Reconstructive Surgery of the Hand and Upper Extremity

Highly Commended by the BMA Medical Book Awards for Surgery!

Reconstructive surgery of the upper extremity has progressed significantly due to advances in microsurgical techniques, which include the increased popularity of perforator flaps, refinements in functional free muscle transfer, the application of nerve conduits and nerve allografts, motor nerve transfers, and hand transplantation. These innovations have helped surgeons achieve functional reconstruction goals and enabled patients' return to normal functioning earlier than previously possible.

Reconstructive Surgery of the Hand and Upper Extremity presents a unique, color-coded roadmap for managing the complex upper extremity patient, based on a logical approach to surgical decision-making. Authors Gunter Germann, Randolph Sherman, and L. Scott Levin deliver seven systematically organized sections and 69 chapters with versatile, evidence-based guidelines and techniques. Strategic approaches and a video chapter covering patient examination reflect the collective wisdom gleaned from the authors' experience in the care of the upper extremity patient.

Key Highlights

• Insightful guidance provided in 115 treatment-specific algorithms
• Patient histories and photos offer practical clinical information on a full continuum of cases-from gunshot wounds to tumors
• Over 500 high quality illustrations and graphics, many redrawn for this edition, delineate injuries and reconstruction techniques
• Richly illustrated atlas of flaps with nearly 140 new color photos details diverse approaches, including pearls and pitfalls
• Handy tables clearly outline rehabilitation protocols, classification, and zones of injury
• Includes bonus e-book version

The text provides an invaluable framework to help both surgical residents and veteran upper extremity surgeons achieve optimal outcomes in their patients.

Part I: General Principles
1. General Principles of Upper Extremity Reconstruction
2. Assessment and Management Strategy
3. Clinical Examination
4. Principles of Treatment and Management
Part II: Techniques of Structure Repair
5. The Reconstructive Ladder
6. Skin Grafts
7. Techniques of Osteosynthesis
8. Techniques of Bone Repair
9. Techniques of Tendon Repair
10. Techniques of Vascular Repair
11. Techniques of Nerve Repair
Part III: Treatment Algorithms
12. Bones
13. Ligaments
14. Flexor Systems
15. Extensor Systems
16. Vessels
17. Nerves
18. Skin and Soft Tissue
Part IV: Clinical Examples
19. Gunshot Wound
20. Burn
21. Carpal Injury
22. Crush Injury
23. Dorsal Soft Tissue Injury to Finger and Hand
24. Volar Soft Tissue Injury to Finger and Hand/Palm
25. Digital Amputation
26. Forearm Trauma
27. Compartment Syndrome
28. Tumor
Part V: Atlas of Flaps—Pearls and Pitfalls
29. Cross-Finger Flap
30. Reverse Cross-Finger Flap
31. V-Y flap
32. Lateral Digital Advancement Flap
33. Thenar Flap
34. Volar Advancement Flap (Moberg)
35. Reverse First Dorsal Radial Metacarpal Flap (Moschella)
36. Reverse First Dorsal Ulnar Perforator Flap (Brunelli)
37. Axial Digital Island Flap
38. Reverse Axial Digital Island Flap
39. First Dorsal Metacarpal Artery Flap (Kite Flap)
40. Dorsal Metacarpal Artery Flap
41. Radial Forearm Flap
42. Pedicled Vascularized Bone Grafts from the Wrist
43. Posterior Interosseous Flap
44. Reverse Ulnar Perforator Forearm Flap
45. Lateral Arm Flap
46. Parascapular and Scapular Flaps
47. Anterolateral Thigh Flap
48. Latissimus Dorsi Flap
49. Serratus Muscle/Fascial Flap
50. Temporal Fascial Flap
51. Groin Flap
52. Gracilis Muscle/Musculocutaneous Flap, Innervated Flap
53. Fibula Flap
54. Additional Free Vascularized Bone Grafts
55. Tendon Transfer
Part VI: Rehabilitation Protocols
56. Flexor Tendon Repair
57. Repair of Long Finger Flexor Tendon
58. Extensor Tendon Repair: Zone III
59. Extensor Tendon Repair: Zones IV–VIII
60. Injuries to the Digital Joints
61. Locking Plate Principles
Part VII: Classification and Zones of Injury
62. AO/ASIF Fracture Classification
63. Salter-Harris Classification of Pediatric Growth Plate Fractures
64. Classification of Nerve Injuries
65. Zones of Flexor Tendon Injuries
66. Zones of Extensor Tendon Injuries
67. Carpal Instability
68. Mayo Classification of Carpal Instabilities
69. Posttraumatic Arthritis