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Ilse Degreef Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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Kira Vande Voorde Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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Maarten Van Nuffel Institute for Orthopedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium

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  • In the long term, limited fasciectomy is currently the most reliable treatment for Dupuytren’s contracture.

  • The risk for complications is significant, certainly in recurrent disease and in the presence of abundant scar tissue.

  • Meticulous surgical technique is mandatory.

  • Microsurgery increases magnification from four times (with surgical loupes) up to 40 times.

  • Using the microscope in Dupuytren’s surgery, a technique named microfasciectomy is likely to increase both safety and efficiency by preventing instead of treating surgical complications.

  • Increased experience with microsurgery will benefit Dupuytren’s treatment and hand surgery in general.

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Massimo Ceruso Hand Surgery Unit, Centro Traumatologico Ortopedico, Azienda Ospedliero-Universitaria Careggi, Florence, Italy

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Sandra Pfanner Hand Surgery Unit, Centro Traumatologico Ortopedico, Azienda Ospedliero-Universitaria Careggi, Florence, Italy

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Christian Carulli Orthopaedic Clinic, University of Florence, Florence, Italy

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follow the evolution and survivorship of such implants. In fact, the development of a bone apposition process surrounding the bone-pyrocarbon interface, as a symmetrical rim of lucency, may be observed on sequential radiographs up to two years after

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Maurizio Calcagni University Hospital Zürich, Switzerland

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Thomas Giesen University Hospital Zürich, Switzerland

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evolution of the upper limb and refinement in manipulation. Resection arthroplasties have shown great limitations in producing pain relief and stability of the DRUJ. Studies by Hagert, and Lees and Scheker made it progressively obvious that both the

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Rita Grazina Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Sérgio Teixeira Serviço de Cirurgia Plástica, Reconstrutiva e Estética e Unidade de Queimados, Centro Hospitalar de São João, Portugal

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Renato Ramos Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Henrique Sousa Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Andreia Ferreira Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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Rui Lemos Serviço de Ortopedia e Traumatologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal

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evaluated annually in order to detect early evolution of the contracture. Limited fasciectomy is our preferred method of treatment, due to the lesser potential for neurovascular complications ( versus needle fasciotomy) and quick recovery time when compared

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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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: microsurgery in the evolution toward safer and more efficient fasciectomy and hand surgery . EFORT Open Reviews 2023 8 291 – 297 . ( https://doi.org/10.1530/EOR-23-0033 ) 71 Castelo F Santos C Costa B Sousa R Ricardo R Batista P & Ribeiro D

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