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Circular external fixation has shown the ability to decrease soft tissue complications while providing stable fixation until union [16, 17, 18, 19].
This concept is no longer valid for most of the extra-articular fractures with complex fracture patterns, where minimal soft tissue dissection and stable fixation has shown to have better results and is now the standard principle [18].
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Many studies of hybrid fixation, with cemented tibial and patellar components and cementless femoral fixation, have shown positive results [ 1, 7– 15].
Conventional cementless cups with supplementary screw fixation have shown excellent long-term results with survival rates of 95% after 15 years in contained acetabular revisions [ 1, 2].
Our implant uses a thin double-coated press-fit peg for fixation, which has shown good results in animals (Martinez-Carranza et al 2013) but has so far not been proven in the clinical setting.
Press-fit fixation for ACL reconstruction has shown good clinical results with different types of grafts [ 12– 12].
While it could be argued that a fixation cross serves as a landmark and that foveal biases are the result of memory averaging across the fixation cross and target, research has shown that foveal biases persist when no physical stimulus is present at the point of fixation (Kerzel, 2002; van der Heijden et al., 1999).
Since the days of Margaret Thatcher, the education system has shown a Soviet fixation with churning out more mathematicians and scientists, suborning even the BBC to shower them with celebrity.
Published literature in this aspect has shown that the fixation happens in a matter of seconds.
Our recent work (Neumiester et al., in press) and that of others [ 32] has shown that rapid fixation, as can be achieved by core needle biopsy, is the most effective way to preserve phospho-epitopes.
Hybrid fixation with cemented tibial tray and press-fit stem has shown good results.
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