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Marianne Arner Department of Clinical Science and Education, Karolinska Institutet and Department of Hand surgery Södersjukhuset, Stockholm, Sweden

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. • To help early identification of treatment methods with poor results, in order to minimise post-operative complications and improve care. • To improve pre- and post-operative information to patients and increase patient participation in surgical

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Jonny K Andersson Department of Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden

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Pelle Gustafson Department of Clinical Sciences – Orthopedics, Lund University, Lund, Sweden
The Swedish National Patient Insurance Company, Stockholm, Sweden

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Philippe Kopylov Department of Clinical Sciences – Orthopedics, Lund University, Lund, Sweden
Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden

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), followed by treatment errors, including treatment delay during non-operative care; 22% ( n   = 17) and treatment errors during surgery; 6% ( n   = 5) ( Table 4 ). Thirty-seven patients had X-rays taken of the injured wrist but without special projections of

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Toni Luokkala Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland

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Minna K. Laitinen Department of Orthopaedics, Helsinki University Hospital, Helsinki, Finland

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Teemu P. Hevonkorpi Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland
Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland

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Lauri Raittio Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland

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Ville M. Mattila Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland

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Antti P. Launonen 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-operatively

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Daniel Herren Schulthess Klinik, Zurich, Switzerland

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by the metacarpal-phalangeal joints. Fig. 2 Recurrence of deformity after silicone PIP arthroplasty. (a) Pre-operative status with the ulnar deviation. (b) Post-operative appearance after six weeks with good alignment. (c) Recurrence of the

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Lorenzo Massimo Oldrini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Pietro Feltri Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Jacopo Albanese Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Stefano Lucchina Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Surgical Department - Hand Surgery Unit EOC, Locarno's Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland

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Giuseppe Filardo Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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Christian Candrian Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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from falls from a standing height and other low-energy trauma ( 6 , 7 , 8 , 9 ). Different treatment options have been developed through the years, the most common being non-operative closed reduction and cast immobilization (CR) or operative open

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Rita Grazina Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Sérgio Teixeira Serviço de Cirurgia Plástica, Reconstrutiva e Estética e Unidade de Queimados, Centro Hospitalar de São João, Portugal

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Renato Ramos Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Henrique Sousa Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Andreia Ferreira Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Rui Lemos Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Post-operative results also tend to be better in men. 8 In addition, there is bilateral involvement in 59% of affected men versus 43% of women. 2 , 9 Regarding age, the estimated prevalence of the disease in people aged 55 years is 12

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Lars B. Dahlin Department of Translational Medicine - Hand Surgery, Lund University, and Skåne University Hospital, Malmö, Sweden

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Mikael Wiberg Department of Surgical and Perioperative Science, University Hospital, and Department of Integrative Medical Biology, Umeå University, Sweden

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transfer 21 and in the future new rehabilitation methods may further improve outcome. Post-operative care There is still a debate about the rule of early active mobilisation after microsurgical nerve repair and reconstruction. Early

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