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as Moberg-Gedda or Wagner) incision. The choice between both depends on the preference of the surgeon as neither is superior. Both approaches have been described in detail by Tchurukdichian and Lussiez ( 34 ). Stem placement in the thumb
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imbalance, especially contracted boutonnière and swan-neck deformities. In severely contracted joints with a long-standing history of immobility, PIP joint fusion in a functional position may be a better choice than implant arthroplasty. Severe joint