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learning curve and little room for error. Appropriate training is essential before embarking on this procedure. Patient selection, precise preparation of the procedure and positioning of the components is essential to avoid complications ( 3 ). The learning
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department did confirm this increase, mostly at the beginning of a learning curve. Next to intense training and routine of the surgeon and assisting staff, future technical developments of the operating microscope are likely to improve that issue ( 37 ). In
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dissection, minimize these complications, but they provide less stability for the fracture. IMCS fixation of the metacarpals and phalanx has been popularized worldwide in recent years due to the minimally invasive approach and to the short learning curve. To
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. Pedicled VBG application has a long learning curve and operation time decreases as more experience is gained. Tourniquet application should be made after a few minutes’ elevation of the extremity. Prolonged elevation or Esmarch’s bandage application should