Hand Surgery: Tricks of the Trade > Hand

comprehensive how-to guide on hand surgery techniques from top experts!

Hand surgery requires precision, in-depth expertise, and versatility in order to perform a wide variety of operations on fractures, tendon and nerve conditions, soft tissue injuries, rheumatoid deformities, and congenital defects. Hand Surgery: Tricks of the Trade by renowned Rothman Orthopaedic Institute hand surgeon Pedro Beredjiklian and an impressive group of contributors provides a clear road map on how to perform common hand surgery procedures. Concise step-by-step text enables readers to quickly read, review, and understand the most salient points for each approach.

Organized into 14 major sections and 88 chapters, this book encompasses the full spectrum of orthopaedic surgery procedures on the tendons, nerves, bones, and joints of the hand. The text starts with two sections focused on tendon repair and reconstruction. Subsequent sections detail open and endoscopic release and decompression techniques for nerve conditions, fixation and plating of hand and wrist fractures, osteotomy for bone reconstruction, arthroplasty for arthritis, and ligament repair for instability. The last four sections discuss plastic surgery topics including the use of diverse skin grafts and flaps, Dupuytren's disease, arthroscopy, and infections.

Key Features

• Consistent chapter layouts include key principles, indications, contraindications, positioning and anesthesia, important procedural steps, potential complications, and more.
• Nearly 1,000 illustrations and photographs provide greater understanding of impacted anatomy.
• Insightful intraoperative pearls, tips, and tricks provide surgeons with the tools to perform surgeries more effectively and thereby improve patient outcomes.

This is a must-have resource for orthopaedic surgery residents, fellows, and hand surgeons. Trainee and experienced plastic surgeons will also benefit from reading this textbook.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Part I: Tendon Injuries
1. Extensor Tendon Repair (Zone 1,3,5)
2. Extensor Tendon Repair (Zone 2,4,6-9)
3. Flexor Tendon Repairs (Zone 1)
4. Flexor Tendon Repair (Zone 2)
5. Flexor Tendon Injuries (Zone 3-5)
Part II: Tendon Reconstruction
6. Flexor Tendon Reconstruction (Zone 2)
7. Radial Nerve Palsy Tendon Transfers
8. Low Median Nerve Palsy Tendon Transfers
9. Tendon Transfers for Low Ulnar Nerve Palsy
10. Extensor Indicis Proprius Tendon Transfer for Rupture of the Extensor Pollicis Longus Tendon
11. Extensor Indicis Proprius to Extensor Digitorum Communis Tendon Transfer
12. Superficialis Transfer for Rupture of the Flexor Pollicis Longus Tendon
Part III: Tendinopathies
13. Trigger Finger/Thumb Release
14. DeQuervain Tenosynovitis
15. Extensor Carpi Ulnaris Tenosynovectomy/Instability
16. Intersection Syndrome
17. Lateral Epicondylar Debridement
18. Medial Epicondylar Debridement
Part IV: Nerve Repair/Reconstruction
19. Nerve Repair in the Hand
20. Peripheral Nerve Injury and Repair using Autograft or Allograft
21. Nerve Conduits for Nerve Repair/Reconstruction
22. Oberlin Transfer
Part V: Nerve Compression
23. Open Carpal Tunnel Release
24. Endoscopic Carpal Tunnel Release
25. Proximal Median Nerve Compression
26. Open Ulnar Nerve Decompression at the Wrist
27. Endoscopic Ulnar Nerve Decompression
28. Open Ulnar Nerve Decompression/Subcutaneous Transposition at the Elbow
29. Submuscular Ulnar Nerve Transposition
30. Partial Wrist Denervation for Chronic Wrist Pain
Part VI: Hand Fractures
31. Distal Phalanx Fractures: Percutaneous Pinning and Open Reduction Internal Fixation
32. Middle/Proximal Phalanx (Pinning)
33. Middle/Proximal Phalanx (Open Reduction and Internal Fixation)
34. Fixation of Uni and Bicondylar Phalangeal Fractures
35. Bony Mallet Fixation
36. Proximal Interphalangeal Joint Fracture-Dislocation
37. Metacarpals (Pinning)
38. Metacarpal Fracture Open Reduction and Internal Fixation (ORIF)
39. Limited-Open Retrograde Intramedullary Headless Screw Fixation of Metacarpal Fractures
40. First Metacarpal Base Fractures (Bennett and Rolando Fractures)
Part VII: Wrist Fractures
41. Scaphoid Pinning/ORIF
42. Percutaneous/Kapandji Pinning
43. Distal Radius: Volar Approach
44. Dorsal Approach to Distal Radius
45. Bridge Plating of Distal Radius Fractures
46. External Fixation of Distal Radius Fractures
Part VIII: Bone Reconstruction
47. Phalangeal Osteotomies
48. Corrective Osteotomy of Metacarpal Malunion
49. Scaphoid Nonunion: Medial Femoral Condyle Vascularized Bone Graft
50. Scaphoid Nonunion-ORIF and Bone Graft for Humpback Deformity
51. Capitate Shortening Osteotomy
52. Distal Radius Osteotomy for Malunion (Volar Approach)
53. Distal Radius Osteotomy for Malunion: Dorsal Approach
Part IX: Arthritis
54. Distal Interphalangeal Joint Arthrodesis
55. Thumb Basal Joint Arthroplasty: Trapeziectomy
56. Ligament Reconstruction Tendon Interposition (LRTI)
57. Total Wrist Arthrodesis
58. Proximal Row Carpectomy
59. Scaphoidectomy and Four-Corner Fusion
60. Partial Distal Ulna Resection (Wafer, Hemiresection)
61. Complete Distal Ulna Excision (Darrach)
Part X: Instability
62. Finger (PIP/DIP) Collateral Ligament Repair
63. Finger Metacarpophalangeal Joint Collateral Ligament Repair
64. Thumb Metacarpophalangeal Joint Collateral Ligament Repair
65. Thumb Metacarpophalangeal Joint Collateral Ligament Reconstruction
66. Scapholunate Ligament Repair
67. Scapholunate Capsulodesis
68. Scapholunate Ligament Reconstruction (Brunelli Types)
69. Distal Radioulnar Ligament Repair/Reconstruction
Part XI: Skin
70. Split Thickness Skin Graft
71. Full Thickness Skin Graft
72. V-Y Advancement Flap
73. Volar Advancement Flaps—Moberg
74. Cross Finger (and Reverse) Flap
75. Thenar Flap
76. Axial Flag Flap and First Dorsal Metacarpal Artery Flas (Kite Flap)
77. Z-plasty
78. Radial Forearm Flap
Part XII: Dupuytren's Disease
79. Needle Aponeurotomy for Dupuytren's Disease
80. Subtotal Fasciectomy for Dupuytren's Disease
Part XIII: Arthroscopy
81. Thumb CMC and MCP Joint Arthroscopy
82. Diagnostic Wrist Arthroscopy
83. Arthroscopic Triangular Fibrocartilage Complex/Ligament Debridement
84. TFCC Outside-In Repair
Part XIV: Infection
85. Paronychia
86. Felon
87. Flexor Tenosynovitis
88. Septic Joint