BOOK
Hand Surgery in Asia and Europe, An Issue of Hand Clinics, E-Book
(2017)
Additional Information
Book Details
Abstract
Guest editors Jin Bo Tang and Grey Giddons have assembled an expert team of authors on the topic of Hand Surgery in Asia and Europe. Article topics include: Multiple Digit and major limb replantation in Asia and Europe; Microsurgical flaps in repair and reconstruction of the hand; Composite tissue transfer: Novel techniques; Primary flexor tendon repair with early active motion: Part 1. Experience in Asia; Primary flexor tendon repair with early active motion: Part 2. Experience in Europe; Conservative treatment of hand fractures in United Kingdom; Current European practice in proximal interphalangeal joint arthroplasty; Treatment of scaphoid fractures: European approaches; Carpal ligaments: A functional classification; Current European practice in wrist arthroplasty and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Hand Surgery in Asiaand Europe\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Evolution and Current Status of Hand Surgery Practice in Asia and Europe\r | vii | ||
| Performing Hand Surgery Under Local Anesthesia Without a Tourniquet in China | vii | ||
| Microsurgical Flaps in Repair and Reconstruction of the Hand | vii | ||
| Technical Points of 5 Free Vascularized Flaps for the Hand Repairs | vii | ||
| Strong Digital Flexor Tendon Repair, Extension-Flexion Test, and Early Active Flexion: Experience in 300 Tendons | vii | ||
| Primary Flexor Tendon Repair with Early Active Motion: Experience in Europe | viii | ||
| The Nonoperative Management of Hand Fractures in United Kingdom | viii | ||
| Current European Practice in the Treatment of Proximal Interphalangeal Joint Arthritis | viii | ||
| Treatment of Scaphoid Fractures: European Approaches | viii | ||
| Carpal Ligaments: A Functional Classification | viii | ||
| Current European Practice in Wrist Arthroplasty | ix | ||
| Treatment of Intra-articular Distal Radius Fractures | ix | ||
| Peripheral Nerve Defects: Overviews of Practice in Europe | ix | ||
| Mobilization of Joints of the Hand with Symphalangism | ix | ||
| Common Hand Problems with Different Treatments in Countries in Asia and Europe | x | ||
| HAND CLINICS\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| November 2017 | xi | ||
| February 2018 | xi | ||
| May 2018 | xi | ||
| RECENT ISSUES | xi | ||
| May 2017 | xi | ||
| February 2017 | xi | ||
| November 2016 | xi | ||
| Preface\r | xiii | ||
| Evolution and Current Status of Hand Surgery Practice in Asia and Europe | xiii | ||
| Performing Hand Surgery Under Local Anesthesia Without a Tourniquet in China | 415 | ||
| Key points | 415 | ||
| INTRODUCTION | 415 | ||
| PROCEDURES PERFORMED IN THE WIDE-AWAKE SETTING | 416 | ||
| Carpal Tunnel Release and Fixation of Metacarpal or Phalangeal Fractures | 416 | ||
| Flexor and Extensor Tendon Repairs | 418 | ||
| Tendon Transfers | 418 | ||
| Digital Nerve Repairs | 419 | ||
| Nerve Repair in the Forearm and Cubital Tunnel Release | 419 | ||
| Wrist Arthroscopy | 419 | ||
| Tumor Resection in the Hand and Forearm | 419 | ||
| VARIATIONS IN PRACTICE | 420 | ||
| No Need to Wait for 20 to 30 Minutes to Begin Surgery in Most Patients | 420 | ||
| Supplementary Anesthesia to Deeper Tissues May be Needed During Some Procedures | 420 | ||
| Flap or Replantation May Not be a Contraindication for This Technique | 421 | ||
| ADVANTAGES | 421 | ||
| IMPACT ON DEPARTMENTAL SETTINGS | 421 | ||
| FUTURE PERSPECTIVES | 422 | ||
| REFERENCES | 423 | ||
| Microsurgical Flaps in Repair and Reconstruction of the Hand | 425 | ||
| Key points | 425 | ||
| INTRODUCTION | 425 | ||
| CLASSIFICATION OF SOFT-TISSUE DEFECTS | 426 | ||
| OUR STRATEGY OF HAND COVERAGE | 427 | ||
| FLAP SELECTION BASED ON DEFECT SIZE AND LOCATION | 428 | ||
| Distal Finger Unit (from Fingertip to PIPJ) | 428 | ||
| Dorsal finger | 428 | ||
| Palmar finger | 430 | ||
| Proximal Finger Unit | 432 | ||
| Dorsal defect | 432 | ||
| Palmar defect | 434 | ||
| Thumb Defects | 434 | ||
| Dorsal defects | 434 | ||
| Palmar defects | 435 | ||
| Hand Unit | 436 | ||
| Dorsal defects | 436 | ||
| Palmar defects | 438 | ||
| SUMMARY | 440 | ||
| REFERENCES | 440 | ||
| Technical Points of 5 Free Vascularized Flaps for the Hand Repairs | 443 | ||
| Key points | 443 | ||
| INTRODUCTION | 443 | ||
| ARTERIALIZED VENOUS FLAP | 444 | ||
| Surgical Techniques | 444 | ||
| Pros and Cons of the Venous Flaps | 445 | ||
| Pros of the flap | 445 | ||
| Cons of the flap | 445 | ||
| TRANSVERSE WRIST CREASE FLAP (FREE RADIAL ARTERY SUPERFICIAL PALMAR BRANCH FLAP OF THE WRIST) | 445 | ||
| Surgical Techniques | 445 | ||
| Strong Digital Flexor Tendon Repair, Extension-Flexion Test, and Early Active Flexion | 455 | ||
| Key points | 455 | ||
| INTRODUCTION | 455 | ||
| CLINICAL METHODS AND PROTOCOL | 456 | ||
| Indications and Inclusion of Patients | 456 | ||
| Operative Methods | 456 | ||
| Digital Extension-Flexion Test During Surgery | 457 | ||
| Full Range of Passive Digital Motion with Early Active Flexion After Surgery | 457 | ||
| PRACTICE AND VARIATIONS AMONG 3 HAND-REPAIR UNITS | 457 | ||
| VARIATIONS IN PRACTICE AND THEIR RELATIONSHIP TO OUTCOMES | 459 | ||
| Their Repair Sites are Usually Much Bulkier Than Those of the Lead Author | 459 | ||
| Pulleys Can Be Vented Through a Rather Lengthy Sheath-Pulley Segment, or Sometimes the Entire A2 Pulley if Necessary | 459 | ||
| Out-of-Splint Motion | 459 | ||
| Not Repairing the Flexor Digitorum Superficialis Tendon Causes No Adverse Outcomes | 459 | ||
| The Treatment of Pulleys in the Thumbs Has Not Been Standardized | 460 | ||
| Motion Regimen for the Thumb Has Not Been Standardized | 460 | ||
| OVERALL OUTCOMES AND CONSIDERATIONS | 460 | ||
| Slight Repair Site Bulkiness is Allowed with Tension in Core Suture | 461 | ||
| Wrist Positioning Is No Longer Important | 461 | ||
| Out-of-Splint Active Motion Is Preferred and Encouraged | 461 | ||
| PRACTICES IN ASIAN COUNTRIES | 461 | ||
| FUTURE PERSPECTIVES | 461 | ||
| SUMMARY | 462 | ||
| REFERENCES | 462 | ||
| Primary Flexor Tendon Repair with Early Active Motion | 465 | ||
| Key points | 465 | ||
| INTRODUCTION | 465 | ||
| Alterations of Surgical Technique | 465 | ||
| Alterations of Rehabilitation | 466 | ||
| CHEMICAL MANIPULATION | 466 | ||
| INDICATIONS AND CONTRAINDICATIONS | 466 | ||
| SURGICAL PROCEDURES | 467 | ||
| Preoperative Planning | 467 | ||
| Surgical Approach | 467 | ||
| Step 1 | 467 | ||
| Step 2 | 467 | ||
| Step 3 | 467 | ||
| Step 4 | 468 | ||
| Step 5 | 468 | ||
| POSTOPERATIVE CARE | 468 | ||
| Days 1 to 5 | 469 | ||
| Week 1 | 469 | ||
| Week 2 | 469 | ||
| Week 3 | 469 | ||
| Weeks 4 and 5 | 469 | ||
| Weeks 6 and 7 | 469 | ||
| Week 8 | 469 | ||
| Week 9 | 469 | ||
| Complications | 469 | ||
| Reduced range of finger movement | 469 | ||
| Rupture of the repair | 469 | ||
| Flexor tendon adhesion | 470 | ||
| Hidden rupture of the repair | 470 | ||
| ROOM FOR IMPROVEMENT | 470 | ||
| Assessment of Fine Flexor Tendon Function | 470 | ||
| The Flexor Digitorum Superficialis Tendon | 471 | ||
| The Pulleys | 471 | ||
| SUMMARY | 471 | ||
| ACKNOWLEDGMENTS | 471 | ||
| REFERENCES | 471 | ||
| The Nonoperative Management of Hand Fractures in United Kingdom | 473 | ||
| Key points | 473 | ||
| INTRODUCTION | 473 | ||
| LITERATURE REVIEW | 473 | ||
| TREATMENT OF FRACTURES IN THE HAND | 474 | ||
| Spiral or Long Oblique Metacarpal Fractures | 474 | ||
| Finger Transverse Metacarpal Fractures: Shaft and Neck | 474 | ||
| Finger Proximal Phalanx Collateral Ligament Avulsion Fractures | 476 | ||
| Thumb Metacarpophalangeal Joint Avulsion Fractures | 476 | ||
| Ulnar collateral ligament injuries | 476 | ||
| Radial collateral ligament injuries | 477 | ||
| Bony Mallet Injuries | 479 | ||
| Bennett Fracture Subluxation | 481 | ||
| Base of Middle Phalanx Injuries | 482 | ||
| CONSIDERATIONS IN DECIDING ON CONSERVATIVE TREATMENT | 482 | ||
| SUMMARY | 484 | ||
| REFERENCES | 484 | ||
| Current European Practice in the Treatment of Proximal Interphalangeal Joint Arthritis | 489 | ||
| Key points | 489 | ||
| INTRODUCTION | 489 | ||
| INDICATIONS AND TREATMENT | 490 | ||
| Diagnosis | 490 | ||
| Conservative Treatment | 490 | ||
| Operative Treatment | 490 | ||
| Synovectomy | 490 | ||
| Joint fusion | 491 | ||
| Arthroplasty | 492 | ||
| Implants for the PIP Joint Arthroplasty | 492 | ||
| Choice of implants | 492 | ||
| Surgical approach | 493 | ||
| Rehabilitation | 495 | ||
| OUTCOMES | 495 | ||
| COMMONLY USED IMPLANTS IN EUROPE | 495 | ||
| COMPLICATIONS OF PROXIMAL INTERPHALANGEAL ARTHROPLASTY | 496 | ||
| REVISION OF PROXIMAL INTERPHALANGEAL ARTHROPLASTY | 498 | ||
| SUMMARY | 498 | ||
| REFERENCES | 499 | ||
| Treatment of Scaphoid Fractures | 501 | ||
| Key points | 501 | ||
| INTRODUCTION | 501 | ||
| ANATOMY | 501 | ||
| EPIDEMIOLOGY | 501 | ||
| MECHANISM OF INJURY | 502 | ||
| CLASSIFICATION | 502 | ||
| CLINICAL DIAGNOSIS | 503 | ||
| IMAGING | 503 | ||
| TREATMENT | 503 | ||
| Conservative Management: Plaster Casting Techniques | 503 | ||
| Suspected Scaphoid Fractures | 504 | ||
| Minimally Displaced Fractures | 504 | ||
| Displaced Fractures | 504 | ||
| Proximal Pole Fractures | 505 | ||
| TECHNIQUES AND COMPLICATIONS OF SURGICAL FIXATION | 505 | ||
| Open Reduction and Internal Fixation | 505 | ||
| Complications During or Relating to Surgery | 506 | ||
| Postoperative Care and Rehabilitation | 506 | ||
| OUTCOMES | 507 | ||
| Healing Rates and Symptoms | 507 | ||
| Complications | 507 | ||
| Malunion | 507 | ||
| Nonunion | 507 | ||
| SUMMARY | 508 | ||
| REFERENCES | 508 | ||
| Carpal Ligaments | 511 | ||
| Key points | 511 | ||
| INTERNAL STRUCTURE OF CARPAL LIGAMENTS | 512 | ||
| ANATOMIC CLASSIFICATIONS OF CARPAL LIGAMENTS | 512 | ||
| Classification by Location | 512 | ||
| Classification by Joints | 512 | ||
| Classification by Orientation | 513 | ||
| Transverse interosseous ligaments | 513 | ||
| Longitudinal ligaments | 513 | ||
| Oblique ligaments | 513 | ||
| CARPAL LIGAMENT DYNAMICS (KINETICS) | 513 | ||
| KINETIC CLASSIFICATION OF CARPAL LIGAMENTS | 514 | ||
| Helical Antipronation Ligaments | 514 | ||
| Helical Antisupination Ligaments | 515 | ||
| SUMMARY | 519 | ||
| REFERENCES | 519 | ||
| Current European Practice in Wrist Arthroplasty | 521 | ||
| Key points | 521 | ||
| INTRODUCTION | 521 | ||
| INDICATIONS AND CONTRAINDICATIONS | 522 | ||
| SURGICAL TECHNIQUE | 523 | ||
| COMPLICATIONS | 523 | ||
| General Complications | 523 | ||
| Periprosthetic Osteolysis | 523 | ||
| OUTCOMES | 524 | ||
| Implant Survival, Prosthetic Loosening, and Revision Surgery | 524 | ||
| FUTURE PERSPECTIVES | 526 | ||
| REFERENCES | 526 | ||
| Treatment of Intra-articular Distal Radius Fractures | 529 | ||
| Key points | 529 | ||
| DISTAL RADIUS MORPHOLOGY | 529 | ||
| The Watershed Line Revisited | 529 | ||
| Volar Morphology of the Distal Radius | 530 | ||
| FRACTURES CLASSIFICATION | 531 | ||
| Intra-articular Central Depression Fragment | 531 | ||
| NOVEL ARTHROSCOPIC TECHNIQUE AND FINDINGS | 532 | ||
| Surgical Procedure | 532 | ||
| Advantages of Wrist Arthroscopy | 533 | ||
| Results | 534 | ||
| INTRA-ARTICULAR CORRECTIVE OSTEOTOMY | 534 | ||
| TRIANGULAR FIBROCARTILAGE COMPLEX AND SCAPHOLUNATE LIGAMENT INTEROSSEOUS LIGAMENT TEARS | 536 | ||
| Triangular Fibrocartilage Complex Tears | 536 | ||
| Scapholunate Ligament Tears | 537 | ||
| Diagnostic Accuracy and Reliability of Scapholunate Ligament Gap Measurements | 537 | ||
| PROBLEMS RELATED TO THE DISTAL RADIOULNAR JOINT | 538 | ||
| Extra-articular Malalignment | 538 | ||
| Associated Triangular Fibrocartilage Complex Ligament Tears | 538 | ||
| Intra-articular Malunion of Distal Radioulnar Joint | 538 | ||
| Functional Outcomes of Intra-articular Fractures Involving The Distal Radioulnar Joint | 538 | ||
| SUMMARY | 540 | ||
| ACKNOWLEDGMENTS | 540 | ||
| REFERENCES | 540 | ||
| Peripheral Nerve Defects | 545 | ||
| Key points | 545 | ||
| INTRODUCTION | 545 | ||
| POSSIBILITIES OF NERVE DEFECT REPAIR | 545 | ||
| CLINICAL APPLICATIONS | 547 | ||
| Acute Open Injuries | 547 | ||
| Delayed Repairs | 548 | ||
| SUMMARY OF METHODS AND DECISION MAKING | 548 | ||
| REFERENCES | 548 | ||
| Mobilization of Joints of the Hand with Symphalangism | 551 | ||
| Key points | 551 | ||
| INTRODUCTION | 551 | ||
| NATURAL HISTORY | 552 | ||
| Classification | 554 | ||
| Diagnosis | 556 | ||
| Surgical Indications | 556 | ||
| Surgical Technique | 556 | ||
| Proximal interphalangeal joint | 556 | ||
| Thumb interphalangeal joint or finger distal interphalangeal joint | 557 | ||
| Outcomes | 558 | ||
| Proximal interphalangeal joints | 559 | ||
| Thumb interphalangeal joints | 559 | ||
| Distal interphalangeal joints | 559 | ||
| SUMMARY | 559 | ||
| REFERENCES | 560 | ||
| Common Hand Problems with Different Treatments in Countries in Asia and Europe | 561 | ||
| Key points | 561 | ||
| INTRODUCTION | 561 | ||
| DIGITAL SOFT TISSUE REPAIRS | 562 | ||
| Shohei Omokawa | 562 | ||
| Shian Chao Tay | 562 | ||
| Thomas Giesen | 562 | ||
| Michel Ernest H. Boeckstyns | 562 | ||
| Grey Giddins | 563 | ||
| Jin Bo Tang | 563 | ||
| DISTAL DIGITAL TIP REPLANTATION | 563 | ||
| Shohei Omokawa | 563 | ||
| Thomas Giesen | 563 | ||
| Michel Ernest H. Boeckstyns | 563 |