Metacarpal fractures are among the most common fractures of the upper extremity. Surgical management is generally offered for unstable or significantly displaced fractures. A more conservative, nonsurgical approach, however, may…
Most fractures are managed nonoperatively. Those displaced unstable fractures require percutaneous fixation of single (or double) intramedullary Kirschner wires. Only large, oblique fractures must be fixed with screws or a…
This article describes the indications for and methods of managing phalangeal fractures. The fractures around the finger joints are particularly difficult to treat. The technical details and pitfalls for these…
This article presents the authors’ methods of digital reconstruction using composite tissue transfer. The authors present their approach to achieve restoration of full cosmetic appearance of the reconstructed thumbs or…
The management of mutilated upper extremity wounds offers challenges for all hand surgeons. Loss of composite tissues usually requires grafts or flaps to gain coverage and restore function. Nonsalvagable digits…
Techniques to improve the chance of successful replantation of digits are well established. Indications and contraindications for replantation are generally agreed on, but they continue to evolve as excellent outcomes…
Treatment of complex hand trauma includes adequate debridement of nonviable tissue, early reconstruction, and careful selection of various available surgical procedures tailored to patients’ needs and requests. Debridement of all…
In this review, an international group of senior hand surgeons was asked to provide their currently used methods, views, and advice on thumb and fingertip repair. The basic requirements and…
The field of hand repair and reconstruction continues to evolve; renovations and modifications arise and impact our practice. Here, we highlight the most important emerging methods that are changing daily…
The composition of this issue of Clinics in Plastic Surgery coincided with the 2014 annual meeting of the American Association for Surgery of the Hand in Hawaii, which carried the…
