State-of-the-art solutions to restore hand function in patients with difficult hand ailments
The intricate balance of the intrinsic and extrinsic soft tissue structure and bony scaffold of the hand, coupled with 31 articulating services in the hand and wrist, can lead to significant surgical challenges. Providing surgeons with technical pearls to overcome these challenges is the primary focus of Problems in Hand Surgery: Solutions to Recover Function by internationally renowned hand surgeons Michael W. Neumeister and Michael Sauerbier, and an impressive group of contributors.
Organized by 29 sections and 90 chapters, this comprehensive book focuses on secondary hand surgeries to optimize hand form and function in patients with challenging trauma- and disorder-related hand issues. Among the many topics addressed are problems associated with nonunion, malunion, dysvascular limbs, trauma-related degenerative changes, stiffness, tendon dysfunction, joint disruption, nerve injury, neuropathy, vasospasm, fractures, and osteoarthritis.
Key Highlights
- Unique approaches for stiff fingers, recurrent cubital tunnel and ulnar neuropathy, suboptimal bone healing/avascular necrosis in the hand and wrist, and more
- High-quality videos provide insightful guidance on various surgical techniques
- Over 1,100 color illustrations and preoperative, intraoperative, and postoperative images help readers visualize the steps involved in each operative procedure
The extraordinary clinical tools in this step-by-step surgical resource will help orthopaedic surgery residents and experienced orthopaedic and plastic surgeons manage difficult cases and achieve optimal patient outcomes.
This book includes complimentary access to a digital copy on https://medone.thieme.com.
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Table of Contents:
Part I: Problems with Nailbed Repairs
1 Nonadherence of the Nail Plate
2 Posttraumatic Split Nails
3 Gentian Violet Treatment of Severe Chronic Paronychia
Part II: Problems with Trigger Release
4 Bowstringing
Part III: Problems with Dupuytren's Disease
5 Exposed Tendons
6 Acute Vascular Compromise After Dupuytren's Fasciectomy
7 Secondary Contractures
8 Complications of Dupuytren's Contracture Treatment
Part IV: Problems with Flexor Tendon Repair
9 Flexor Tendon Rupture
10 Adhesions of the Flexor Tendon
11 Bowstringing of the Flexor Tendon
12 Ruptured Flexor Pollicis Longus Tendon
Part V: Problems with Extensor Tendon Repair
13 Extensor Lag
14 Stiffness in the Extensor Tendon
15 Relative Motion Treatment of Chronic Boutonniere Deformity
16 Management of Chronic Sagittal Band Rupture
17 Posttraumatic Swan Neck Deformity
Part VI: Problems with Vasospasm
18 Refractory Raynaud's Phenomenon
Part VII: Problems with Compression Neuropathy
19 A Practical Approach to Recurrent Carpal Tunnel Syndrome
20 Recurrent Carpal Tunnel Syndrome
21 Failed Carpal Tunnel Release: Recognizing the Lacertus Syndrome
22 Cubital Tunnel Release at the Elbow
23 Recurrent Cubital Tunnel
24 Recurrent Ulnar Neuropathy
25 Radial Tunnel Release in the Forearm
Part VIII: Problems with Nerve Repair
26 End Neuroma
27 Pain following Nerve Repair
Part IX: Problems with Nerve Palsy
28 Finger Contractures
Part X: Sarcoma
29 Incomplete Resection of Sarcoma at the Hand
Part XI: Problems with Soft Tissue Coverage
30 Perfusion Problems
31 The Bulky Flap
32 Contracture after Acute Trauma Surgery of a Blast Burn
33 Dorsal Hand Defect
Part XII: Problems with Nonarticular Phalanx Fractures
34 Malrotation in Nonarticular Phalanx Fractures
35 Nonunion in Nonarticular Phalanx Fractures
36 Stiffness and Hardware Problems in Nonarticular Phalanx Fractures
37 Angulation in Nonarticular Phalanx Fractures
Part XIII: Problems with Articular Phalanx Fractures
38 Angulation in Articular Phalanx Fractures
39 Posttraumatic Bone Loss in Articular Phalanx Fractures
40 Fracture after Prior Kirschner's Wire Fixation
41 Contractures in Articular Phalanx Fractures
Part XIV: Problems with Metacarpal Fractures
42 Nonunion in Metacarpal Fractures
43 Malunion in Metacarpal Fractures
44 Angulation in Metacarpal Fractures
Part XV: Problems with Basilar Joint Osteoarthritis
45 Recurrent Pain in Basilar Joint Osteoarthritis
46 Painful Proximalization of First Metacarpal After Trapeziectomy
47 Metacarpal Phalangeal Hyperextension
Part XVI: Problems with Metacarpal Phalangeal Osteoarthritis after Implant Arthroplasty
48 Intraoperative Instability During Metacarpophalangeal Joint Arthroplasty for Osteoarthritis
49 Revision of Subsided Pyrocarbon Implants
Part XVII: Problems with Interphalangeal Osteoarthritis
50 Failed Silicone Proximal Interphalangeal Joint Arthroplasty
51 Stiffness in Interphalangeal Osteoarthritis
52 Contracture in Interphalangeal Osteoarthritis
53 Proximal Interphalangeal Posttraumatic Osteoarthritis
Part XVIII: Problems with Infection in the Thumbs, Fingers, and Wrist
54 Inadequate Drainage of Infection in the Thumbs, Fingers, and Wrist
55 Salvage of Osteomyelitis of the Distal Radius after Internal Fixation of an Open Fracture
56 Infectious Destruction of the Wrist
Part XIX: Problems with Replantation
57 Stiffness after Replantation
58 Failed Replant: Ray Amputation
59 Failed Digit Replant: Toe-to-Hand Transfer
60 Failed Thumb Replant: Great Toe-to-Thumb Transfer
61 Failed Replant: Failed Degloving Revascularization
62 Attempted Replantation
63 Nonunion following Digital Replant
64 Nonunion following Major Replant
65 Painful Finger after Bony Nonunion
66 Stiff Fingers and Elbow after Replantation
67 Poor Grip or Weak Motion after Replantation
Part XX: Problems with Complex Regional Pain Syndromes
68 Complex Regional Pain Syndrome
Part XXI: Problems with Scaphoid Fractures
69 Nonunion of the Proximal Pole
70 Scaphoid Nonunion with Avascular Necrosis
71 Scaphoid Revision Nonunion
72 Scaphoid Nonunion
73 Scaphoid Implant Malplacement
Part XXII: Problems with Scapholunate Instability
74 Failed Scapholunate Ligament Repair: Acute
75 Failed Reconstruction with Tenodesis: Chronic
Part XXIII: Problems with the Lunotriquetral Joint
76 Problems with the Lunotriquetral Joint After Ligament Repair
77 Problems with Lunotriquetral Fusion
Part XXIV: Problems after Partial Wrist Fusions
78 Complications of Partial Wrist Fusion
79 Dislocated Lunar Facet Fragments and Radioscapholunate Arthrodesis
Part XXV: Total Wrist Arthroplasty
80 Implant Migration after Total Wrist Arthroplasty
Part XXVI: Problems with Triangular Fibrocartilage Complex Tears
81 Pain After Triangular Fibrocartilage Complex Tears
82 Persistent Instability After Triangular Fibrocartilage Complex Tears
Part XXVII: Problems with Ulnar Impaction
83 Arthroscopic Treatment of Ulnar Impaction
84 Nonunion after Ulnar Shortening
Part XXVIII: Problems with Distal Radial Ulnar Joint
85 Failed Bowers' Arthroplasty: Ulnar Head Prosthesis
86 Dislocated Ulnar Head Prosthesis
Part XXIX: Problems with Distal Radius Fractures
87 Distal Radius Fracture Malunion
88 Distal Radius Fracture Nonunion
89 Troublesome Lunate Facet
90 Troublesome Lunate Facet: Treatment with Microvascular Techniques
