Flexor Tendon Reconstruction
The hand surgeon’s familiarity with options for flexor tendon reconstruction is essential. Efforts at primary repair are not always successful nor are the conditions after injury necessarily conducive to primary…
General Surgery
Functional Reconstruction of the Hand: The Stiff Joint
Proper hand function relies on a combination of strength and mobility. The intricate architecture that allows for hand mobility includes the articular surfaces of joints, periarticular ligamentous structures, tendon mechanisms,…
Scar Contractures of the Hand
This article discusses scar contracture of the hand. It contains a brief outline of the anatomy of the hand and upper extremities and the types of injuries involved. Hand reconstruction,…
Free Functional Muscle Transfer for the Upper Extremity
Free functional muscle transfers are an excellent treatment option in patients when significant time has passed after a nerve injury. In addition, they are the treatment of choice for reconstruction…
Toe-to-Hand Transplantation
Microsurgical toe-to-hand transplantation remains a valuable reconstructive option for severe, mutilated hand injuries ever since its inception in the 1960s, allowing composite replacement of amputated digits through a single-stage procedure…
Mutilated Hand Injuries
The authors provide a review of treatment of the mutilated hand, discussing the effect of injury on soft tissue loss, intrinsic and extrinsic musculature, paravascular structures, tendons, and the bony…
From Dysfunction to Function in Hand and Upper Limb Reconstruction
Michael W. Neumeister, MD, FRCSC, Guest Editor Reconstruction of the upper extremity is designed primarily to restore function. The limb without function becomes a burden or liability to the patient….
Skin: Histology and Physiology of Wound Healing
It is important to understand the histology and physiology of skin for the prediction and optimization of wound healing. Optimal postoperative wound healing to minimize scarring entails minimizing local, systemic,…
Management of Wounds with Exposed Bone Structures using an Artificial Dermis and Skin Grafting Technique
The task of managing an open wound complicated by exposed bony structures underneath is difficult, if not challenging. We have instituted a method of managing the problems in stages using…
Management of Split Skin Graft Donor Sites–Results of a National Survey
The authors wished to obtain a ‘snapshot’ of the range of practice in the management of split skin graft donor sites in the British Isles. Material/Methods Questionnaires were sent to…
