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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indication in the current literature as to which technique shows the most promising results in terms of union. Typical major complications of PIP joint arthrodesis are non-union and mal-union; minor complications are superficial infections ( 61 ). The aim
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, faster incorporation and better maintenance of bone mass were expected compared to the conventional non-vascularized grafting. 6 Due to low union rates (< 50%) with NVBGs in proximal pole scaphoid nonunions with avascular necrosis, the use of VBGs as
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strength in all patients was 93% of the contralateral hand. This study did not report any infections, non-union or rotational deformities. No cases of complex regional pain syndrome were reported. One patient underwent screw removal because of proximal
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operative or non-operative treatment. This is reflected in fracture classification systems that have been designed mainly based on location and severity of fracture pattern. If untreated, displaced glenoid fractures may lead to persistent pain, mal-union
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Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
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Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland
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-years. 3 , 4 Despite the common occurrence of this injury, there seem to be challenges in our understanding of this complex condition. The main questions that remain to be answered are the following: 1) Which fractures should we treat non
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very high, reaching as much as 87%, although a fibrous union is thought to be sufficient to obtain a good clinical outcome. 18 - 20 Fig. 4 SL arthrodesis. Ulnar side Lunotriquetral (LT) LT arthrodesis (see Fig. 5 ) has
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. Complications In PIP fusion the most common complications are non-union and malunion. 20 , 21 Non-union might be due to biological factors, mainly in difficult bone conditions or as a result of technical problems with the bone fixation. Bone conditions
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Surgical Department - Hand Surgery Unit EOC, Locarno's Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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6.3% 1.9% Malunion 2.2% 17.5% Non-union 1.0% 1.9% Lost reduction 0.0% 23.7% Osteotomy 0.0% 5.2% Other 3.1% 1.4% Minor Tendon irritation 18.7% 1.9% Superficial
Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
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The Swedish National Patient Insurance Company, Stockholm, Sweden
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Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
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usually with a cast. The potentially serious consequences of a non-united scaphoid fracture, as well as missed scapholunate ligament (SL) injuries with progressive osteoarthritis ( 7 , 8 ), have resulted in restrictive treatment protocols for acute
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Osteotomy Joint preserving Does not compromise further procedures Limited indications Arthrodesis Good pain relief Allows heavy loading Long immobilization Impact on motion and function High non-union rate May develop STT or MCP osteoarthritis
