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Currently, there is insufficient evidence whether patients requiring a late subtalar arthrodesis after initial operative treatment do better than those initially treated conservatively [5].
Internal fixation is associated with less initial operative trauma but has an increased risk of re-operation on the hip".
It also remains unclear whether a secondary arthrodesis will result in improved outcome after initial operative treatment, compared with initial conservative treatment [5].
A recent study showed the clear benefit of initial operative treatment versus conservative treatment after a subtalar arthrodesis using the Maryland Foot Score and the American Orthopaedic Foot Ankle Society Hindfoot score [34].
Thermann found an AOFAS score of 69 points in the initially operated group (N = 17) vs. 65 in the conservative group (N = 23), suggesting a trend towards improved functional outcome after subtalar arthrodesis included in the initial operative regime [5].
In 2001, Ruch and Triepel [17] reported successful treatment of five patients suffering from recurrent or chronically persisting elbow dislocations after failure of the initial operative or non-operative treatment, using hinged external fixation as an alternative to complete osseous and ligamentous reconstruction.
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Four Students in Hamburg While K.S.M. was deploying his initial operatives for the 9/11 attacks to Kuala Lumpur, a group of four Western-educated men who would prove ideal for the attacks were making their way to the al Qaeda camps in Afghanistan.
The TERP can realize more stable and easier system control as well as lower initial and operative cost.
The misdiagnosis of POS often leads to initial incorrect operative procedures, which may induce transformation of POS into a high-grade osteosarcoma and increase the risk of local recurrence and metastasis [9].
Secondarily displaced, impacted fractures after initial non-operative treatment were the most common reason for the delay in operative treatment.
Confining animals to pens for the initial post-operative period has been shown to be effective in reducing post-operative joint load (Etterlin et al. 2014).
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