation "superconstruct" that extends internal fixation beyond the zone of fusion has evolved to address these issues (68).
Historian Jerry Muller, in his essential new book The Tyranny of Metrics, offers what might be the best summary of how McNamara-like thinking has pervaded our own; in the same way that Steven Levy, in 1984, wrote that the (recently introduced) spreadsheet "is a tool, but it is also a world view," Muller offers a similar view of metrics, which he worries has evolved into a fixation.
Surgical instrumentation used for posterior craniocervical instability has evolved from simple wiring techniques to sophisticated implant systems that incorporate multiple means of rigid fixation for the cervical spine.
Surgical treatment for unstable atlas fractures has evolved in recent decades from C1-C2 or C0-C2 fusion to motion-preservation techniques of open reduction and internal fixation (ORIF).
"My thinking has evolved.
She has evolved.
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