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where the isthmus can measure 5.0 mm. In this case, the relative stabilization will lead to callus formation by means of an elastic fixation. We advise to always go completely beyond the fracture with the screw thread ( Fig. 1 ). Fig. 1
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remaining articulation between the scaphoid and the trapezoid ( 19 , 20 , 21 ). No need to harvest a donor tendon Most surgeons prefer to combine trapeziectomy with a soft tissue procedure to stabilize the base of the thumb ( 4 ). This is performed
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). (1) Buffer painful acidic local with bicarbonate. (2) Start with a 30G needle. (3) Do not blast local in quickly! Slow down! (4) Stabilize the syringe with both hands to avoid wobble pain. (5) Insert the needle perpendicular to the skin. (5) Use
Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany
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Institute for Hand- and Plastic Surgery, Oldenburg, Germany
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of Hand Surgery 1983 8 932 – 935 . ( https://doi.org/10.1016/s0363-5023(8380099-9 ) 65 Wuestner MC Partecke BD Buck-Gramcko D . Resorbable PDS splints in fracture stabilization and for arthrodeses of the hand . Handchirurgie, Mikrochirurgie
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AVN). 17 Straw et al used K-wires for the fixation and they removed the K-wires after eight weeks whether union was achieved or not. Therefore, one of the reasons behind the low union rate might be inadequate stabilization as proposed by Payatakes
