Contents:

evaluation and diagnosis

Chapter 4

Anesthesia for hand injuries

Principles of treating complex hand injuries

Chapter 7

TREATMENT OF DIFFERENTTISSUE SYSTEMS

Chapter 9

Complex injuries to the flexor mechanism in the hand and the forearm

Chapter 11

Skin coverage in complex hand injuries

Chapter 16

Microsurgery and complex hand injuries

Complex Injuries of the Hand provides a practical guide to the management of complex hand injuries for trainee and practicing hand surgeons, orthopaedic surgeons and plastic surgeons. The number of complex hand injuries is on the rise and they generally involve multiple tissue systems. Complexity may stem from the mechanism of the injury, the challenging anatomy of the region, or the time elapsed since the injury. Most other books on hand injuries tend focus on individual tissue systems and regions; however, complex hand injuries usually require treatment of many tissue systems simultaneously. This book defines the principles of diagnosis and treatment of complex and combined injuries of the hand, and describes the anatomical and physiological basis for the type of treatment that can lead to restoration of maximal function. It discusses the logic of staging and sequencing the repair and reconstruction when required by the nature of the injury or circumstances of the treatment. Emphasis has been placed on the synthesis and integration of treatment principles.



The book is divided into four sections: the first deals with the general principles and philosophy of treatment of complex injuries including anesthesia and post-operative rehabilitation; the second deals with complex injuries in each tissue systems, the third deals with thermal and blast injuries, and the fourth covers the application of special techniques such as microsurgery and external fixation in complex injuries of the hand.



Provides a definitive ‘go to’ reference for hand surgeons, orthopaedic surgeons and plastic surgeons
Emphasis on where to start the repair and the sequence of subsequent management steps
Lavishly illustrated with over 500 color photographs and diagrams showing repair and reconstruction techniques Common terms and phrases: amputation anatomy anesthetic assessment avulsion axonal blast injuries block bone graft brachial plexus burn carpal clinical closure compartment syndrome complex hand injuries complex injuries contracture cutaneous damage debridement defect deformity digits dislocation dissection distal radius fractures donor dorsal dorsum edema epineurium excision extension extensor tendon external fixation fascia Figure finger flexion flexor tendon fracture healing free flap functional Hand Surg hand surgery infection interosseous interphalangeal joint K-wires laceration lateral ligament loss MCP joint median nerve metacarpal microsurgical mobilization motor muscle nerve grafts nerve injury neurovascular ofthe hand pain palmar patient pedicle performed peripheral nerve phalanx PIP joint posterior postoperative primary repair procedures radial forearm flap radiographs replantation result scaphoid scar Schwann cells screw segmental sensory skeletal skin graft soft tissue splinting stability structures surgeon surgery surgical suture technique tendon grafting therapist therapy thumb tourniquet transfer trauma treatment ulnar nerve upper extremity vascular vessels volar plate wound wrist zone