Chung's Operative Techniques in Hand and Wrist Surgery

ection I. Anesthesia and Emergency Procedures Anesthesia of the hand Evidence Fasciotomy for compartment syndrome of the hand and forearm Evidence Finger amputations Evidence Proximal upper extremity amputation Evidence Finger infections (paronychia, felons, pyogenic flexor tenosynovitis) Evidence Splints and orthoses Evidence Section II. Hand Fractures and Dislocations 7. Principles of bone fixation and healing Evidence 8. Kirschner wire fixation of mallet fractures Seymour fractures and nail bed repair Extension block technique Evidence 9. Treatment of extraarticular phalangeal fractures Evidence 10. Dynamic external fixation of fracture-dislocation of the proximal interphalangeal joint Evidence 11. Open reduction and internal fixation of intraarticular phalangeal fractures Evidence 12. Volar plate arthroplasty of the proximal interphalangeal joint Evidence 13. Hemi-hamate arthroplasty Evidence 14. Techniques and fixation of metacarpal fractures Closed reduction with kirschner wire fixation of metacarpal neck and shaft fractures Percutaneous intramedullary fixation of metacarpal head and neck fractures Open reduction and internal fixation of metacarpal shaft fractures Evidence 15. Open reduction for metacarpophalangeal joint dislocation Evidence 16. Corrective osteotomy of metacarpal fracture malunion Evidence 17. Reconstruction of acute and chronic ulnar collateral ligament injuries of the thumb Evidence 18. Techniques for fixation of bennett and rolando fractures Evidence Section III. Wrist Fractures and Carpal Instability 19. Wrist arthroscopy Arthroscopic evaluation of wrist Systematic evaluation and common pathologies Evidence 20. Repairing tears of the triangular fibrocartilage complex Evidence 21. Scapholunate ligament repair Evidence 22. Scapholunate ligament reconstruction Evidence 23. Lunotriquetral ligament reconstruction options using tendon grafts Evidence 24. Scapholunate and lunotriquetral ligament reconstruction with internal brace and tendon grafting Evidence 25. Open reduction and internal fixation of acute scaphoid fracture Evidence 26. Treatment of scaphoid nonunion Ulna (corticocancellous or cancellous) bone graft Pedicled vascularized bone graft from dorsal distal radius (1,2 intercompartmental supraretinacular artery) Pedicled vascularized bone graft from volar distal radius Free vascularized medial femoral condyle Evidence 27. Salvage procedures for scaphoid nonunion Scaphoidectomy and four-corner fusion Evidence 28. Open reduction and fixation of acute lunate or perilunate dislocation, with or without fracture Evidence 29. Ulnar shortening osteotomy for ulnar impaction syndrome Evidence 30. Distal radioulnar joint reconstruction using palmaris longus graft Evidence 31. Procedures for avascular necrosis of the lunate (Kienböck disease) Capitate shortening osteotomy Evidence Section IV. Forearm Fractures 32. Operative treatment of distal radius fractures Evidence 33. Corrective osteotomy of radius malunion Evidence 34. Associated ulnar fixation (ulnar styloid and metadiaphyseal fractures) Evidence 35. Forearm fracture-dislocations (Galeazzi and Monteggia) Evidence Section V. Rheumatoid Arthritis and Degenerative Disease 36. Metacarpophalangeal joint synovectomy, crossed intrinsic tendon transfer, and extensor tendon centralization Evidence 37. Tendon transfers for rheumatoid tendon attrition rupture Evidence 38. Stabilization of extensor carpi ulnaris tendon subluxation with extensor retinaculum Evidence 39. Correction of swan-neck deformity Evidence 40. Correction of boutonniere deformity Evidence 41. Metacarpophalangeal arthroplasty Silicone metacarpophalangeal arthroplasty Pyrocarbon metacarpophalangeal arthroplasty Evidence 42. Proximal interphalangeal arthroplasty Revision PIP joint arthroplasty Evidence 43. Distal interphalangeal joint arthrodesis Evidence 44. Joint fusion for thumb metacarpophalangeal instability Evidence 45. Carpometacarpal joint fusion for basilar arthritis Evidence 46. Reconstruction for thumb carpometacarpal joint instability using flexor carpi radialis (Littler procedure) Evidence 47. Trapeziectomy and abductor pollicis longus suspensionplasty Evidence 48. Revision carpometacarpal joint arthroplasty Abductor pollicis longus suspension with tenodesis screw Metacarpophalangeal joint capsuloplasty/volar plate advancement Metacarpophalangeal joint arthrodesis Intermetacarpal arthrodesis – thumb to index metacarpal base fusion Evidence 49. Distal ulnar resection (Darrach procedure) Evidence 50. Sauvé-Kapandji procedure Evidence 51. Hemiresection ulnar arthroplasty Evidence 52. Total wrist arthroplasty Evidence 53. Total wrist fusion Evidence 54. Wrist denervation Evidence Section VI. Nerve Conditions 55. Open carpal tunnel release Evidence 56. Endoscopic carpal tunnel release Evidence 57. Revision carpal tunnel release and coverage using a hypothenar fat pad flap Evidence 58. Procedures for ulnar compressive neuropathy Release of the guyon canal Cubital tunnel syndrome In situ decompression Hybrid subcutaneous/intramuscular anterior transposition Submuscular anterior transposition Evidence 59. Radial nerve decompression Evidence Section VII. Nerve Injuries and Palsy 60. Digital nerve repair Evidence 61. Ulnar nerve group fascicular repair Evidence 62. Median nerve epineural and group fascicular nerve repair Evidence 63. Tendon transfers for low median nerve injury Palmaris longus to abductor pollicis brevis (Camitz opposition transfer) Extensor indicis pollicis to abductor pollicis brevis transfer Flexor digitorum superficialis of ring finger to abductor pollicis brevis Abductor digiti minimi to abductor pollicis brevis transfer Evidence 64. Tendon transfers for high median nerve injury Profundus tenodesis: Ulnar flexor digitorum profundus side-to-side transfer to median flexor digitorum profundus to restore finger flexion Evidence 65. Tendon transfers for low and high ulnar nerve injury Flexor digitorum superficialis transfer to correct claw deformity ECRB-to-adductor transfer with free tendon graft to restore thumb adduction Split ECRB-to-adductor transfer to restore thumb adduction APL-to-first dorsal interosseous transfer using tendon graft for index abduction Extrinsic finger flexors—FDP side-to-side transfer FDS-lasso procedure Metacarpophalangeal capsuloplasty/volar plate advancement Evidence 66. Tendon transfers for high and low radial nerve injury Evidence 67. Tendon transfers for combined nerve palsy Low median-ulnar palsy High median-ulnar palsy ECRL to FDP transfer High median-radial palsy FCU to EDC and EPL transfer High ulnar-radial palsy Split FDS to adductor and ring and small A2 pulleys Evidence 68. Distal anterior interosseous nerve transfer to motor branch of ulnar nerve Evidence Section VIII. Tetraplegic Conditions 69. Tendon and nerve transfers for spinal cord injury patients Evidence 70. Restoration of elbow extension: Deltoid to triceps transfer and biceps to triceps transfer Deltoid to triceps transfer Biceps to triceps transfer Evidence 71. Restoration of wrist extension: Brachioradialis to extensor carpi radialis tendon transfer Evidence 72. Restoration of active key pinch: Brachioradialis and pronator teres to flexor pollicis longus transfer Brachioradialis transfer to flexor pollicis longus Pronator teres transfer to flexor pollicis longus Evidence 73. Restoration of passive key pinch Split FPL-to-EPL tendon transfer Flexor pollicis longus tenodesis to volar distal radius Flexor pollicis longus tenodesis to the dorsal distal radius (alternative to “Moberg-brand” flexor pollicis longus tenodesis) Extensor pollicis longus and abductor pollicis longus tenodesis to dorsal/lateral radius Flexor digitorum superficialis lasso procedure for the index finger Evidence 74. Restoration of active pinch and grasp: Extensor carpi radialis longus transfer to flexor digitorum profundus Evidence 75. Intrinsic tendon reconstruction Intrinsic tenodesis using flexor digitorum superficialis tendon graft Flexor digitorum superficialis lasso procedure Evidence 76. Nerve transfer for spinal cord injuries Evidence Section IX. Tendon Conditions 77. Wide-awake approach for tendon transfers Evidence 78. Acute repair of flexor tendon injuries in zones I to V Zone I injury Zone II injury Zone III to V injury Evidence 79. Two-stage flexor tendon reconstruction with silicone rod Evidence 80. A2 flexor tendon pulley reconstruction with free tendon graft Overview Evidence 81. Tenolysis of flexor tendons Overview Indications Imaging Surgical anatomy Exposures Procedure Postoperative care and expected outcomes Evidence 82. Acute repair of extensor tendon injuries: Zones I to VII Indications Clinical examination Imaging Surgical anatomy Exposures Section XIII. Tumors 116. Hand masses Mucous cyst excision Ganglion cyst excision Evidence 117. Excision of vascular lesions of the hand Evidence 118. Excision of enchondroma Evidence 119. Excision of peripheral nerve schwannoma Evidence 120. Excision of malignant skin tumors Wide local excision of cutaneous melanoma and reconstruction with skin graft and/or skin substitute Wide local excision of a subungual melanoma Wide local excision and reconstruction with a local flap Wide local excision and reconstruction with lateral arm free flap Evidence