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the hand, surgeons tend to be tempted to use more stable devices with extensive soft tissue damage. This can lead to tendon adhesions, restricted motion, stiffness, and to secondary surgeries. 4 Less invasive procedures, with minor tissue
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Genetics & Regenerative Medicine Research Group, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Selangor, Malaysia
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School of Medicine, Faculty of Medicine and Health Sciences, Taylor's University, Selangor, Malaysia
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Genetics & Regenerative Medicine Research Group, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Selangor, Malaysia
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from 12% to 23% ( 45 ). Integrin signalling pathway The integrin pathway controls the regulation of cell adhesion, spreading of cells and migration, proliferation, differentiation and ECM remodelling ( 46 ). The expression of integrin is
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-related problems, followed by scar adhesion/joint contracture after previous surgery. In 32% of reoperations due to complications, the primary surgery had been performed at another hospital, i.e. they were external complications. It should be emphasised, however
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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weeks 3× DII, 6× DIII, 10× DIV, 13× DV 1 week NR Y – 1× infection Vitale et al . (61) 4,8 2015 III 10 Tension-band 9 1 NR NR NR Grip, pinch, pain VAS, MHOQ Y – 1× pain, 1× tendon adhesion Plate 3 0 NR NR
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Plate fixation, usually 2.0 to 2.4 mm in size, allows rigid fixation at the desired angle. It has the disadvantage of causing extensor tendon adhesions along the plate, thus limiting DIP motion. The newer-generation plates are thin and hardware removal
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of the thumb have been described ( 65 ). Tenolysis of adherent tendons with stiff joints is ideal for WALANT hand surgery. It permits intraoperative testing of active motion to identify small remaining adhesions that can affect the result. Active
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mobilisation may increase the risk for tension at the site of the nerve repair and reconstruction resulting in impaired functional outcome. On the other hand, immobilisation may create scar tissue with adhesions around the nerve causing secondary problems. Most
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-tendon adhesions or necrosis. Early treatment should include intravenous antibiotics administration, elevation, splinting and close monitoring; if symptoms do not improve within 24 hours, surgical drainage is recommended. 51 – 53 Closed tendon sheath
