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implant arthroplasty, even with formal collateral ligament reconstruction and prolonged splinting during rehabilitation ( Fig. 2 ). Arthrodesis should therefore be considered carefully, especially in the radial digits, if the lateral deformation of the PIP
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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
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functional outcome and create further costs for society due to potentially more extensive surgical procedures, longer rehabilitation and longer sick leave. 4 , 5 Furthermore, the outcome of treatment of nerve injuries depends on a large number of
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. Bricout M Rezzouk J . Complications and failures of the trapeziometacarpal Maia® prosthesis: a series of 156 cases . Hand Surgery and Rehabilitation 2016 35 190 – 198 . ( https://doi.org/10.1016/j.hansur.2016.02.005 ) 10.1016/j.hansur.2016
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Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
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Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland
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functional outcome? 4) What would be the most efficient way to recognize those patients who do not heal well and how should we rehabilitate them? 5) How can we do all this in an effective and cost-effective manner, taking into account the number
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when systemic sedation is considered too risky ( 23 ). Being awake and alert, the patient can gain insight into his condition and therapy, which will help in postoperative rehabilitation ( 24 ). Local anesthesia: the numbness is administered only
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of surgery is an important step, which is influenced by concurrent bony lesions or soft tissue lesions. Post-operative rehabilitation starts two weeks after discharge from the hospital with guided passive and active range-of-motion exercises
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surgical and rehabilitation methods, both for improvement work in healthcare and for use in scientific studies involving large volumes of patient data. How to collect patient reported outcome measures in an NQR The Scandinavian arthroplasty
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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, details of surgical procedure given) 10 7. Description of postoperative rehabilitation Not described 0 Described 5 Part B: Scores may be given for each section 1. Outcome criteria Outcome measures
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rehabilitation reasons, we believe it is an advantage to avoid overdoing and aiming to correct all fingers within a bleeding operating field in exceptionally challenging cases. A bipolar fine-point isolated cauterization is needed in microsurgery for thorough