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University Hospital Antwerp, Department of Orthopedic Surgery, Edegem, Belgium
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higher when the surgical repair is performed at later stages. 37 Early surgical repair is therefore preferred. Approach Surgical repair of the DBT can be performed through a single or double-incision approach. Both approaches have been extensively
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of DBT tears has been studied extensively. The techniques available for repair involve a three-level distinction: anatomic versus non-anatomic repair, single-incision versus double-incision exposure and fixation method (most commonly the use of
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: single-incision technique and double-incision technique. One doesn’t seem to be superior compared to the other ( 52 ). During the single-incision technique, a transverse cut is made at or just distal to the antecubital fossa between the brachioradialis
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. The timing of fibular fixation is controversial 10 as an acute inappropriate incision placement for fibular fixation can compromise future approaches. We rarely fix the fibula at the same time as we perform the spanning external fixation, because
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-attachment failure. 33 Techniques for LDT are evolving. Habermeyer 35 described a single-incision approach that uses a more posterior attachment of the transfer into the humeral head. Hertzberg et al 11 demonstrated that securing the transfer at the
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laboratory abnormalities or in suspected cases with an unclear cause of failure, joint aspiration is highly recommended. 5 Synovial fluid analysis permits, with a single procedure, assessment of leucocyte count, polymorphonuclear cells percentage and to
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metacarpal, the metacarpophalangeal (MCP) joint is flexed to 90°. A 3.0 mm longitudinal incision is made over the MCP joint. A guidewire is inserted along the metacarpal axis under fluoroscopy. The entry point should be on the dorsal part of the metacarpal
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incision + 1 mg/kg/h during the surgery. IBL, hematological parameters Zhang et al. ( 24 ) Unclear Single level of degenerative conditions 20 or 50 mg/kg i.v. before skin incision IBL, postoperative drainage, operative duration, total
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are all difficult to clarify, yet remain important considerations. 3 Numerous definitions have been proposed for PWD, but a single validated definition has yet to be fully adopted. 3 , 10 It has been suggested that wound drainage from two to nine
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, sometimes simple excision of the scar tissue may be enough to achieve adequate exposure. 7 Therefore, the surgeon involved in rTKA should have different options available in his surgical repertoire. In the presence of one single previous incision, the