The Mutilated Hand

This comprehensive atlas and text covers the diagnosis, management and treatment of mutilating injuries of the hand. Written by an international team of orthopaedic and plastic surgeons and trauma specialists, this book addresses diagnosis, primary management in the emergency department or operating theatre, treatment strategies and comparison of functional results using various treatment methods. Illustrative cases demonstrate treatment and reconstructive techniques in a step-by-step fashion.

Features

# Stunning full-color illustrations
# Provides highly structured format in all chapters dealing with secondary management of mutilating hand injuries including:
# algorithms whenever possible to simplify the decision-making process and
# illustrative cases demonstrating the various techniques in step-by-step fashion in color
# Authoritative coverage by renowned international experts in plastic surgery, hand surgery, and orthopedic surgery
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Contents

I. Mutilating Injuries of the Hand: Picking Up the Pieces
1. An Historical Odyssey of the Mutilated Hand
2. Initial Management and Reconstructive Goals
3. Classification Systems for Mutilating Injuries
II. Dorsal and Palmar Mutilating Injuries
4. Management of the Dorsal Mutilating Injury
5. Management of the Palmar Mutilating Injury
III. Ulnar Mutilating Injuries
6. Management of the Ulnar Mutilating Injury
IV. Radial Mutilating Injuries
7. On Making a Thumb: More Than a Century of Surgical Effort
8. Prehension in the Normal Hand and in the Mutilated Hand
9. Distraction-Lengthening for Thumb Reconstruction
10. Digital Pollicization for Traumatic Thumb Loss
11. Great Toe-to-Thumb Transfer
12. Second Toe Transfer for Post-traumatic Thumb Reconstruction
13. Modified Great Toe Wrap-Around Flap for Thumb Reconstruction
V. Replantation and Revascularization
14. Principles of Replantation and Revascularization
15. Multiple Digit Replantations
16. Microsurgical Joint Transfer
17. Transmetacarpal Replantation and Revascularization
18. Secondary Surgery Following Replantation
VI. Reconstruction of Transverse Mutilating Injuries
19. The Phalangeal Hand
20. Microsurgical Reconstruction of the Metacarpal Hand
21. The Mutilated Wrist
22. Krukenberg’s Operation
VII. Soft Tissue Reconstruction of the Mutilated Hand
23. Management of the Degloved Hand
24. The Severely Burned Hand
25. Emergency Free Flaps
26. Secondary Soft Tissue Reconstruction
VIII. Bony Reconstruction of the Mutilated Hand
27. Basic Principles of Bony Reconstruction
28. Principles of Internal Fixation
29. Principles of External Fixation
30. Distraction-Lengthening for Reconstruction of the Hand
IX. Spare Parts Surgery
31. Spare Parts in Upper Extremity Reconstruction
32. Microsurgical Cross-Finger Transfer
33. Microsurgical Cross-Hand Transfer
X. Reconstruction of the Mutilated Hand in Children
34. Replantation and Revascularization in Children
35. Reconstruction of the Pediatric Mutilated Hand
XI. Postoperative Management and Complications
36. Psychological Aspects of Mutilating Hand Injuries
37. Rehabilitation of the Mutilated Hand
38. Painful Digits and Amputation Stumps of the Hand
39. Revision Amputations of the Hand and Digits
40. Prostheses for Mutilated Hands
XII. Limb Allotransplantation: A New Era
41. Limb Allotransplantaion: Experimental
42. Hand and Composite Tissue Allotransplantation: Past, Present, and Future

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