BOOK
Flaps in Hand and Upper Limb Reconstruction
Ulrike Brugger | Luitgard Kellner | Henriette Rintelen | Robert Hierner | Reinhard Putz | Allen T. Bishop | Zun-Li Shen | Klaus Wilhelm
(2013)
Additional Information
Book Details
Abstract
Flap surgery of the hand and upper limb: keeping you posted!
The management of patients with hand and upper-limb deficiencies is a routine task in reconstructive surgery. A multitude of conventional and microvascular flap reconstructions have been described, and it is rather difficult to keep track of them all. This book is coming to your rescue:
- A concise and practical guide to all relevant flap procedures
- Uniform structure of all chapters: surgical anatomy, surgical technique and postoperative care, variants, indications and contraindications
- Uniform design: text on the left, illustrations on the right hand side
- More than 700 high-quality drawings displaying surgical and anatomical details provide clear, step-by-step instructions
- Advantages and disadvantages of each method are compared and contrasted
- Extensive section on differential therapeutic considerations including numerous synoptic tables on when to use which flap procedure
- Additional chapters on the anatomy as well as functional, aesthetic and social aspects of both hand and upper limb
- Conventional and microvascular flap reconstructions presented as procedures complementing one another
The book furnishes both the general surgeon facing emergency situations and the hand surgery specialist with valuable aids and suggestions.
A textbook and reference guide to the primary and secondary treatment of hand and upper-limb deficiencies!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Flaps in Hand and Upper Limb Reconstruction: Surgical Anatomy, Operative Techniques and Differential Therapy | III | ||
| Copyright Page | IV | ||
| Table of Contents | XI | ||
| Preface | V | ||
| Foreword | VI | ||
| Acknowledgements | VII | ||
| Picture credits | VIII | ||
| Authors | IX | ||
| Abbreviations | X | ||
| PART A: Basic knowledge | 1 | ||
| CHAPTER 1. Systematic anatomy and topography of the upper limb | 3 | ||
| 1.1 The upper arm | 4 | ||
| 1.2 The forearm | 18 | ||
| 1.3 The hand | 32 | ||
| CHAPTER 2. Applied anatomy | 57 | ||
| 2.1 The biomechanics of the skin | 58 | ||
| 2.2 Functional units and subunits of the upper limb and hand | 60 | ||
| 2.3 The concept of low-resistance zones of the upper limb and hand | 62 | ||
| 2.4 The concept of a soft tissue/bone functional unit | 62 | ||
| CHAPTER 3. Functional, aesthetic and social aspects of the upper limb | 65 | ||
| 3.1 Functional aspects of the upper extremity | 66 | ||
| 3.2 Aesthetic aspects of the upper extremity | 71 | ||
| 3.3 Social aspects of the upper extremity | 71 | ||
| CHAPTER 4. Generalities of flap surgery | 73 | ||
| 4.1 Skin flaps | 74 | ||
| 4.2 Fascial and adipofascial flaps | 82 | ||
| 4.3 Muscle flaps | 82 | ||
| 4.4 Bone flaps (vascularised bone graft) | 84 | ||
| 4.5 Compound flaps | 88 | ||
| PART B: Flaps and further treatment options for coverage of soft tissue and bone defects of the upper limb | 89 | ||
| CHAPTER 5. Skin flaps | 91 | ||
| 5.1 Pedicled skin flaps from the hand region | 92 | ||
| 5.2 Pedicled flaps from the forearm region | 180 | ||
| 5.3 Pedicled skin flaps from the upper arm region | 206 | ||
| 5.4 Pedicled skin flaps from the thorax region | 216 | ||
| 5.5 Pedicled skin flaps from a distant region | 220 | ||
| 5.6 Generally applicable pedicled skin flaps | 234 | ||
| 5.7 Free microvascular skin flaps | 252 | ||
| CHAPTER 6. Fascia and adipofascial flaps | 267 | ||
| 6.1 Pedicled fascia flaps from the hand region | 268 | ||
| 6.2 Pedicled fascia flaps from the forearm region | 271 | ||
| 6.3 Pedicled fascia flaps from the upper arm regions | 271 | ||
| 6.4 Pedicled fascia flaps from the thorax regions | 271 | ||
| 6.5 Free microvascular fascia flap | 271 | ||
| CHAPTER 7. Muscle flaps | 275 | ||
| 7.1 Pedicled muscle flaps from the hand region | 276 | ||
| 7.2 Pedicled muscle flaps from the forearm region | 290 | ||
| 7.3 Pedicled muscle flaps from the elbow region | 298 | ||
| 7.4 Pedicled muscle flaps from the thorax region | 302 | ||
| 7.5 Free microvascular muscle flaps | 322 | ||
| CHAPTER 8. Bone flaps (vascularised bone grafts) | 327 | ||
| 8.1 Pedicled bone flaps from the hand region | 328 | ||
| 8.2 Pedicled bone flaps from the forearm region | 338 | ||
| 8.3 Free microvascular bone flaps | 340 | ||
| CHAPTER 9. Compound flaps | 355 | ||
| 9.1 Pedicled compound flaps from the hand region | 356 | ||
| 9.2 Free microvascular compound flaps | 366 | ||
| CHAPTER 10. Further treatment options for coverage of soft tissue and bone defects at the upper limb | 393 | ||
| 10.1 Skin and soft tissue defects | 394 | ||
| 10.2 Bone and compound defects | 414 | ||
| PART C: Pre- and postoperative additional therapy | 449 | ||
| CHAPTER 11. Basic principles and goals of physio-therapy of the upper limb and hand | 451 | ||
| 11.1 Introduction | 452 | ||
| 11.2 Passive and active movement exercises | 452 | ||
| 11.3 Occupational therapy | 452 | ||
| 11.4 Thermo- and cryotherapy | 453 | ||
| 11.5 Massage | 453 | ||
| 11.6 Electrotherapy | 453 | ||
| CHAPTER 12. Basic principles of scar treatment | 455 | ||
| 12.1 Introduction | 456 | ||
| 12.2 Prevention of ‘inadequate cicatrisation’ | 456 | ||
| 12.3 Suppression of ‘inadequate cicatrisation’ | 457 | ||
| 12.4 Correction of ‘inadequate cicatrisation’ | 457 | ||
| CHAPTER 13. Basic principles of prosthetics | 459 | ||
| 13.1 Definition: Passive and active prostheses | 460 | ||
| 13.2 Principles of prosthetic fitting according to the level of amputation | 460 | ||
| PART D: Differential therapy | 463 | ||
| CHAPTER 14. Basic principles of defect management at the upper limb and hand — global defect management at the combined hand and upper limb clinic | 465 | ||
| 14.1 Introduction | 466 | ||
| 14.2 Profound basic knowledge | 466 | ||
| 14.3 Multidisciplinary team approach | 466 | ||
| 14.4 Standardized patient selection | 468 | ||
| 14.5 ‘Integrative treatment concept’ | 474 | ||
| CHAPTER 15. Skin and soft tissue defects of the upper limb | 477 | ||
| 15.1 Shoulder | 478 | ||
| 15.2 Upper arm | 479 | ||
| 15.3 Elbow (distal third of upper arm and proximal third of forearm) | 481 | ||
| 15.4 Forearm | 484 | ||
| 15.5 Hand | 487 | ||
| CHAPTER 16. Defects of the nails and nail matrix | 523 | ||
| 16.1 Primary care of traumatic nail injuries | 524 | ||
| 16.2 Secondary surgery | 526 | ||
| CHAPTER 17. Fractures, bone defects and joint defects | 527 | ||
| 17.1 Introduction | 528 | ||
| 17.2 Fractures and bone defects without additional soft tissue defects | 528 | ||
| 17.3 Fractures and bone defects with additional soft tissue defects (combined bone and soft tissue defects) | 530 | ||
| 17.4 Joint defects | 532 | ||
| CHAPTER 18. Amputation and amputation-like injuries | 535 | ||
| 18.1 Introduction | 536 | ||
| 18.2 Basic knowledge | 536 | ||
| 18.3 Multidisciplinary treatment team and ‘common language’ | 536 | ||
| 18.4 Standardized patient selection | 540 | ||
| 18.5 ‘Integrative replantation concept’ | 545 | ||
| CHAPTER 19. Reconstruction of grip function | 547 | ||
| 19.1 Introduction | 548 | ||
| 19.2 The ‘inadequate thumb’ | 549 | ||
| 19.3 ‘Inadequate finger(s)’ | 552 | ||
| 19.4 ‘Inadequate thumb and finger(s)’ | 554 | ||
| Index | 557 |