Plastic Surgery

Comprehensive and fully up to date, the six-volume Plastic Surgery remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both the trainee and experienced surgeon, Hand and Upper Extremity, Volume 6 of Plastic Surgery, 5th Edition, features new, full-color clinical photos, procedural videos, lectures, and authoritative coverage of hot topics in the field. Editor-narrated video presentations offer a step-by-step audio-visual walkthrough of techniques and procedures.

Instructions for online access
Cover image
Title page
Table of Contents
Any screen, Any time, Anywhere
Copyright
Video Contents
Volume One
Volume Two
Volume Three
Volume Four
Volume Five
Volume Six
Lecture Video Contents
Volume One
Volume Two
Volume Three
Volume Four
Volume Five
Volume Six
Preface to the Fifth Edition
List of Editors
List of Contributors
Acknowledgments
Dedication
Plastic surgery contributions to hand surgery
Origins of hand surgery
Principles of plastic surgery and their application to hand surgery
Origins of modern hand surgery
Developments after World War II
The era of microsurgery
Recent developments
Future directions
Section I: Principles of Hand Surgery
1. Anatomy and biomechanics of the hand
Abstract
Introduction
Skin, subcutaneous tissue, and fascia
Bones and joints
Muscles and tendons
Blood supply
Peripheral nerves
Conclusion
References
2. Examination of the upper extremity
Abstract
Obtaining a patient history
Physical examination specific to the hand
Physical examination specific to the forearm
Physical examinations specific to the elbow
Physical examination of thoracic outlet syndrome
Physical examination of the upper extremity in children
References
3. Diagnostic imaging of the hand and wrist
Abstract
Introduction
Radiography
Historical perspective
Ultrasonography
Computed tomography
Magnetic resonance imaging
Vascular imaging techniques for the upper extremity
Radionuclide imaging
Safety in fluoroscopy
Future directions – Artificial Intelligence in radiology and point of care imaging
References
4. Anesthesia for upper extremity surgery
Abstract
Introduction
Anatomy
Pharmacology of local anesthetics
Regional anesthesia techniques
Wide-awake local anesthesia no tourniquet (WALANT)
Complications
Outcomes
Special considerations
Perioperative pain management
References
5. Principles of internal fixation
Abstract
Introduction
Patient selection
Preoperative imaging
Treatment/surgical technique
Postoperative care
Summary
References
Section II: Trauma Reconstruction
6. Nail and fingertip reconstruction
Abstract
Introduction
Anatomy
Acute injury
Reconstruction of fingertip injuries
Additional considerations
Summary
References
7. Hand fractures and joint injuries
Abstract
Introduction
Anatomy
Classification of fractures and dislocations
Fracture stabilizationfixation and return to function
Pediatric fractures
Open fractures
Bone gaps
Diagnosis
Treatment: fingers
Treatment: thumb
Complications
Secondary procedures
Hardware removal, tenolysis, capsulotomy
Future directions
References
8. Fractures and dislocations of the wrist and distal radius
Abstract
Introduction
Historical perspective
Basic science/disease process
Diagnosis/patient presentation
Patient selection
Treatment and surgical techniques
Future directions
References
9. Flexor tendon injuries and reconstruction
Abstract
Introduction
Basic science
Historical perspective
Diagnosis
Treatment/surgical techniques
Postoperative care
Outcomes, prognosis, and complications
Secondary procedures
Future directions
References
10. Extensor tendon injuries
Abstract
Introduction
Historical perspective
Basic science/disease process
Diagnosis/patient presentation
Patient selection
Treatment/surgical technique
Postoperative care
Outcomes, prognosis, and complications
Secondary procedures
Conclusion
Future directions
References
11. Replantation
Abstract
Introduction
Basic science/disease process
Diagnosis/patient presentation
Historical perspective
Patient selection
Treatment/surgical technique
Postoperative care
Future directions
References
12. Reconstructive surgery of the mutilated hand
Abstract
Introduction
Goal of management of mutilated hand injury
Assessment of the mutilated hand
To salvage or not to salvage? Value of scoring and classification systems
Debridement
Envisioning the plan of reconstruction
Vascular reconstruction in the mutilated upper extremity
Stabilization of the skeleton
Soft−tissue cover
Major degloving injuries of the upper limb
Complications
References
13. Thumb reconstruction: Non-microsurgical techniques
Abstract
Introduction
Historical perspective
Basic science/disease process
Diagnosis/patient presentation
Patient selection
Treatment/surgical technique
Postoperative care
Outcomes, prognosis, and complications
Future directions
References
14. Thumb reconstruction: Microsurgical techniques
Abstract
Introduction
Diagnosis/patient presentation
Historical perspective
Patient selection
Treatment/surgical technique
Postoperative care
Outcomes, prognosis, and complications
Secondary procedures
Debates in thumb reconstruction with toe-to-hand surgery
Future directions
References
Section III: Specific Disorders
15. Infections of the hand
Abstract
Introduction
Basic science/disease process
Historical perspective
Diagnosis/patient presentation
Patient selection
Postoperative care
Outcomes, prognosis, and complications
Secondary procedures
Future directions
References
16. Tumors of the hand
Abstract
Introduction
Basic science/disease process
Diagnosis/patient presentation
Treatment/surgical treatment by tissue of origin
Postoperative care
Outcomes, prognosis, and complications
Future directions
References
17. Dupuytren’s disease
Abstract
Basic science and disease process
Surgical anatomy of the palmar fascia in the hand and fingers and involvement in Dupuytren’s disease
Clinical disease process
Clinical assessment
Treatments
Rehabilitation
Outcome, prognosis, and complications
Future directions
Acknowledgments
References
18. Osteoarthritis in the hand and wrist
Abstract
Introduction/epidemiology
Basic science/disease process
Historical perspective
Pathophysiology
Diagnosis
Management of OA of the fingers
Distal interphalangeal joint (DIP) arthritis
Proximal interphalangeal (PIP) joint arthritis
Metacarpophalangeal (MCP) joint arthritis
Management of OA of the thumb
OA of the wrist
Future directions
References
19. Rheumatologic conditions of the hand and wrist
Abstract
Introduction
Basic science/disease process
Diagnosis/presentation
Patient selection
Treatment/surgical technique
Summary
Future directions
References
20. Occupational disorders of the hand
Introduction
Patient history and examination
Knowledge of the disease process and its causation
The role of force and repetition
Return to work
Measuring impairment
Summary and future directions
References
Section IV: Nerve Disorders
21. Nerve entrapment syndromes
Abstract
Pathophysiology of chronic nerve compression
Clinical examination of upper extremity nerve entrapments
Electrodiagnostic studies (EDS)
Median nerve entrapments
Ulnar nerve entrapments
Radial nerve entrapments
Other nerve compressions of the upper extremity
Future directions
References
22. Peripheral nerve repair and reconstruction
Abstract
Introduction
Basic science and natural history
Diagnosis and presentation
Clinical examination
Patient selection
Treatment and surgical techniques
Postoperative care
Outcome
Postoperative dysfunction
Future perspectives
References
23. Brachial plexus injuries: adult and pediatric
Abstract
Introduction
History of brachial plexus reconstruction
Adult brachial plexus injury
Pediatric brachial plexus injury (obstetric brachial plexus palsy)
References
24. Tetraplegia
Abstract
Introduction
Basic science/disease process
Classification of the tetraplegic upper extremity
Patient presentation and patient selection
Surgical reconstruction
Future directions
Conclusions
References
25. Tendon transfers
Abstract
Introduction
General principles of tendon transfers
Radial nerve palsy
Low median nerve palsy
High median nerve palsy
Low ulnar nerve palsy
High ulnar nerve palsy
Tendon transfers for combined nerve injuries
Summary
Future directions
References
26. Nerve transfers
Abstract
Introduction
Basic science
Diagnosis and patient presentation
Patient selection
Examples of nerve transfer procedures for specific injury patterns
Postoperative care
Postoperative patient evaluation
Outcomes and prognosis
Secondary procedures
Future directions
References
27. Free-functioning muscle transfer
Abstract
Introduction
Historical perspective
Patient selection
Preoperative planning
Surgical technique of the free-functioning gracilis transfer
Complications
Future directions
References
Section V: Challenging Disorders
28. The ischemic hand
Abstract
Introduction
Raynaud’s phenomenon
Historical perspective
Basic science
Diagnosis/patient presentation
Patient selection
Treatment
Treatment algorithm
Postoperative care
Outcomes, prognosis, and complications
Future directions
References
29. The spastic hand
Abstract
Introduction
Patient presentation
Patient selection and timing of surgery
Treatment
Future directions
Conclusions
References
30. The stiff hand
Abstract
Introduction
Etiology, basic science, anatomy, and clinical examination
Treatment
Outcomes
Future directions
References
31. The painful hand
Abstract
Introduction
Assessment
Diagnosis/pathologies
Non-surgical management
Surgical treatment
Summary
References
Section VI: Congenital Disorders
32. Congenital hand I: Embryology, classification, and principles
Abstract
Introduction
Limb development (embryology)
The development/differentiation of specific tissues
Anomalies of limb development and their classification
Assessment of the child and family
Diagnosis
Principles of surgical management
References
33. Congenital hand II: Malformations – whole limb
Abstract
Poland syndrome
Ulnar dimelia and mirror hand
Radioulnar synostosis
Madelung deformity
References
34. Congenital hand III: Malformations – abnormal axis differentiation – hand plate: proximodistal and radioulnar
Abstract
Proximodistal
Radioulnar
References
35. Congenital hand IV: Malformations – abnormal axis differentiation – hand plate: unspecified axis
Abstract
Syndactyly
Clinodactyly
Kirner deformity
Apert hand
References
36. Congenital hand V: Deformations and dysplasias – variant growth
Abstract
OMT classification of deformation
Pediatric trigger thumb
Congenital trigger fingers
Constriction ring sequence
OMT classification of dysplasia
Macrodactyly
Future directions
References
37. Congenital hand VI: Dysplasias – tumorous conditions
Abstract
Introduction
Diagnosis/patient presentation
Treatment/surgical technique
Postoperative care
Vascular anomalies
Vascular tumors
Vascular tumors
Peripheral nerve tumors
Connective tissue dysplasias
Skeletal dysplasias
Future directions
References
38. Congenital hand VII: Dysplasias – congenital contractures
Abstract
Arthogryposis
Camptodactyly
Thumb-in-palm deformity
References
39. Growth considerations in the pediatric upper extremity
Abstract
Introduction
Basic science/disease process
Diagnosis/patient presentation
Treatment/surgical technique
Postoperative care
Outcomes, prognosis, and complications
Secondary procedures
Future directions
References
Section VII: New Directions
40. Treatment of the upper extremity amputee
Abstract
Introduction
Principles of prosthetic reconstruction
Treatment of upper extremity amputees
Future directions
Conclusion
References
41. Upper extremity composite allotransplantation
Abstract
Introduction
Historical development and milestones
Clinical experience with upper extremity allotransplantation
Emerging insights in vascularized composite allotransplantation
Future directions of upper extremity reconstructive transplantation
References
42. Aesthetic hand surgery
Abstract
Introduction
Relevant anatomy
Basic aesthetics of the hand
The aging process
Grading systems
Patient management
Rejuvenation of the epidermis and dermis
Dorsal vein prominence
Volume restoration
Skin excess
Articular aging
Future directions
Conclusions
References
43. Hand therapy
Abstract
Patient evaluation
Rehabilitation following tendon injury
Rehabilitation following nerve injury
Rehabilitation following fractures
Rehabilitation following replantation
Future directions
References
Index
Confidence is ClinicalKey

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Volume 6: Hand and Upper Limb

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James Chang

Peter C. Neligan