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ALEJANDRO BADIA, M.D., FACS Badia Hand to Shoulder Center OrthoNOW orthopedic urgent care 3650 NW 82nd Ave. suite 103 3650 NW 82nd Ave. Suite 201 Doral, Florida 33166 Doral, Florida 33166 305 227-HAND (4263) 305 537-7272 www.drbadia.com www.OrthoNOWcare.com Medical License: Florida. Cayman Islands application pending submission Languages: fluent in Spanish; semi- conversant in Italian/Portuguese/German EDUCATION: New York University School of Medicine, M.D., May 1989. Cornell University – College of Arts & Sciences, A.B. in Biological Sciences, concentration in Physiology, 1985. BOARD CERTIFICATION: Orthopedic Surgery, 2000. Certificate of Added Qualification in Hand Surgery, 2001. RESIDENT/FELLOWSHIP TRAINING: AO fellowship under direction of Dr. Med. Klaus Lowka, Freiburg, Germany. Additional training in France, Switzerland and Italy. 8/95-10/95. Hand and Upper Extremity Fellowship at Allegheny General Hospital, Pittsburgh, PA. Dr. J. Imbriglia, director. August 1st, 1994-July 30, 1995. Orthopedic Surgery Residency – NYU Medical Center/Bellevue Hospital, NY VA Medical Center 1990 to June 1994. General Surgery Internship – NYU Medical Center/Bellevue Hospital 1989 to 1990. PRACTICE HISTORY: -December 2008 to present Surgeon, founder and President, Badia HAND TO SHOULDER CENTER Doral, FL -May 2010 to present Founder, President, and hand surgical consultant, OrthoNOW®®®– Immediate Orthopedic Care Center Doral, FL center. -April 2012 to present Founder, Chief Medical Officer and Principal Franchisor, OrthoNOW® national/international franchise of orthopedic urgent care centers 2 January to December 2009 Owner/Franchisee DoctorsNOW urgent care center Doral -October 1995 to November 2008 MIAMI HAND CENTER, 8905 SW 87th Ave. Ste 100 Miami, Florida Partners: Jorge L. Orbay, M.D., Roger K. Khouri, M.D., Eduardo Gonzalez, M.D, Stephen Alex, MD. Presentations at Scientific Meeting: “A New Technique for Bony Mallet Finger Fixation”, “A Simple Dynamic External Fixator for PIP Joint Fracture-Dislocations”, “Arthroscopic Assistance in Rigid Fixation for Distal Radius Fractures” and “Arthroscopic Reduction and Internal Fixation of Bony Gamekeeper Lesions” Badia A, Orbay J, Gonzalez E, Khouri R all presented at American Assn for Hand Surgery Annual Meeting, Fajardo, Puerto Rico, January 12th-14th, 2005. “Fracture-Dislocations of the Proximal Interphalangeal Joint: Results with a Simple Dynamic Fixator”, “Arthroscopic Assisted Fixation of Intra-Articular Distal Radius Fractures”, “A Simple Fixation Method for Unstable Bony Mallet Finger” Badia A, Orbay J, Gonzalez E, Khouri R all presented at 9th congress of the International Federation of Societies for Surgery of the Hand, Budapest, Hungary June 13-17, 2004. “Volar Plate Fixation of Dorsally Displaced Distal Radius Fractures” presented at combined meeting of British Society for Surgery of the Hand and ASSH, Cambridge, England, April 7, 2003. “Arthroscopic Treatment of Early Basal Joint Osteoarthritis” and “Treatment of Dorsally Displaced Distal Radius Fractures with Volar Plate Fixation” Badia A, Orbay J, Gonzalez E, Khouri R. Podium presentations at combined meeting of Italian and Spanish Hand Surgery Societies and Vth Ibero-American Encounter of Hand Surgery Societies, Florence, Italy Sept. 25th-28th 2002. “CMC Arthroscopic Debridement and Metacarpal Base Osteotomy for Early Basal Joint Arthritis” Badia A, Orbay J, Gonzalez E, Khouri R. Podium presentation at American Ass. For Hand Surgery, Cancun, Mexico, Jan. 2002. “Arthroscopic Debridement and Metacarpal Base Osteotomy for Early Basal Joint Arthritis” Badia A, Orbay J, Gonzalez E, Khouri R. Podium presentation at VIIth Congress of Federation of European Societies for Surgery of the Hand, Barcelona, Spain, June 2000. “Volar Plate and Subchondral Peg Fixation for Dorsally Unstable Distal Radius Fractures” Orbay, J., Badia,A., Khouri, R., Indriago,I. Podium presentation at AAOS annual meeting , Orlando, Florida, March, 2000. 3 “CMC Joint Disease: Arthroscopic Assessment and Management” Badia, A., Berger, R., Luchetti,R., Orbay, J., Khouri, R. Podium presentation at American Assn. For Hand Surgery Annual Meeting, Miami Beach, FL, Jan. 7, 2000. “Percutaneous Intramedullary Nailing of Metacarpal Fractures” Orbay, J., Badia, A., Khouri,R., Indriago, I. Podium presentation at American Society for Surgery of the Hand Annual Meeting, Boston, Mass. September, 1999. "Total Elbow Joint Reconstruction with a Free Vascularized First Metatarso- Phalangeal Joint Transfer” Khouri, R., Orbay, J., Badia, A., Connell, A. Podium presentation at American Society of Reconstructive Microsurgery meeting, Hawaii. January 1999. "A New Technique for Percutaneous Intramedullary Fixation of Metacarpal Fractures” Orbay, J., Badia, A., Indriago, I., Khouri, R. Podium presentation at American Assn. for Hand Surgery meeting, Hawaii. January 1999. “Treatment of Unstable Dorsally Displaced Distal Radius Fractures with Volar T- Plate and Peg Fixation” Orbay, J., Connell, A., Badia, A., Khouri, R. Podium presentation at ASSH annual meeting, Minneapolis, Minnesota. September 1998. “Use of Free Flaps in Outpatient Surgery” Kutlu, N., Khouri, R., Badia, A., Orbay, J. Podium presentation at American Society for Reconstructive Microsurgery (ASRM) annual meeting, Scottsdale, Arizona, 1998. “The Thenar Flap for use in Hand Reconstruction” Khouri, R., Orbay, J., Kutlu, N., Badia, A. Podium presentation at ASRM annual meeting, Scottsdale, Arizona 1/98 “Treatment of Metacarpal Fractures with Antegrade Intramedullary Pinning”. Orbay, J. Kutlu, N., Badia, A., Khouri R. Podium presentation at ASSH meeting, Denver 1997. “Effectiveness of Local Bupivicaine in Facilitating Discharge after Outpatient Hand Surgery” Badia, A., Baratz, M. Poster presentation at American Society for Surgery of the Hand meeting, Nashville, October 1996. “Distal Interphalangeal Joint to Proximal Interphalageal Joint Homodigital Island Transfer” Khouri, R., Young-Jin, S., Badia, A., Orbay, J “Sodium Hylan for the Prevention of Postlaminectomy Scar Formation” Weiss, C., Suros, J., Dennis J., Denlinger, J., Badia, A., Montane, I. Presented at International Society for the Study of the Lumbar Spine. Miami, Florida, October 28, 1987. 4 INVITED LECTURES “Lesiones deportivas de Mano y Muñeca (hand and wrist sports injuries)” Virtual lecture given via Zoom to Physical Therapy congress, Lima, Peru Aug 6,2017. “Athletic injuries to hand/wrist, Elbow Arthroplasty, Mgmt Articular Elbow Fxs, Advances in distal radius fx surgery and Innovations in Upper Limb Arthroscopy” Presented at 3rd annual Orthopedic Course, ABC Hospital Santa Fe, Mexico City Aug 3,4th 2017. “Update in Thumb CMC Arthroscopy” EWAS round table symposium, FESSH annual congress, Budapest, Hungary June 24, 2017. “OrthoNOW: Development of the orthopedic urgent care concept” presented to Orthopedic Society of Jalisco, Mexico. Guadalajara, Lectures on arthroscopy and arthroplasty of hand,wrist, elbow and shoulder during 6th annual Upper Limb Course (Convenor Dr. Oscar Orozco) Guadalajara, Mexico May 26-27, 2017. “TM Arthroscopy of the Thumb”, Moderator “Wrist session II” ISSPORTH meeting, “Update in Wrist & Hand Arthroscopy” Milan, Italy May 12, 2017 “Scaphoid Fractures, Arthroscopic Mgmt of Shoulder Labral lesions, Arthroscopy for Ulnar Sided Wrist Pain, Thumb CMC Arthroscopy, Total Wrist Arthroplasty” given at Mexican orthopedic society- LVII Congreso Nacional de Ortopedia y Traumatología - Acapulco, Mexico April 28 to May 2, 2017. “Advances in Hand & Upper Limb Surgery” No Pain Rehab Clinic, Lima Peru. “Tennis injuries of the wrist, elbow and shoulder” Lima Tennis Club Jan 12,2017 “Ulnar sided wrist pain in athletes” ISSPORTH panel, “Carpal injury” panelist and moderator, “Distal radius fx round table” IFSSH Congress (triennial), Buenos Aires, Argentina, Oct 24-28, 2016. “Advances in small joint arthroscopy” and “Athletic injures to hand and upper limb” presented at annual SLAOT congress, Punta Cana, Dominican Republic Oct 12-15, 2016 “Orthopedic urgent care/Amb Surgery Centers as strategic focus for Work Comp” Instructional course on Worker’s Compensation during annual ASSH congress, Austin Texas, Sept 27-29, 2016. “Rheumatoid hand, wrist and elbow reconstruction”, “Post-traumatic Elbow reconstruction”, and “Advances in wrist arthroscopy” at 10th annual Orthopedic Society of Paraguay, Asuncion, Paraguay Sept 14-16, 2016. “Advances in Hand/Wrist Arthroscopy” grand rounds given at hand unit of Malmo University Hospital, Malmo, Sweden, June 29, 2016. 5 “Wrist arthroscopy -diagnostic What is Normal? Moderator, EWAS session during annual FESSH Congress, Santander, Spain June 23-25, 2016 “Shifts in Orthopedic Healthcare Delivery: role of ASC and Ortho urgent care centers” at OMTEC annual conference, OrthoWorld, Rosemont, Ill June 15, 2016 “Economics of OrthoNOW and outpatient orthopedic trauma surgery” presented to ITS company leadership, Graz, Austria, May 26,2016. “Management of Common Hand, Wrist and Upper Limb Pathology in Urgent Care Setting” presented at UCAOA national urgent care annual conference Orlanod, FL April 19, 2016. Panel discussion (with Arminda Figueroa) on Orthopedic Urgent Care development at Conference on Multicultural Marketing in Health and Wellness, Minneapolis, Minnesota March 24, 2016. “Advances in upper limb surgery” presented to orthopedic staff, Hospital del Valle, San Pedro Sula, Honduras, Feb 25, 2016 “Management of Failed distal radius surgery” during Instructional course on Complications of Distal Radius Fractures” annual AAHS congress, Scottsdale, Arizona, Jan. 15, 2016. Multiple panel discussions during Medical Tourism trade mission trip to China – Guangzho, Wouzu, Hainan, Guilin and Yuangsho, China Nov 8-18, 2015. “Bicep/Tricep tendinosis/injury in athletes” and “Ulnar sided wrist injury in elite tennis players” at FISIC sports medicine congress (Fortius clinic event during Rugby World Cup) Oct 13, 14, 2015. “Cutting edge concepts in Hand and Wrist Arthroscopy” grand rounds presented to Hand unit of the Wrightington Hospital, Wrightington, UK Oct. 8th, 2015. “Hand & Upper Limb care for international patient” for Dominican Medical Society, Santo Domingo, Dominican Republic, Aug 28, 2015. “Advances in Wrist and Hand Arthroscopy” and “Sports injuries to upper limb” at XXIII annual SLAOT Congress, Mexico City, Mexico Aug 18-20, 2015. “Arthroscopic Interposition Arthroplasty of Radiolunate Joint” EWAS presentation during FESSH meeting, Milan June 18th ,2015. “Wrist Injuries in High Level Tennis Athletes” presented at 14th STMS World Tennis Medicine Congress, May 8th, 2015 Rome, Italy. 6 “Mgmt articular fracture sequelae”, “Volar Plating: a technical overview”, presented at IBRA annual course, Miami, Epic Hotel April 2015. “Upper Limb Post-Traumatic Reconstruction for Arthritis”, “Arthroscopy for Carpal Instability” at International Advanced Orthopedic Conference, March 11, 2015, Dubai, UAE. Moderated session on Hand/Wrist trauma and participant in distal radius fx symposium. “TFCC injuries in Athletes” during Sports Injuries in Weekend Warriors symposium, “Maximizing economics in Private Practice” during Changing Economics of Healthcare Instructional Course during AAHS annual meeting, Jan. 9-11th, 2015, Nassau, Bahamas. “Carpal instability and TFCC Arthroscopy”, “Arthroscopic Distal Radius and Scaphoid Fx Mgmt”, and “Update in thumb CMC Arthroscopy presented at Masters Hand and Wrist Smith and Nephew Course, Carolinas Medical Center, Charlotte, NC. 1 of 2 faculty members. Nov. 8, 2014. “Digital injuries in Basketball Players”, “Wrist Injuries in Tennis players” presented will chairing ISSPORTH symposium in Argentinian Society for Surgery of the Hand Sports symposium within annual meeting, Buenos Aires, Argentina, Oct,15th, 2014 “PIP fracture dislocations: External Fixator” presented at combined AAHS and AACM meeting in Buenos Aires, Argentina, Oct 13,2014. “Digit injuries in the Athlete”, “Arthroscopic Mgmt of Skier’s Thumb” presented at ISSPORTH symposium within APFSSH congress, Kuala Lumpur, Malaysia, Oct. 2, 2014. “Is the dorsal approach redundant debate: Argument for Volar Approach” versus Professor Chow of Hong Kong, Oct. 1st, 2014. “Orthopedic Urgent Care Centers as part of Integrated Network” in Business of Hand Surgery Instructional Course, annual ASSH meeting, Boston, 9/15/14. “Arthroscopy of the Thumb CMC Joint” at EWAS wrist arthroscopy course and lab faculty at IRCAD cadaver lab course, Barretos, Brazil, 8/15/14. “Sports Related Hand and Upper Limb Injuries” presented to Goianias Hand Surgery club, Brasilia, Brazil, 8/12/14. “Cirugia de Epicondilitis”, “Lesiones del Biceps Distal” y “Codo Beisbolista” presentado en curso de lesiones deportivas, Sociedad Ecuatoriana de Ortopedia y Traumatologia, Guayaquil, Ecuador, July, 2014. “Complications of Articular PIP fractures” and “Technical Aspects of Volar Plate Fixation” presented at 6th annual IBRA meeting: Trauma and Reconstruction of Upper Limb. Deuville Hotel, Miami Beach, April 25, 2014 7 “Mgmt of Upper Limb Trauma” and “Arthritis Reconstruction of Hand and Upper Extremity” presented at annual NACR Meeting, Caribbean division of American Physical Therapy Assn. Miami, FL, April 25, 2014. “Arthrosocopy option for Basal Joint Arthritis: Video presentation at 2014 Hand Specialty day, annual AAOS meeting, New Orleans, March 15, 2014. “ARP Wave Technology in management of Upper Limb Problems” presented at 5th anniversary celebration of founding of Caribbean Hand Centre, Port of Spain, Trinidad and Tobago, Jan. 25th, 2014 “Digital Injuries in Athletes” at Sports Hand injury instructional course, “Mgmt of Failed Thumb CMC Arthroplasty” at Conservative Thumb CMC Arthritis instructional course during annual meeting of AAHS, Jan. 11th, 2014. “Arthroscopic Interposition Arthroplasty of Thumb CMC”. Presented at 30th EWAS course at IRCAD center, Strasbourg, France, Nov. 30th, 2013. “Arthroscopic Approaches to the Wrist”. At 1st ever Wrist Open and Arthroscopic Surgery Cadaver course, Italian Hand Society (SICM) in ICLO lab, Arezzo, Tuscany, Italy. Nov. 22, 2013. “Hand and Wrist injuries in Athletes” and “Minimally invasive wrist surgery” presented at annual Montreal Hand Club meeting of ASCPEQ, Hotel Place D’Armes, Montreal, Quebec, Canada Nov. 9, 2013. “Management of Athletic Hand and Upper Limb Pathology” presented at Cayman Physiotherapy, Georgetown, Cayman Isles, Nov. 15, 2013. “Role of Arthroscopy in Mgmt of Distal Radius Fractures”, “Evolution of treatment for Distal Radius Fractures” and “Elbow Reconstruction: New Indications” all at 39th annual congress of Argentinian Hand Surgery Assn. (AACM) San Luis, Argentina Oct 11-13, 2013. “Advances in Upper Limb Minimally Invasive Surgery for Rapid Rehabilitation” presented as invited symposium of Argentinean Kinesiology Association (AAK) Buenos Aires, Argentina, Oct. 9th, 2013. “Surgical reconstruction of Hand and Upper Limb: New Advances” presented at FUNTER national rehabilitation center, San Salvador, El Salvador, Sept. 6, 2013. “Sports Injuries of the Elbow” at 3rd annual OrthoNOW Sports Medicine Symposium, MARC Center, Doral, Florida. Aug. 27,2013. “The Jammed Finger” at annual meeting of Florida Hand Society, May 17, 2013. Rio de Janeiro, Brazil April 24, 2013. 8 Upcoming Meetings pending: Naples, FL, New Delhi, India, Miami, Rio de Janeiro, Azarro, Italy “Wrist and Hand Arthroscopy”, “Athletic Injuries of the Hand and Wrist”, and “Endoscopic Carpal and Cubital Tunnel Release” presented at 6th international conference of Royal Medical Services, King Hussein Convention Center, Amman, Jordan, Nov. 21, 2012. “Trapeziometacarpal Arthroscopy: Classification and Treatment Algorithm”, “Treatment options for Basal Jt Arthritis” and “Endoscopic Cubital Tunnel Release” presented at 8th APFSSH (Asian Pacific Federation of Societies for Surgery of the Hand) congress, Bali, Indonesia Oct. 9-11th, 2012. Instructor for advanced course of 2012 Hong Kong Annual Wrist Arthroscopy Workshop and live surgery demonstration transmitted from Prince of Wales Hospital (thumb CMC arthroscopic interposition arthroplasty), Hong Kong, China Oct.8, 9th, 2012. “Distal Radius Extra-Articular Osteotomy: Volar Approach” presented at Hong Kong Symposium on Distal Radius fractures and related disorders”, Prince of Wales Hospital, Hong Kong, China Oct 7th, 2012. Live Surgery demonstration – Arthroscopic rotator cuff repair narration to annual meeting of Annual meeting of Fla Assn of Occupational Nurses, Sept. 14th, 2012, Orlando Fl narrated from Miami. Sept. 15th, 2012 Endoscopic cubital tunnel hands on workshop instructor, Integra life sciences industry course, annual meeting of ASSH, Chicago, Ill, Sept. 7th, 2012. “Ambulatory internal fixation of upper limb trauma with Titanium plates” industry lecture presented for ITS systems, Faena hotel, Buenos Aires, Argentina, Aug.23, 2012. “Lunotriquetral ligament tears as cause of occult ulnar sided wrist pain”, presented during EWAS session of annual meeting of FESSH, Antwerp, Belgium June 21, 2012. “Athletic injuries to DIP and PIP joints” presented as moderator/chairman hand breakout session of annual Fla Ortho Society meeting, Sarasota, FL June 1,2012. “Jammed Finger: Athletic digital injury misconceptions”, presented at annual OrthoNOW Sports Med FIU symposium, MARC Center, Doral, FL May 24,2012. “Arthroscopic Management of Concomitant SL and LT ligament tears”, “Endoscopic cubital tunnel release”, IC course organizer of arthroscopic assistance for distal radius fractures, and live surgical demo of thumb basal joint 9 arthroscopic interposition arthroplasty (remote video live transmission from Hospital de Levante) 30th congress of Spanish Arthroscopy Assn. (AEA), Valencia, Spain, May 9-11, 2012. “The athlete’s jammed finger: a term to be abolished” ISSPORTH symposium on athletic hand injuries in 56th annual meeting of Nordic Orthopedic Federation, Tallinn, Estonia. May 3, 2012. “Arthroscopic assistance in distal radius fracture fixation: 3rd International IBRA meeting, Hyatt hotel, Doral, Florida and Lab director, MARC Center for course. Surgical demo on distal radius osteotomy. April 27-28th, 2012. “Orthopedic and Hand Surgery for the Inbound Medical Tourist Patient” presented at Sagicor and Guardian Life Insurance companies, Kingston, Jamaica April 13th, 2012. “Treatment of Articular MCP/PIP fractures” given at annual Demystifying the Hand lecture series, Fla. International Univ. March 23rd, 2012. Lecture/ Cadaveric demo on: Percutaneous trigger release, dynamic PIP external Fixator, and thumb CMC total joint arthroplasty. Scaphoid injury panelist: treatment of micro proximal pole fractures/non-unions and “small joint injury” panelist at 14th annual Philadelphia Hand Course (Honored Professor Status) March 3-5th, 2012 “Thumb CMC joint Arthroplasty Options and Treatment Algorithm” in hand/wrist arthroplasty symposium session at 18th annual Philadelphia Hand Rehab Course, March 5th, 2012, Philadelphia, PA. “MCP and PIP Arthroplasty of the Hand” and “Total Wrist Arthroplasty Update” both given at 7th annual Miami Hand Course, Doral, FL, Feb. 5th, 2012. Alejandro Badia, MD course chairman. Moderator, “Business of Workers Compensation” Instructional Course 118, AAHS annual meeting, Las Vegas, Nevada. Presented “Communication via phone conference and depositions in work comp” and Carpal Tunnel endoscopic surgical demo/ teaching, Microaire ECTR symposium, January 12, 2012 “Sports Related Injuries of the Upper Limb” presented at Barbados National Olympic Team Headquarters, Bridgetown, Barbados Dec. 9th, 2011. “Management of elbow epicondylosis”, “Hand and Upper Limb Athletic Injuries” Presented at XXIV Congreso Panamericano de Medicina del Deporte, Guadalajara México, July 27-30, 2011. 10 “Advances in Hand, Wrist, Elbow and Shoulder Arthroscopy” presented at Puerta de Hierro Hospital, Guadalajara, México July 29, 2011. “Wrist injuries in raquet sport athletes” during EWAS session, IFSSH triennial international hand congress. “Scaphoid excision and 4 corner arthrodesis” during Wrist arthritis symposium, “Arthroscopic classification and treatment algorithm for basal joint thumb arthroscopy” while moderating small joint arthroscopy symposium during International Federation of Societies of Surgery of the Hand, Seoul, Korea Oct. 30th –Nov. 2nd, 2010. “Mgmt of upper limb non-unions/malunions”, “Distal radius fractures: a treatment revolution”, “Flaps for hand reconstruction” and “Elbow arthroplasty: current concepts” presented at XXVII annual meeting of Guatemalan Orthopedic and Traumatology Society, Guatemala City, Guatemala, Oct. 8th, 2010. “Arthroscopic treatment of trapeziometacarpal and STT joint arthritis” at 1st HSC Wrist Arthroscopy Course, Girona, Spain, followed by cadaver lab instructor in Munich, Germany, Sept 30th – Oct. 1st, 2010. “Orthopedic subspecialty centers for inbound medical tourism” presented at 3rd annual Medical Tourism Association annual meeting, Los Angeles, Ca. Sept. 22,2010. “The troublesome medial facet and distal radioulnar joint in distal radius fractures” during 2nd annual IBRA (international bone research assn.) meeting, MARC Center, Doral, Florida and live surgery transmission (distal radius corrective osteotomy) from Surgery Center at Doral, Sept. 9th and 10th, 2010. “The importance of orthopedic subspecialty care for the injured worker” presented at annual meeting of Florida Workers Compensation Association (FWCI) Orlando, FL, August 16th, 2010. “Wrist and hand arthroscopy principles” lecture and shoulder arthroscopy table instructor at ArthroMiami, Hotel Intercontinental, Miami Florida, July 23, 2010. “Treatment of sports injuries to hand and upper limb: new principles” presented to members of Clinica San Borja medical staff and local orthopedists at Merck Sharp and Dohme labs auditorium, Lima, Peru, July 16th, 2010. “Algorithm for thumb basal joint management”, “Elbow Arthroplasty update” “small joint arthroscopy tricks and pearls”, “PIP joint case discussion” at Hands Across Africa conference, Kapama game reserve, Kruger National Park, South Africa, April 28th to May 1st, 2010.

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Cornell University – College of Arts & Sciences, A.B. in Biological Fixation for Distal Radius Fractures” and “Arthroscopic Reduction and Surgery” Badia, A., Baratz, M. Poster presentation at American Society for .. “Carpometacarpal Joint Arthroplasty with Braun Prosthesis” presented
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Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.