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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 ...
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 first short-term success in human hand transplant surgery occurred with Clint Hallam, [4] from New Zealand. Hallam lost his hand in an accident while in prison. [5] [6] [7] The operation was performed on September 23, 1998, [8] in Lyon, France, by a team assembled from different countries around the world led by French Professor Jean-Michel Dubernard, including Professor Nadey Hakim, from ...
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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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