Injury
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Non-union is a prevalent complication of scaphoid fractures. Late diagnosis is common and has a clinical impact due to functional limitations for the patient. Multiple treatments have been proposed to manage this complication, ranging from conservative (i.e., orthopedic) to surgical treatment. The vascularized medial femoral condyle technique has shown satisfactory clinical and paraclinical results, mainly in presence of avascular necrosis of the proximal pole but data regarding functional outcomes and patient satisfaction is scarce. This case series aims to describe the clinical and patient-reported outcomes in a consecutive series of patients with non-union of the proximal third of the scaphoid treated with vascularized medial femoral condyle technique. ⋯ The vascularized medial condyle technique in cases of nonunion of scaphoid fracture is a reproducible treatment in clinical terms, both in imaging and functional terms, and in patient satisfaction. The learning curve is flat for a dedicated multi surgeon team.
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We read with great interest the article "Severe intraoperative vascular bleeding as the main complication of acetabular fractures treated with plate osteosynthesis via the modified Stoppa approach" by Julia Riemenschneider et al [1]. We appreciate the authors' efforts in describing intraoperative vascular bleeding in reduction acetabular fractures using the modified Stoppa approach. However, we had several concerns about the study results and believe that the authors' responses may help to address them.