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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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Introduction Hand surgery is usually performed under three main types of anesthesia techniques: local, regional, or general anesthesia. Each technique has advantages and disadvantages ( Table 1 ). These factors need to be outweighed by

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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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Introduction Infections of the hand are common entities that are frequently encountered by orthopaedic surgeons and primary care physicians in the emergency room. 1 In 1993, Brown and Young suggested that major metropolitan hospitals

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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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Haemophilic and von Willebrand patients present with 80–90% of their bleeding episodes happening in the musculo-skeletal system, especially in large synovial joints, being less frequent in small joints such as the hands. 6 It is somewhat striking how the

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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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life activities, and the peculiar torque stress and strain at the bone/implant interfaces. 20 Pyrocarbon was introduced in experimental studies in the 1970s and in clinical practice in orthopaedics, vertebral and hand surgery in the 1980s. After

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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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Introduction Dupuytren’s disease (DD) is a common hand disorder with mild to devastating consequences for function of the hand. A scar tissue-like process (fibrosis) forms nodules and strands in the palms, which may cause disabling finger

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Reinier Feitz Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Yara E. van Kooij Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Marloes H. P. ter Stege Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Mark J. W. van der Oest Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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J. Sebastiaan Souer Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Robbert M. Wouters Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Harm P. Slijper Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Ruud W. Selles Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Steven E. R. Hovius Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Hand–Wrist Study Group RAM Blomme, BJR Sluijter, DJJC van der Avoort, A Kroeze, J Smit, J Debeij, ET Walbeehm, GM van Couwelaar, Guus M Vermeulen, JP de Schipper, JFM Temming, JH van Uchelen, HL de Boer, KP de Haas, K Harmsen, OT Zöphel, R Koch, TM Moojen, X Smit, GJ Halbesma, R van Huis, PY Pennehouat, K Schoneveld, YE van Kooij, RM Wouters, JJ Veltkamp, A Fink, WA de Ridder, J Tsehaie, R Poelstra, MC Janssen, PO Sun, VJMM Schrier, L Hoogendam, JS Teunissen, Jak Dekker, M Jansen-Landheer

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a private hand surgery clinic offering public service in the Netherlands. The startup position allowed for a complete redesign of hand surgery care. Early on, we added value-based healthcare (VBHC) principles such as integrated care, healthcare

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Marianne Arner Department of Clinical Science and Education, Karolinska Institutet and Department of Hand surgery Södersjukhuset, Stockholm, Sweden

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and stroke. 17 To our knowledge, there has been no previous NQR for specialised hand surgery anywhere in the world. Hand surgery has been an independent speciality in Sweden since 1983, distinct from orthopaedic and plastic surgery. There are

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Andrea Fidanza Unit of Orthopaedics and Traumatology - Department of life, Health & Environmental Sciences, University of L’Aquila, Italy
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

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Stefano Necozione Unit of Clinical Epidemiology - Department of life, Health & Environmental Sciences, University of L’Aquila, Italy

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Lorenzo Garagnani Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
Faculty of Life Sciences and Medicine, King’s College London, London, UK

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Introduction Wrist arthritis, either primary or secondary, is a debilitating condition that often leads to significant limitations in the use of the hand due to chronic wrist pain. When conservative treatment fails, surgical intervention is

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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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Background Injuries to the extremities and hand are common; the incidence of hand injuries is 7 to 37/1000 inhabitants/year in Europe 1 and around 50% of the injuries are fractures. Among the affected structures that are much less

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Nicholas D. Clement Department of Orthopaedics, Freeman Hospital, Newcastle, UK
Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK
South West of London Orthopaedic Elective Centre, Epsom, UK

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Marwan Al-Zibari South West of London Orthopaedic Elective Centre, Epsom, UK

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Irrum Afzal South West of London Orthopaedic Elective Centre, Epsom, UK

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David J. Deehan Department of Orthopaedics, Freeman Hospital, Newcastle, UK

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Deiary Kader South West of London Orthopaedic Elective Centre, Epsom, UK

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. Current systematic reviews of robotic-assisted knee surgery often amalgamate the outcomes of both image-based and image-free systems. 9 Despite the advantages of image-free hand-held robotic-assisted knee arthroplasty surgery, the authors are not

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