Favorable management of the arthritic hand (basal, carpometacarpal, metacarpophalangeal, and interphalangeal joints) in some respects remains invariant—fundamental principles still prevail, arguably, as the most critical aspect of our care. Innovative surgeons continue to refine implant designs, surgical indications, and techniques, however, and this issue of Hand Clinics addresses these incremental advances. Students of history will agree that, absent an appreciation thereof, historical blunders may be repeated. And yet, as is often the case, "the more things change, the more they stay the same.'' In this issue I am grateful for the expert contributions of my colleagues who have been charged with providing enough of a historical backdrop to enable conscientious consideration, and perhaps implementation, of newer developments in the field. Where possible, outcomes have been addressed— a particularly important imperative for each of us in our clinical practices over the next decade—so that we might create value for our patients, exploring new developments when warranted, and relying on time-honored solutions when not.
University of Rochester Medical Center 601 Elmwood Avenue, Box 665 Rochester, NY 14642, USA
E-mail address: [email protected]
Hand Clin 22 (2006) 137-141
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