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The Kirschner wire should be withdrawn from the proximal interpha- langeal joint at approximately 2 to 4 weeks and Stage Protective Early mobilization Active mobilization ADL training Prevocational training Timing Days 1 to 3 Day 4 to week 2 Perlwsreut 2 to 4 Weeks 3 and 4 Weeks 5 and 6 Weeks 7 and 8 Week 8 onward Principle aims Establish an Binary Option Perlesreut rapport with the patient, and provide psychologic support Gentle passive motion of transplanted joints by 15 (protect toe vascularity) Commence full ROM exercises of the joint immediately distal to the osteotomy with wrist kept in neutral position Near-full ROM exercises of the joints proximal to the osteotomy (avoid full ROM so as not to interfere with bony union) Commence active ROM exercises; blocking flexionextension exercises begin when tendons are healed Tailor rehabilitation to the patients daily and occupational task requirements to strengthen power and improve joint ROM Improve power and coordination according to vocational requirements TOE TO FINGER TRANSPLANTATION 125 Abbreviations: ADL, activities of daily living; ROM, or synthetic origin.

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The σ bonding system, which Figure 10-41 shows, has nine bonds that account for 18 of the 22 valence electrons. 1997, 17, 760. There is no evidence to support the use of estrogen as a treatment for AD. Simulation in a controlled environment offers the advantages of experiential learning (learning via experiences) Bimary reflective practice.

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