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Operative Techniques


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Section I: EXAMINATION AND EMERGENCY PROCEDURES Procedure 1 Examination of the Hand and Wrist Procedure 2 Fasciotomy of the Upper Limb Procedure 3 Nail Bed Repair Procedure 4 Drainage of Purulent Flexor Tenosynovitis Section II: TENDON CONDITIONS Procedure 5 Surgical Treatment of Trigger Digits Procedure 6 Surgical Treatment of de Quervain Tendovaginitis Procedure 7 Acute Repair of Zone 1 Flexor Digitorum Profundus Avulsion Procedure 8 Acute Repair of Zone 2 Flexor Tendon Injury Procedure 9 Staged Flexor Tendon Reconstruction Procedure 10 Extensor Tendon Repair in Zones 1 to 5 Section III: NERVE INJURY AND NERVE PALSY Procedure 11 Endoscopic Carpal Tunnel Release Procedure 12 Open Carpal Tunnel Release Procedure 13 In Situ Cubital Tunnel Decompression Procedure 14 Distal Anterior Interosseous Nerve Transfer to Motor Branch of Ulnar Nerve Procedure 15 Nerve Transfer Techniques for Elbow Flexion in Brachial Plexus Palsy Procedure 16 Treatment of a Nerve Gap in the Hand Procedure 17 Surgical Treatment of Neuromas in the Hand Procedure 18 Tendon Transfers for Carpal Tunnel Syndrome Procedure 19 Tendon Transfers for Ulnar Nerve Palsy Procedure 20 Tendon Transfers for Radial Nerve Palsy Procedure 21 Steindler Flexorplasty Section IV: MUSCULOTENDINOUS UNIT LENGTHENING AND TENDON TRANSFERS FOR SPASTIC CONDITIONS Procedure 22 Intrinsic Muscle Release for Thumb-in-Palm Deformity Procedure 23 Fractional Lengthening of the Flexor Tendons Procedure 24 Superficialis-to-Profundus Tendon Transfer Procedure 25 Flexor Pronator Slide Procedure 26 Reconstruction of Key Pinch in Tetraplegia Patients Procedure 27 Flexor Carpi Ulnaris-to-Extensor Carpi Radialis Brevis Transfer Procedure 28 Pronator Teres Rerouting Procedure 29 Release of a Spastic Elbow Flexion Contracture Section V: RECONSTRUCTION OF RHEUMATOID HAND DEFORMITIES Procedure 30 Synovectomy Procedure 31 Tendon Transfers for Extensor and Flexor Tendon Ruptures Procedure 32 Crossed Intrinsic Tendon Transfer Procedure 33 Correction of Swan-Neck Deformity in the Rheumatoid Hand Procedure 34 Reconstruction of the Central Slip with the Transverse Retinacular Ligament for Boutonniere Deformity Procedure 35 Silicone Metacarpophalangeal Joint Arthroplasty Section VI: CONGENITAL CONDITIONS Procedure 36 Syndactyly Release Procedure 37 Duplicated Thumb Reconstruction Procedure 38 Reconstruction for Congenital Thumb Hypoplasia Procedure 39 Pollicization for Congenital Thumb Hypoplasia Procedure 40 Correction of Constriction Ring Procedure 41 Centralization for Radial Longitudinal Deficiency Procedure 42 Cleft Hand Reconstruction Procedure 43 Carpal Wedge Osteotomy for Congenital Wrist Flexion Contracture (Arthrogryposis) Section VII: SOFT TISSUE COVERAGE Procedure 44 Dorsal Metacarpal Artery Perforator Flap Procedure 45 Dorsal Ulnar Artery Perforator Flap Procedure 46 Pedicled Groin Flap Procedure 47 Lateral Arm Flap for Upper Limb Coverage Section VIII: HAND FRACTURES, DISLOCATIONS, AND ARTHRITIS Procedure 48 Open Reduction and Internal Fixation of Phalangeal Unicondylar Fractures Procedure 49 Open Reduction and Internal Fixation of Phalangeal Shaft Spiral or Long Oblique Fractures Procedure 50 Open Reduction and Internal Fixation of Phalangeal Shaft Comminuted Fractures Procedure 51 Volar Plate Arthroplasty for Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint Procedure 52 Hemi-Hamate Arthroplasty Procedure 53 Metacarpophalangeal and Proximal Interphalangeal Joint Collateral Ligament Avulsion Fractures Procedure 54 Metacarpal Neck Fractures Procedure 55 Metacarpal Shaft Fractures Procedure 56 Percutaneous Pinning of Bennett Fracture and Open Reduction and Internal Fixation of Rolando Fracture Procedure 57 Open Reduction of Metacarpophalangeal Joint Dislocation Procedure 58 Skier's Thumb: Repair of Acute Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injury Procedure 59 Pyrocarbon Implant Arthroplasty of the Proximal Interphalangeal and Metacarpophalangeal Joints Procedure 60 Arthrodesis of Finger and Thumb Interphalangeal and Metacarpophalangeal Joints Section IX: THUMB CARPOMETACARPAL JOINT INSTABILITY AND ARTHRITIS Procedure 61 Trapeziometacarpal Ligament Reconstruction Procedure 62 Trapeziectomy and Abductor Pollicis Longus Suspensionplasty Procedure 63 Trapeziometacarpal Fusion Section X: WRIST ARTHROSCOPY Procedure 64 Diagnostic Wrist Arthroscopy Procedure 65 Arthroscopic Treatment for Septic Arthritis Procedure 66 Arthroscopic Ganglionectomy Procedure 67 Arthroscopic Triangular Fibrocartilage Complex Repair Section XI: CARPAL FRACTURES AND LIGAMENTOUS INSTABILITY Procedure 68 Percutaneous Screw Fixation of Scaphoid Fractures Procedure 69 Vascularized Bone Grafting for Scaphoid Nonunion Procedure 70 Medial Femoral Condyle Vascularized Bone Flap for Scaphoid Nonunion Procedure 71 Open Reduction and Acute Repair of Perilunate Fracture-Dislocations Procedure 72 Dorsal Capsulodesis for Scapholunate Instability Using Suture Anchors Procedure 73 Scapholunate Ligament Reconstruction Using a Flexor Carpi Radialis Tendon Graft Procedure 74 Lunotriquetral Ligament Reconstruction Using a Slip of the Extensor Carpi Ulnaris Tendon Procedure 75 Scaphotrapeziotrapezoid Arthrodesis and Lunate Excision with Replacement by Palmaris Longus Tendon Section XII: DISTAL RADIUS FRACTURES AND DISTAL RADIOULNAR JOINT REPAIR AND RECONSTRUCTION Procedure 76 Percutaneous Pinning of Distal Radius Fractures Procedure 77 Volar Plating of Distal Radius Fractures Procedure 78 Dorsal Plate Fixation and Dorsal Distraction (Bridge) Plating for Distal Radius Fractures Procedure 79 External Fixation of Comminuted Intra-articular Distal Radius Fractures Procedure 80 Corrective Osteotomy of Malunited Distal Radius Fractures Procedure 81 Ulnar Shortening Osteotomy Procedure 82 Radioulnar Ligament Reconstruction for Chronic Distal Radioulnar Joint Instability Procedure 83 Darrach Procedure Procedure 84 Sauve-Kapandji Arthrodesis for Distal Radioulnar Joint Arthritis Section XIII: WRIST OSTEOARTHRITIS Procedure 85 Wrist Denervation Procedure 86 Proximal Row Carpectomy Procedure 87 Four-Corner Fusion Procedure 88 Four-Corner Fusion Using a Circular Plate Procedure 89 Total Wrist Fusion Procedure 90 Total Wrist Arthroplasty Section XIV: TUMORS Procedure 91 Treatment of Mucous Cysts of the Distal Interphalangeal Joint Procedure 92 Excision of a Dorsal Wrist Ganglion Procedure 93 Digital Ray Amputation


"Unlike traditional textbooks of hand surgery that dedicate opening chapters to the discus-immediately invites readersinto the operating room, serving as one of the most practical guides to hand surgeryavailable. By page 13, the reader imagines sitting opposite Dr. Kevin Chung, learning from one of the current masters of hand surgery.? Building on the successof the first edition, a text that has been adopted as an essential reference for budding and seasoned hand surgeons alike, the second edition providesan even more impressive compilation of nearlyevery common procedure encountered in the clinical practice of hand surgery. The authors have not only expanded the number of procedures included, but have also updated previously described cases, reflecting a dedication to the advancement of hand and wrist surgery. Although the book spans almost 900 pages, the reader is provided an organizational scheme that facilitates rapid and facile navigation. Perhaps the greatest improvement and unique feature of the book is access to a compilation ofover 70 well-executed videos. In a time when the value of simulation in surgical education has never been greater, the online materials serve as a virtual operating room that may be accessed from anywhere at any time. Surgeons will be inspired by this book and will find it to be one of the most frequently referenced and used texts in their daily practice." - Rebecca M. Garza, M.D. and James Chang, M.D. -

"This edition incorporates numerous worthwhile updates and improvements (e.g. videos) and it does an excellent job of detailing the procedures that it does cover. The illustrations and videos are great instructional aids."- Samuel Chmell, MD (University of Illinois at Chicago College of Medicine) Doody Review!

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