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At the beginning of the sixth postoperative week there was a rapid increase in load and limited flexion of 60° after a radiological check, demonstrating healing of the medialised bone block.
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The duration of immobilisation varies, depending on the type of fracture and the outcome on repeated radiological check-ups, which serve as an estimation of fracture consolidation.
Clinical and radiological checks were done at one, three, and six months and at one year from the surgery in order to check for signs of clinical and radiological healing.
The procedure has been continued with both EUS-guidance, but also intermittent radiological check-ups of the guidewire position inside the pseudocyst.
In another before-after population-based study conducted in the Netherlands (1998 1999 versus 2006; 79 versus 40 cases), Jansen-Landhee et al. showed a statistically significant improvement in terms of compliance to radiological check-up, pre-treatment biopsy recommendation and second opinion histological diagnosis [ 10].
Control patients were also assigned clinical and radiological checks every 3 months.
However, fractures treated elsewhere, and not requiring radiological checks at Skåne University Hospital in Malmö, may not have been registered.
Radiological confirmation was not performed.
A gastrointestinal transit time evaluation, which consists in ingesting radio-opaque markers, followed by an abdominal radiological evaluation to check the distribution of markers, allows us to differentiate slow transit constipation (markers distributed along colic frame) from outlet obstruction (markers located almost exclusively in rectal ampulla) [ 31].
Treatment allocation was done following the central check of radiological selection criteria determining the stratum by the investigator following a numerical order.
Distant and local recurrences were checked by a radiation oncologist (CAMM) by radiological and/or histological confirmation.
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