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  • Hand & Wrist x
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Dimitrios A. Flevas First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Sophia Syngouna Department of Upper Extremity Surgery and Microsurgery, KAT Hospital, Athens, Greece

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Emmanouel Fandridis Department of Upper Extremity Surgery and Microsurgery, KAT Hospital, Athens, Greece

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Sotirios Tsiodras Fourth Department of Internal Medicine, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Andreas F. Mavrogenis First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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-positive organisms. Staphylococcus aureus is the most common isolate associated with hand infections (up to 80%). 5 , 13 – 16 Staphylococcus aureus is the most common pathogen infecting clean surgical procedures, while Staphylococcus epidermidis is more

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Michael Millrose Department of Trauma Surgery and Sports Medicine, Garmisch-Partenkirchen Medical Center, Garmisch-Partenkirchen, Germany
Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany

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Markus Gesslein Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany

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Till Ittermann Institute for Community Medicine, SHIP/Clinical-Epidemiological Research, University of Greifswald, Greifswald, Germany

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Simon Kim Department of Trauma and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany

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Hans-Christoph Vonderlind Department of Trauma Surgery, Helios Kliniken Schwerin, Schwerin, Germany

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Mike Ruettermann Department of Plastic Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
Institute for Hand- and Plastic Surgery, Oldenburg, Germany

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rheumatoid arthritis or systemic sclerosis. These results are presented separately in Table 2 . Surgical techniques Twelve different surgical techniques were described. Four of these techniques with compression at the arthrodesis site: interosseus

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Marco Guidi Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Florian S. Frueh Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Inga Besmens Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Maurizio Calcagni Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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breakage (8%), complex regional pain syndrome (two patients) and deep infection (one patient). Jann et al 8 reported results of 20 unstable metacarpal fractures which were surgically managed with compression screws. Out of 15 patients, one required

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Ilse Degreef Department of Orthopaedic, Hand Unit, Leuven University Hospitals, Gasthuisberg, Herestraat, Leuven, Belgium

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Donald H Lalonde Division of Plastic Surgery, Dalhousie University, Saint John, New Brunswick, Canada

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in the risk of surgical site infections ( 6 , 7 , 8 ). Epinephrine eliminated the need for the tourniquet, which was a standard of care for decades in hand surgery ( 9 ). Tourniqueting is a painful technique that caused temporary neuropraxia

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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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as well as the strength of the donor nerve below M4 (MRC-scale M0 to M5). The donor site morbidity should also be considered, since there may be a risk of reducing function of the muscle/s innervated by the donor nerve. 49 The general surgical

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Elena Bravo Plastic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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Raul Barco Upper Limb Unit, Orthopedic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Haemophilia Orthopedic Unit, Orthopedic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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incidence among these patients of 1.14%. 16 Pseudotumours may originate in soft tissues or subperiosteal or intraosseous areas caused by recurrent bleeding. They are classified into three types according to the anatomic sites where bleeding occurs. In

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Daniel Herren Schulthess Klinik, Zurich, Switzerland

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well documented. Experience has shown limited and short-term effects with an, often inappropriate, cost-efficiency ratio. Operative/surgical techniques Surgical treatment options for destroyed finger joints include joint replacement and joint

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