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surgical outcome ( 36 ). Surgical technique of microfasciectomy The surgical microscope is installed before the preparation of the patient and adapted to the surgeons’ eyes and kept ready, in order to avoid loss of tourniquet time. Although
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steps in the surgical technique to improve outcomes and avoid complications. Table 1 Advantages and disadvantages of different surgical treatment options for degenerative trapeziometacarpal joint disease. Pros Cons
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intercarpal arthrodeses, to clarify the indications for each fusion, to describe the most suitable surgical technique for each fusion, and to provide an overview of outcomes and current concepts. The most common form of degenerative wrist osteoarthritis is
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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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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the location; none is perfect and give varying results. 68 Another surgical technique to reduce the irritation of a neuroma is by different ways of ‘wrapping’, either using different flaps to enhance local circulation in addition to protect the
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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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variable and differently evaluated. The main points of debate are related to the surgical technique, radiological analysis, post-operative rehabilitation and assessment of clinical results. Surgical technique PIP joint surgery may be performed by a
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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denervation techniques used ( 3 ). Since Berger's description of the technique of surgical neurectomy of the anterior interosseous nerve (AIN) and posterior interosseous nerve (PIN) using the same dorsal approach, numerous surgeons have reported this
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should not be used in the presence of an open epiphysis, infection and most of all in subchondral fractures, because of the lack of purchase for the head of the screw. Overall, IMCS fixation is a reliable technique for the surgical management of
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generally good or excellent but non-operative treatment of scapular neck fractures with displacement is to some extent connected with subacromial pain and abduction dysfunction. 46 Authors’ preferred technique If surgical treatment of large glenoid