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. The natural history of scaphoid nonunion progresses to scaphoid nonunion advanced collapse (SNAC) which is characterized by advanced collapse and progressive arthritis of the wrist leading to less favourable clinical results. 3 The aim of the
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden
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Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden
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Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden
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results of an RCT is directly dependent on the design and conduct of the trial. The RCTs comparing collagenase injection with PNF have reported results implying similar treatment efficacy, durability, and complications ( 2 , 9 , 10 , 11 , 12 ). We
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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
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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of motion (ROM) and grip strength, with more predictable results than arthrodesis. In fact, loss of motion and grip strength can be more debilitating for active individuals than the wrist pain itself ( 2 ). The literature describing patient
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reconstruction of proximal interphalangeal (PIP) joints showed variable results and has been reported as less satisfactory. 2 Silicone spacers did not offer enough lateral stability, therefore showing high rates of angular instability and secondary wear
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type of fusion. While some authors have reported good results with STT arthrodesis in terms of motion and grip strength, others have reported results that are less encouraging, as complications may often be encountered, including avascular necrosis
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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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the correction of heterogeneity. The studies’ rate confidence intervals were carried out using the continuity-corrected Wilson interval. All statistical analysis was carried out with Microsoft Excel 2010. Results Details of the included
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Institute for Hand- and Plastic Surgery, Oldenburg, Germany
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prothesis is prone to failure. In these cases, the fusion of the joint provides reliable results. In posttraumatic osteoarthritis, especially of the radial digits with an instability not exceeding 30°, a prothesis could provide excellent results ( 3 , 4
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hip implants in the world. 9 , 10 The registry and follow-up programme for children with cerebral palsy, CPUP 11 was started on a small scale in 1994 and has resulted in very significant improvements for this patient group. 12 , 13
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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
