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intercarpal arthrodeses, to clarify the indications for each fusion, to describe the most suitable surgical technique for each fusion, and to provide an overview of outcomes and current concepts. The most common form of degenerative wrist osteoarthritis is
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Faculty of Life Sciences and Medicine, King’s College London, London, UK
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following limited wrist fusion: objective wrist scoring versus patient satisfaction . Contemporary Orthopaedics 1994 28 403 – 410 . 10147142 3. Smeraglia F Basso MA Famiglietti G Eckersley R Bernasconi A Balato G . Partial wrist denervation
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-carpal joint is normal. The early results of this fusion published so far are promising. The surgical management of the degenerative wrist due to SLAC is still a challenging choice among several different surgical options. Total wrist fusion historically
Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
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The Swedish National Patient Insurance Company, Stockholm, Sweden
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Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
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carpectomy vs four corner fusion for scapholunate (SLAC) or scaphoid nonunion advanced collapse (SNAC) wrists: a systematic review of outcomes . Journal of Hand Surgery, European Volume 2009 4 256 – 263 . ( https://doi.org/10.1177/1753193408100954 ) 22
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Introduction A destroyed distal radioulnar joint (DRUJ) can be reconstructed by fusion, resection and/or interposition of soft tissue or arthroplasty. Fusion is not desirable, as prono-supination is second only to thumb opposition in the
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+ + + + + + − Dynamic surgery − − − +− + + + DB, digit block; WB, wrist block. WALANT local anesthesia is based on two main principles. The first principle is the tumescent injection of a large volume low-concentration lidocaine
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, slings Avoid driving while splinted or in a sling Operatively managed wrist fractures 2.14-7 weeks Cast immobilised wrist fractures Avoid driving while casted Shoulder arthroplasty 6 weeks or longer Foot and
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Life and Health Science Research Institute, University of Minho, Portugal
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Life and Health Science Research Institute, University of Minho, Portugal
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discectomy and intervertebral fusion, intervertebral arthroplasty and vertebral corpectomy. The osseous vertebral anatomy is widely accessed through an natural corridor, allowing for the longitudinal manipulation from C1 to C7 in the treatment of degenerative
Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany
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Institute for Hand- and Plastic Surgery, Oldenburg, Germany
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prothesis is prone to failure. In these cases, the fusion of the joint provides reliable results. In posttraumatic osteoarthritis, especially of the radial digits with an instability not exceeding 30°, a prothesis could provide excellent results ( 3 , 4
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30% in proximal pole fractures of the scaphoid. 2 The most prominent symptom of scaphoid nonunion is pain during wrist motion but if left untreated, it can cause osteoarthritis, decrease in grip strength and limitation in wrist range of motion
