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Good results have been achieved with submuscular plating with no major soft tissue problems and with functional results similar to other methods in the literature.
The treatment of complex fractures of the tibia, which is defined as involving either the knee or ankle joint surfaces, multi-fragmented shaft fractures or those with major soft tissue damage, is challenging [1, 2].
This may be due to the extensive primary bone grafting and the fact that the blood supply of the bone in this area is mainly posterior through the major soft tissue attachments.
Major soft tissue injuries delay bone healing in tibial fractures (Gustilo et al. 1984).
The MIPO technique was developed so as to prevent periosteal devascularizatiuon and major soft tissue dissection.
A total of 174 client owned dogs were recruited from clinical cases scheduled to undergo major soft tissue surgery.
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Because of the type of trauma involved and the relatively high frequency of major soft-tissue injuries [ 6] the complication rate is high, regardless of treatment [ 7].
Next to major vascular, soft tissue or neural injury, the septic arthritis is known as the major complication in association with total joint replacement (TJR).
The MPFL is the major medial soft tissue restraint preventing lateral displacement of the distal knee extensor mechanism, contributing an average of 53% of the total force [ 11].
The nose, lip and chin are the major components of soft tissue profile.
Major infections include soft tissue and/or bone and the treatment by external fixation may be interrupted.
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