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chosen. Surgical technique: PIP joint arthrodesis The joint is approached from the dorsal aspect. The central slip of the extensor tendon is split and the joint opened. After removing the osteophytes and releasing both collateral ligaments
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Surgical Department - Hand Surgery Unit EOC, Locarno's Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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now, there is a lack of evidence and consensus in the literature regarding the best treatment for DRFs. Even the guidelines of the American Academy of Orthopedic Surgeons do not recommend for or against the conservative or surgical approach ( 16
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). No tourniquet: This approach reduces pain and neuropraxia. It allows for longer surgery time if needed, increased comfort of the patient, and the opportunity for the patient to actively collaborate with the surgical procedure. Patients with lymphedema
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nerves, which are provided by blood from segmentally approaching blood vessels in the mesoneurium (i.e. compare with mesentery). 6 The segmentally approaching blood vessels are coiled in their structure, thus allowing reserve capacity during the
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dorsal, lateral or volar approach. A dorsal access is most frequently used, and either a longitudinal extensor tendon-splitting or a V-shaped tenotomy may be done preserving the central band insertion. 22 A dorsal midline incision is made, through
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reveal the bone bridging trabeculae. 11 Approach, preparation, and bone grafting The surgical approach should allow for proper positioning of the bones in a manner that allows fusion and optimal implementation of the medical devices. A short
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.8 mm on average. 11 The surgical approach to large fractures of the glenoid fossa is highly influenced by the fracture pattern. The first internal fixation of the glenoid fossa was performed in 1939 and until recently open reduction and internal
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Faculty of Life Sciences and Medicine, King’s College London, London, UK
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denervation techniques used ( 3 ). Since Berger's description of the technique of surgical neurectomy of the anterior interosseous nerve (AIN) and posterior interosseous nerve (PIN) using the same dorsal approach, numerous surgeons have reported this
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to scaphoid and they are mostly classified as dorsal or volar grafts. The best graft choice depends on the character and location of nonunion and the presence of a significant deformity dictating a specific surgical approach. Dorsal pedicled distal
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treatment is associated with a minimally invasive approach and allows early active mobilization. The screws are left buried beneath the articular surfaces without joint motion interference and the need for removal. In this article, we describe the possible
