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A combination of these two factors made open reduction difficult, whilst retaining the requirement for conversion osteosynthesis [8].
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being made open?
The presence of sclerosis of the bone ends in four cases and a need for cancellous bone grafts at the site of non-union in all patients made wide dissection and open reduction unavoidable.
We think that open reduction makes the pin placement some more difficult because of a desire to work within or around incisions.
Similar observations were made in subjects who had undergone open reduction and internal fixation of ankle fractures [ 7].
We have to take into account that these worse results are because open reduction in those studies was performed after a closed reduction attempt, meaning that the open reduction group was made up of patients with a more difficult pattern of fractures.
Previous attempts at open reduction and pinning have been unsuccessful.
Home visits were made for 25 out of 92 (27%) initial assessments.> -wrap-foot> open, open reduction internal fixation; Hemi, hemiarthroplasty; FD ant, anterior fracture dislocation; GT, greater tuberosity; SN, surgical neck; LT, lesser tuberosity.
Open reduction and internal fixation.
Open reduction and fixation surgery.
Open reduction was required in 3 patients.
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