Pearls

• Grommets are not indicated for use with Silastic implants in the PIPjoints.

• Using the volar approach to the PIP (when indicated) minimizes the risk of damage to the central slip insertion and can be performed simultaneously with a tenolysis to break up adhesions between the FDP and FDS as is commonly seen in long-standing arthritic fingers.

• The implant stems should slide freely in the medullary canal without buckling. If the appropriate size necessary has a stem length that prevents this, the stem should be shortened up to 5 mm to prevent such buckling.

• The largest size implant that fits the space is generally preferred. Implants smaller than size 1 may allow bony overgrowth to bridge and ankylose the joint.

Essentials of Human Physiology

Essentials of Human Physiology

This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.

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