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patient must have a part in the decision as observation is a perfectly viable option in patients with mild disease. 6 Different treatments have been proposed for Dupuytren’s disease, according to its severity and patient and surgeon’s preference
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Introduction Infections of the hand are common entities that are frequently encountered by orthopaedic surgeons and primary care physicians in the emergency room. 1 In 1993, Brown and Young suggested that major metropolitan hospitals
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Introduction The treatment of scaphoid nonunion is still a challenge for hand surgeons. Nonunion rate of scaphoid fractures varies between 5% and 15%. 1 Due to tenuous retrograde blood supply of the scaphoid, this rate can increase up to
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surgeons prefer non-cemented implants, since revision is easier, and removal of the implant causes less damage and bone loss. Overall, the newer generation of PIP implants based on the resurfacing concept seemed a logical development in PIP arthroplasty
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lower extremities, where the regenerative capacity varies; for example, the peroneal nerve is worse than the tibial nerve. 3 Treatment of peripheral nerve injuries is a real challenge for surgeons and physicians, since the outcome after different
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Musculo-skeletal complications of the hand in the haemophilia patient are rare, and they include synovitis, arthropathy, pseudotumours, carpal tunnel syndrome and vascular aneurysms and pseudoaneurysms.
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The best way to prevent the aforementioned musculo-skeletal complications is early continuous haematological primary prophylaxis (intravenous infusion of the deficient coagulation factor, ideally from cradle to death).
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There is a wide range of procedures that a hand surgeon treating these patients should be able to manage, including synovectomy, prosthetic replacement of small joints, removal or curettage of pseudotumours, release of carpal tunnel and, occasionally, vascular reconstruction of aneurysms.
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The treatment of these patients should be made at an institution with close collaboration between haematologists and hand surgeons (all surgical procedures must always be performed under cover of the deficient coagulation factor).
Cite this article: EFORT Open Rev 2020;5:328-333. DOI: 10.1302/2058-5241.5.190078
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). However, recurrence is a challenge this can lead to an unsatisfied patient and a disappointed surgeon and may raise the need for surgical re-intervention. Surgical treatment for recurrent contractures is challenging. Not uncommonly, more extensive
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emphasised that the primary focus for an NQR is to improve health care, since many surgeons tend to focus primarily on research. The main concept for quality registries is that registered data should be used as directly as possible in the care of patients, e
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surgeons and patients to select the most ideal combination of anesthesia for specific surgical procedures in the shared decision-making model for health care that we aim for today ( 1 , 2 , 3 ). This paper will focus on tumescent pure local anesthesia
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procedures, although joint replacement surgery is currently only preferred by 13% of European surgeons and 1.3% of North-American surgeons ( 4 ). In this paper, we will further focus on the rationale for total joint arthroplasty (TJA) and highlight important
