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A recent advance is the progression to 'wide awake hand surgery.' [8] In a few countries such as Sweden, Finland and Singapore, hand surgery is recognized as a clinical specialty in its own right, [9] with a formal four to six years hand surgery resident training program. Hand surgeons going through these programs are trained in all aspects of ...
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Hand injuries when not treated on time can result in long term morbidity. [6] Simple hand injuries do not typically require antibiotics as they do not change the chance of infection. [7] Many hand injuries need surgery, but the time from injury to surgery (delays of up to 4 days) doesn't increase the chance of infection [8]
The hand is actively used as soon as possible after surgery, but the dependent position is avoided. Usually, the dressing can be removed by the patient at home 2 or 3 days after the surgery, and then gentle washing and showering of the hand is permitted. Gradual resumption of normal hand use is encouraged.
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The five-year residency is a categorical orthopedic surgery training. Selection for residency training in orthopedic surgery is very competitive. Roughly 700 physicians complete orthopedic residency training per year in the United States. About 10% of current orthopedic surgery residents are women; about 20% are members of minority groups.
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