Reconstruction of the upper extremity is designed primarily to restore function. The limb without function becomes a burden or liability to the patient. The challenges that surgeons face to restore that which was lost from injury, cancer resection, or disease are based on the principles of forefathers in hand surgery. Dysfunction may arise from soft tissue contractures, nerve or tendon loss or damage, amputations, ischemia, malunion or nonunion, stiffness, or pain. New innovation and improvements of established techniques are continuously updating the methods used for any given area of reconstruction.
As doctors, we are consummate learners and educators. This Clinics in Plastic Surgery title in Hand Reconstruction brings together world experts who have learned through research and clinical experience and who educate through sharing new information. Each expert focuses on a different aspect of functional reconstruction of the upper extremity. Many secondary procedures can be prevented or perhaps minimized if the initial treatment of the acute injuries follows sound principles. Residual loss of function is managed after the acute setting and usually after therapy has plateaued. This issue describes surgical procedures that provide reliable and consistent results. The collaborative efforts of the therapists and the surgeons are highlighted. My overall goal of this review in Clinics in Plastic Surgery was to illustrate the newest techniques and treatment algorithms for specific causes of upper limb dysfunction. All critical areas that can render the hand or upper extremity functionless are compiled in one focused publication and their treatment remedies are described in detail to offer a comprehensive understanding of the secondary procedures used today for reconstruction.
I would like to thank all of the esteemed contributors for their hard work, time, and gracious efforts in helping to make this review publication possible. Their pursuit of optimal function for their patients is reflected in the tremendous quality of their articles. A special thank you also goes out to Joanne Husovski and Elsevier for professional assistance and her positive attitude during the creation of this issue of Clinics in Plastic Surgery .