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Ilse Degreef Department of Orthopaedic, Hand Unit, Leuven University Hospitals, Gasthuisberg, Herestraat, Leuven, Belgium

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Donald H Lalonde Division of Plastic Surgery, Dalhousie University, Saint John, New Brunswick, Canada

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learning with less time pressure ( 42 ). Contraindications Overall, the complication rate of WALANT is very low (1.7%), with minor superficial infection being the most common problem ( 32 , 43 ). Absolute contraindications to WALANT pure local

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Patrick Houvet Institut Français de Chirurgie de la Main, Paris, France

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additional distal articular facet medial to the hamate, contact is harder to achieve. The problem is the same when there has been extensive lunate-ulnar shifting. 44 Early trials with isolated capitolunate arthrodesis demonstrated an unacceptably high

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David Eckerdal Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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Hendrik Pakosta Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden

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Muhanned Ali Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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Isam Atroshi Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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studies. A problem with these trials is that, in order to be included, the patient had to be suitable for both collagenase and PNF, and it is unknown whether, for example, patients were excluded by the examining surgeon because their cords were too simple

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