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A comprehensive how-to guide on hand surgery techniques from top experts!Hand surgery requires precision, in-depth expertise, and versatility in order to perform a wide variety of operations on fractures, tendon and nerve conditions, soft tissue injuries, rheumatoid deformities, and congenital defects. Hand Surgery: Tricks of the Trade by renowned Rothman Orthopaedic Institute hand surgeon Pedro Beredjiklian and an impressive group of contributors provides a clear road map on how to perform common hand surgery procedures. Concise step-by-step text enables readers to quickly read, review, and understand the most salient points for each approach. Organized into 14 major sections and 88 chapters, this book encompasses the full spectrum of orthopaedic surgery procedures on the tendons, nerves, bones, and joints of the hand. The text starts with two sections focused on tendon repair and reconstruction. Subsequent sections detail open and endoscopic release and decompression techniques for nerve conditions, fixation and plating of hand and wrist fractures, osteotomy for bone reconstruction, arthroplasty for arthritis, and ligament repair for instability. The last four sections discuss plastic surgery topics including the use of diverse skin grafts and flaps, Dupuytren's disease, arthroscopy, and infections. Key Features- Consistent chapter layouts include key principles, indications, contraindications, positioning and anesthesia, important procedural steps, potential complications, and more
- Nearly 1,000 illustrations and photographs provide greater understanding of impacted anatomy
- Insightful intraoperative pearls, tips, and tricks provide surgeons with the tools to perform surgeries more effectively and thereby improve patient outcomes
This is a must-have resource for orthopaedic surgery residents, fellows, and hand surgeons. Trainee and experienced plastic surgeons will also benefit from reading this textbook. This book includes complimentary access to a digital copyTable of ContentsI. Tendon Injuries- 1. Extensor tendon repair (zone 1,3,5)
- 2. Extensor tendon repair (zone 2,4,6-9)
- 3. Flexor tendon repairs (zone 1)
- 4. Flexor tendon repair (zone 2)
- 5. Flexor tendon repair (zones 3-5)
II. Tendon Reconstruction- 6. Staged flexor tendon reconstruction (zones 1-2)
- 7. Radial nerve palsy tendon transfers
- 8. Low median nerve palsy tendon transfers
- 9. Low ulnar nerve palsy tendon transfers
- 10. Extensor indicis proprius tendon transfer for rupture of the extensor pollicis longus tendon
- 11. Extensor indicis proprius/extensor digitorum communis tendon transfer for tendon rupture at the wrist
- 12. Superficialis transfer for rupture of the flexor pollicis longus tendon
III. Tendinopathies- 13. Trigger finger/thumb release
- 14. DeQuervain's release
- 15. Extensor Carpi ulnaris tenosynovitis/instability
- 16. Intersection syndrome
- 17. Lateral epicondylar debridement
- 18. Medial epicondylar debridement
IV. Nerve Repair/Reconstruction- 19. Nerve repair in the hand
- 20. Nerve repair with auto/allograft
- 21. Nerve conduits
- 22. Oberlin transfer
V. Nerve Compression- 23. Open carpal tunnel release
- 24. Endoscopic carpal tunnel release
- 25. Median nerve release proximal forearm
- 26. Open ulnar nerve decompression at wrist
- 27. Endoscopic ulnar nerve decompression
- 28. Submuscular ulnar nerve transposition
- 29. Wrist denervation for pain
VI. Hand Fractures- 30. Distal phalanx fractures
- 31. Middle/proximal phalanx (pinning)
- 32. Middle/proximal phalanx (open reduction and internal fixation)
- 33. Fixation of uni and bicondylar phalangeal fractures
- 34. Bony mallet fixation
- 35. Proximal interphalangeal joint fracture/dislocations
- 36. Metacarpal fracture pinning
- 37. Metacarpal fracture open reduction and internal fixation
- 38. Intramedullary fixation of metacarpal fractures
- 39. Thumb metacarpal base fractures (Bennett's, Rolando's)
VII. Wrist Fractures- 40. Scaphoid (pinning/ORIF)
- 41. Percutaneous/Kapandji Pinning
- 42. Distal radius - Volar approach
- 43. Distal radius - Dorsal approach
- 44. Distal radius - Bridge plating
- 45. Distal radius - External fixation
VIII. Bone Reconstruction- 46. Phalangeal osteotomies
- 47. Metacarpal osteotomies
- 48. Scaphoid nonunion (vascularized graft)
- 49. Scaphoid nonunion (bone graft for deformity)
- 50. Capitate shortening osteotomy
- 51. Distal radius osteotomy for malunion (volar approach)
- 52. Distal radius osteotomy for malunion (dorsal approach)
IX. Arthritis- 53. Distal interphalangeal joint arthrodesis
- 54. Thumb basal joint arthroplasty - Trapeziectomy
- 55. Thumb basal joint arthroplasty (LRTI)
- 56. Wrist arthrodesis
- 57. Proximal row carpectomy
- 58. Scaphoidectomy and four corner fusion
- 59. Partial distal ulna excision (Wafer, Hemiresection)
- 60. Complete distal ulna excision (Darrach)
X. Instability- 61. Finger (PIP/DIP) collateral ligament repair
- 62. Finger MPJ collateral ligament repair
- 63. Thumb MPJ collateral ligament repair
- 64. Thumb MPJ collateral ligament reconstruction
- 65. Scapholunate ligament repair
- 66. Scapholunate ligament reconstruction – capsulodesis
- 67. Scapholunate ligament reconstruction – tendon graft
- 68. Distal radioulnar ligament repair/reconstruction
XI. Skin- 69. Split thickness graft
- 70. Full thickness graft
- 71. V-Y advancement flap
- 72. Volar advancement flaps – Moberg
- 73. Cross finger (and reverse) flap
- 74. Thenar Flap
- 75. Axial Flag Flap
- 76. Z-plasty
- 77. Radial forearm flap
XII. Dupuytren's disease- 78. Needle aponeurotomy
- 79. Subtotal fasciectomy
XIII. Arthroscopy- 80. Diagnostic arthroscopy (MP/CMCJ)
- 81. Diagnostic arthroscopy (wrist)
- 82. Triangular fibrocartilage complex/interosseous ligament debridement
- 83. Triangular fibrocartilage complex repair
XIV. Infection- 84. Paronychia
- 85. Felon
- 86. Flexor tenosynovitis
- 87. Septic arthritis
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