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improvement work in healthcare, as well as a unique future source for clinical research. After collecting pre- and post-operative data for five years, many interesting results regarding outcomes following hand surgery have already been gathered. Multi
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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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experiences with pyrocarbon implants showed encouraging outcomes. 5 - 11 At mid- and long-term follow-up, among satisfactory reports, early failures or component rupture were recorded. 12 - 19 Post-operative satisfaction and functional ability have
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Faculty of Life Sciences and Medicine, King’s College London, London, UK
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–IV evidence involving at least 10 patients with at least 1 year and 80% follow-up, and reporting at least 1 outcome measure of interest including post-operative pain, function or failures. Exclusion criteria were studies written in other languages (not in
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clinical evaluation. Only nine publications included data collected pre- as well as post-operatively. Of these nine papers, seven used a validated and widely-used outcome measurement system. In eight of the 18 papers, the inventor was among the authors
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would provide a better outcome. Some of the newer generation implants have stood the test of time, and successful clinical results have been published, making them a valid treatment alternative ( 3 ). This has provoked a growing interest in these
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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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. The radiographic measures were step off, ulnar variance and palmar tilt (millimeter), and radial inclination (degrees). These outcomes were evaluated in the immediate postoperative period and at 3 months or over. Finally, complications and
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minimize recurrence ( 6 ). Outcome in Dupuytren’s treatment has been studied intensively, mostly focused on range of motion and recurrence, but the definition and clinical significance of reported parameters are not well standardized ( 7 ). For instance
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instability. Although these procedures usually yield good and predictable outcomes, many complications have been reported and described in detail in the medical literature. The purpose of this article is to review the most commonly used combination of
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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
