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Joris Duerinckx Ziekenhuis Oost-Limburg, Genk, Belgium

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Frederik Verstreken Monica Hospital, Antwerp, Belgium

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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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Ilse Degreef Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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Kira Vande Voorde Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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Maarten Van Nuffel Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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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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Marco Guidi Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Florian S. Frueh Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Inga Besmens Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Maurizio Calcagni Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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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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Bedri Karaismailoglu Ayancik State Hospital, Department of Orthopaedics and Traumatology, Sinop, Turkey

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Mehmet Fatih Guven Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Mert Erenler Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Huseyin Botanlioglu Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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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

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