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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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. 3 Uchiyama S , Cooney WP III , Linscheid RL , Niebur G , An KN . Kinematics of the proximal interphalangeal joint of the finger after surface replacement . J Hand Surg Am 2000 ; 25 : 305 - 312
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long and a significant number of patients remain dissatisfied. Knowing that total joint replacement is one of the most successful achievements of orthopedic surgery, many attempts have been made to produce a replacement for the thumb CMC joint that
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’ familiarity with the procedure. 7 The options for replacement include a silastic (silicone) or a metallic implant. It follows the basic principles of any joint-replacement surgery aiming to reduce pain, restore joint kinematics, be long lasting and not be
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c) anterior, posterior and lateral radiograhs after synthetic cartilage replacement. First MTP arthodesis Arthodesis of the first MTP joint has demonstrated consistently good results in the literature and is the current ‘gold standard
Centre for Hip Surgery, Wrightington Hospital, UK
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Head of Health Registries, Northgate Public Services, Peoplebuilding 2, Hemel Hempstead, Hertfordshire, England
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Royal Derby Hospital, Derby, UK
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West Suffolk NHS Foundation Trust, UK
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University of Sheffield, Sheffield, UK
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was a clinical recommendation that a national joint register should be established in 1996, 6 this did not happen. The following year a cemented total hip replacement, the 3M Capital Hip, was reported as having a higher than expected incidence of
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Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science (LIROMS), Luxembourg, Luxembourg
Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg-Clinique d’Eich, Luxembourg, Luxembourg
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Orthopaedic Surgery Service, University Hospital of Geneva, Geneva, Switzerland
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. However, in the last two decades it has vigorously regained popularity, which is due to the adoption of internal devices with improved biomechanical properties like locking plates ( 1 ) and the poor results of knee replacement in young patients with high
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Joint Surg [Am] 1996 ; 78-A : 683 - 692 . 8 Perry KI , Berry DJ . Femoral considerations for total hip replacement in hip dysplasia . Orthop Clin North Am 2012 ; 43 : 377 - 386 . 9 Crowe JF , Mani VJ
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of subjects with zero finger joints affected by OA, 32% prevalence in those with one to two finger joints with OA, and 47% in patients with three or more finger joints affected. This is surely an interesting finding which may provide clues for future
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important joints in hand function because they contribute to 77% of the arc of motion of the fingers. 13 Also, most prehension grips require extension and some degree of abduction at the MCP joint. The level of the MCP joint is altered in
