Hand Surgery. Tricks of the Trade

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 repair (zones 3-5)
II. Tendon Reconstruction
6. Staged flexor tendon reconstruction (zones 1-2)
7. Radial nerve palsy tendon transfers
8. Low median nerve palsy tendon transfers
9. Low ulnar nerve palsy tendon transfers
10. Extensor indicis proprius tendon transfer for rupture of the extensor pollicis longus tendon
11. Extensor indicis proprius/extensor digitorum communis tendon transfer for tendon rupture at the wrist
12. Superficialis transfer for rupture of the flexor pollicis longus tendon
III. Tendinopathies
13. Trigger finger/thumb release
14. DeQuervain's release
15. Extensor Carpi ulnaris tenosynovitis/instability
16. Intersection syndrome
17. Lateral epicondylar debridement
18. Medial epicondylar debridement
IV. Nerve Repair/Reconstruction
19. Nerve repair in the hand
20. Nerve repair with auto/allograft
21. Nerve conduits
22. Oberlin transfer
V. Nerve Compression
23. Open carpal tunnel release
24. Endoscopic carpal tunnel release
25. Median nerve release proximal forearm
26. Open ulnar nerve decompression at wrist
27. Endoscopic ulnar nerve decompression
28. Submuscular ulnar nerve transposition
29. Wrist denervation for pain
VI. Hand Fractures
30. Distal phalanx fractures
31. Middle/proximal phalanx (pinning)
32. Middle/proximal phalanx (open reduction and internal fixation)
33. Fixation of uni and bicondylar phalangeal fractures
34. Bony mallet fixation
35. Proximal interphalangeal joint fracture/dislocations
36. Metacarpal fracture pinning
37. Metacarpal fracture open reduction and internal fixation
38. Intramedullary fixation of metacarpal fractures
39. Thumb metacarpal base fractures (Bennett's, Rolando's)
VII. Wrist Fractures
40. Scaphoid (pinning/ORIF)
41. Percutaneous/Kapandji Pinning
42. Distal radius - Volar approach
43. Distal radius - Dorsal approach
44. Distal radius - Bridge plating
45. Distal radius - External fixation
VIII. Bone Reconstruction
46. Phalangeal osteotomies
47. Metacarpal osteotomies
48. Scaphoid nonunion (vascularized graft)
49. Scaphoid nonunion (bone graft for deformity)
50. Capitate shortening osteotomy
51. Distal radius osteotomy for malunion (volar approach)
52. Distal radius osteotomy for malunion (dorsal approach)
IX. Arthritis
53. Distal interphalangeal joint arthrodesis
54. Thumb basal joint arthroplasty - Trapeziectomy
55. Thumb basal joint arthroplasty (LRTI)
56. Wrist arthrodesis
57. Proximal row carpectomy
58. Scaphoidectomy and four corner fusion
59. Partial distal ulna excision (Wafer, Hemiresection)
60. Complete distal ulna excision (Darrach)
X. Instability
61. Finger (PIP/DIP) collateral ligament repair
62. Finger MPJ collateral ligament repair
63. Thumb MPJ collateral ligament repair
64. Thumb MPJ collateral ligament reconstruction
65. Scapholunate ligament repair
66. Scapholunate ligament reconstruction – capsulodesis
67. Scapholunate ligament reconstruction – tendon graft
68. Distal radioulnar ligament repair/reconstruction
XI. Skin
69. Split thickness graft
70. Full thickness graft
71. V-Y advancement flap
72. Volar advancement flaps – Moberg
73. Cross finger (and reverse) flap
74. Thenar Flap
75. Axial Flag Flap
76. Z-plasty
77. Radial forearm flap
XII. Dupuytren's disease
78. Needle aponeurotomy
79. Subtotal fasciectomy
XIII. Arthroscopy
80. Diagnostic arthroscopy (MP/CMCJ)
81. Diagnostic arthroscopy (wrist)
82. Triangular fibrocartilage complex/interosseous ligament debridement
83. Triangular fibrocartilage complex repair
XIV. Infection
84. Paronychia
85. Felon
86. Flexor tenosynovitis
87. Septic arthritis

LOOK INSIDE

A 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.

• 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.