14 Fracture Fixation Techniques

May 21, 2020 by in Hand surgery Comments Off on 14 Fracture Fixation Techniques

10.1055/b-0038-161082 14 Fracture Fixation TechniquesDariush Nikkhah, Nikki Burr, Robert Pearl 14.1 Jahss Maneuver This is a useful technique to help manipulate the neck of fifth metacarpal fractures. It is also…

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15 Local and Regional Hand Flaps

May 21, 2020 by in Hand surgery Comments Off on 15 Local and Regional Hand Flaps

10.1055/b-0038-161083 15 Local and Regional Hand FlapsDariush Nikkhah, Mo Akhavani 15.1 Atasoy V-Y flap The length of the digit should be preserved and in many cases one can avoid terminalization…

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12 Replantation and Revascularization

May 21, 2020 by in Hand surgery Comments Off on 12 Replantation and Revascularization

10.1055/b-0038-161080 12 Replantation and RevascularizationDariush Nikkhah 12.1 Thumb Revascularization with Vein Graft The thumb constitutes 40% of hand function and attempt for salvage must be always made. However, it poses…

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17 Limb-Threatening Emergencies

May 21, 2020 by in Hand surgery Comments Off on 17 Limb-Threatening Emergencies

10.1055/b-0038-161085 17 Limb-Threatening EmergenciesDariush Nikkhah, Wojtech Konczalik 17.1 Fasciotomy for Acute Compartment Syndrome Compartment syndrome is an emergency that if not dealt in time can lead to limb dysfunction and…

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16 Free Tissue Transfer

May 21, 2020 by in Hand surgery Comments Off on 16 Free Tissue Transfer

10.1055/b-0038-161084 16 Free Tissue TransferDariush Nikkhah, Roshan Vijayan, Stamatis Sapzountzis 16.1 Free Venous Flap Venous flap blood supply is from afferent and efferent veins. These flaps have been described for…

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18 Terminalization

May 21, 2020 by in Hand surgery Comments Off on 18 Terminalization

10.1055/b-0038-161086 18 TerminalizationDariush Nikkhah, Amir H. Sadr 18.1 Digital Terminalization There are scenarios where the length of the digit cannot be preserved secondary to either significant trauma, or necrosis due…

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13 The Spaghetti Wrist

May 21, 2020 by in Hand surgery Comments Off on 13 The Spaghetti Wrist

10.1055/b-0038-161081 13 The Spaghetti WristDariush Nikkhah, Wojciech Konczalik 13.1 Spaghetti Wrist The spaghetti wrist can involve division of up to 16 structures (Fig. 13‑1). These injuries are commonly secondary to…

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10 Thumb MCP Joint Ulnar Collateral Ligament Repair

May 21, 2020 by in Hand surgery Comments Off on 10 Thumb MCP Joint Ulnar Collateral Ligament Repair

10.1055/b-0038-161078 10 Thumb MCP Joint Ulnar Collateral Ligament RepairDariush Nikkhah, Amir H. Sadr 10.1 Ulnar Collateral Ligament Repair Acute rupture of the metacarpophalangeal joint (MCPJ) ulnar collateral ligament (UCL) also…

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11 Digital Nerve Repair

May 21, 2020 by in Hand surgery Comments Off on 11 Digital Nerve Repair

10.1055/b-0038-161079 11 Digital Nerve RepairDariush Nikkhah 11.1 Digital Nerve Repair Digital nerve injuries are common in hand trauma and the most frequently injured are the peripheral nerves. Best outcomes in…

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1 Assessment

May 21, 2020 by in Hand surgery Comments Off on 1 Assessment

10.1055/b-0038-161069 1 AssessmentDariush Nikkhah, Jeremy Rodrigues The primary assessment of the hand injury is like good detective work. It can enable the surgeon to exactly predict which structures may be…

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