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Later, however, it has become evident that although the angular stable implants contributed to the surgical management of severely displaced fractures, several problems and pitfalls stayed unsolved.
Fractures in children are therefore rarely severely displaced or associated with severe soft tissue injury.
In adults age 20 to 50, fractures are often caused by direct high-energy forces that have an explosive effect on bone and soft tissues and may cause severely displaced open fractures.
a Pre-surgical antero-posterior view of a severely displaced Gartland type III fracture.
b Pre-surgical lateral view of a severely displaced Gartland type III fracture.
In recent decades, newer methods of treatment have been proposed to treat these difficult, severely displaced fractures.
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