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2, ranged 81 to 100. CONCLUSION Closed antegrade/retrograde intramedullary pinning is a minimally invasive technique to manage central metatarsal fractures. Using this technique, metatarsal alignment can be restored and good clinical outcome is achieved. We set out to examine the implications of seasonal variation in hip fracture for trauma services and for the frail older people who typically suffer this injury. Since 2007 the National Hip Fracture Database (NHFD) has been reporting data for all over-60 year old patients presenting in England, Wales and No
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