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A state-of-the-art, reader-friendly reference on hand arthroplasty from renowned global experts Recent research suggests the lifetime risk of hand arthritis may be greater than 40%. Concurrently, advances in small joint arthroplasty have greatly improved the treatment and outcomes in patients following trauma or suffering from arthritis, joint stiffness, and instability of joints in the hand and wrist. Arthroplasty in Hand Surgery: FESSH Instructional Course Book 2020 provides in-depth coverage of the surgical reconstruction or replacement of these joints. Edited by renowned hand surgeons Stephan Schindele, Grey Giddins, and Philippe Bellemère, this unique resource features contributions from an international who's who of experts. Organized in five sections and 35 chapters, the generously illustrated book encompasses the full spectrum of modern arthroplasty techniques. Section one starts with discussions of the anatomy, biomechanics, and mode of action of the finger and thumb joints and concludes with an intriguing history of hand arthroplasty. Sections two to four cover the latest arthroplasty procedures to treat impaired joints of the fingers (including proximal interphalangeal and distal interphalangeal), thumb, and wrist, respectively. The last section discusses arthroplasty of the distal radioulnar joint. This highly practical resource is ideal for the review and reference of state-of-the-art arthroplasty techniques in hand surgery and essential reading for trainees and practicing orthopaedic surgeons and hand specialists.
Arthroplasty of the upper extremity is an established surgical intervention in the management of arthritis of the elbow, wrist and hand. The anatomy, kinematics and demands of the elbow, wrist, thumb CMC, and finger MCP and PIP joints pose unique surgical challenges. Implant design considerations are important in providing a joint that mimics the native joints and maximizes survivorship. However, outcomes are less predictable in these upper extremity joints when compared to the hips and knees. Each joint also carries its own set of potential complications and salvage options for revision and failed arthroplasty. This unique text helps the orthopedic and hand surgeon understand the surgical approaches, unique anatomic considerations, and both the historical and current designs related to each respective joint, enabling the surgeon to better appreciate the benefits and limitations of each arthroplasty. Presenting the current state of the art, the seven sections proceed anatomically from the elbow to the fingers, with each section comprised of three thematic chapters discussing implant design considerations, primary arthroscopy techniques and revision arthroscopy techniques, including non-surgical options for treating these often difficult problems. This consistent approach, accompanied by plentiful figures, radiographs and intraoperative photos, ensures that this will be a user-friendly resource for orthopedic and hand surgeons, residents and trainees.
This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.
This volume in the Procedures in Reconstructive Surgery Series covers the key hand and upper extremity reconstruction techniques you need to stay on the cutting edge of this rapidly evolving specialty. Experts clearly explain how to perform procedures, sharing “tricks of the trade and clinical pearls so you can offer your patients superior results. Each book uses a concise, consistent format that complements the commentary. Master essential reconstructive surgical techniques with the comprehensive titles in this series! Provides real-life clinical details and clear visual guidance to the different operative steps with full-color illustrations and original artwork. Offers complete coverage of reconstructive techniques provided by well-recognized international authorities to provide balanced and comprehensive perspectives. Discusses common pitfalls, emphasizing optimizing outcomes, to refine the quality of your technique.
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. Key Features 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.
Fundamentals of hand surgery in a compact high-yield resource! Hand surgery emerged as a specialty due to advances in treatment of hand injuries incurred during World War II. Synopsis of Hand Surgery by distinguished hand surgeon Dawn LaPorte reflects the approach championed by the late American surgeons Sterling Bunnell and Norman Kirk: multidisciplinary care is key to optimal treatment of bone and soft tissue conditions in the hand and wrist. The book features contributions from an impressive group of hand and upper extremity surgeons and radiologists. Anatomy, surgical approaches, clinical exams, radiographic anatomy, advanced imaging, and electrodynamic studies are introduced in the first five chapters and emphasized throughout, providing a solid foundation. Twenty condition-specific chapters cover a wide array of hand disorders including fractures, arthritis, tendinitis, tendinosis, and injuries, as well as less common pathologies such as Kienbock's Disease, compartment syndrome, tumors, and congenital conditions. The final chapter discusses hand fractures in children. Key Highlights Insightful guidance on necessary evaluation and tests enables accurate diagnosis of common and uncommon hand injuries and conditions Firsthand recommendations on conservative to operative treatment options enhance the ability to achieve optimal results Richly illustrated chapters in an easy-to-read bulleted format augment learning and retention of knowledge This compact book provides a go-to reference for medical students, junior residents in orthopedic and plastic surgery, as well as emergency medicine, family practice, internal medicine, and pediatric physicians.
Green’s Operative Hand Surgery, edited in its Sixth Edition by Scott W. Wolfe, MD, provides today’s most complete, authoritative guidance on the effective surgical and non-surgical management of all conditions of the hand, wrist, and elbow. Now featuring a new full-color format, photographs, and illustrations, plus operative videos and case studies online at Expert Consult, this new edition shows you more vividly than ever before how to perform all of the latest techniques and achieve optimal outcomes. Access the complete contents online, fully searchable, at expertconsult.com. Overcome your toughest clinical challenges with advice from world-renowned hand surgeons. Master all the latest approaches, including the newest hand implants and arthroplastic techniques. Get tips for overcoming difficult surgical challenges through "Author’s Preferred Technique" summaries. See how to perform key procedures step by step by watching operative videos online. Gain new insights on overcoming clinical challenges by reading online case studies. Consult it more easily thanks to a new, more user-friendly full-color format, with all of the photos and illustrations shown in color.
A comprehensive reference on radiologic appearance, uses and complications of orthopedic devices, for radiologists, orthopedists, physicians, and students.
Wide awake hand surgery (WALANT) represents a breakthrough in surgery of the hand and upper extremity. It can be performed with no preoperative testing, no intravenous insertion, and no monitoring. Like a dental procedure, the patient simply gets up and goes home after the procedure. Presented in an easy-to-read, bullet-point format, Wide Awake Hand Surgery guides surgeons through all aspects of WALANT. The book covers a wide variety of topics including minimal pain injection of local anesthesia, nerve and tendon decompression, wrist surgery, repair of lacerated tendons, tendon transfers, finger fractures, lacerated nerves, metacarpal fractures, arthritis surgery and complex reconstructions in hand surgery. The book includes more than 150 step-by-step surgical and instructional videos as well as numerous color clinical photographs. Color drawings clearly guide the surgeon to the correct anatomic locations for anesthetic injections, and the book includes an atlas of tumescent local anesthesia distribution anatomy. Featuring a complimentary eBook, this valuable resource offers chapters written by worldwide experts, making it the definitive guide to wide awake hand surgery.
Focusing exclusively on the various categories of injury to the fingertip – the most common orthopedic injury seen in the ER – this book covers anatomy, physiology, mechanisms of injury, treatment options and outcomes, and possible complications stemming from these treatments. Management strategies discussed in this book range from simple splinting to complex microvascular reconstruction, open reduction internal fixation (ORIF), complex nail reconstruction, decompression of high pressure injection injuries, local and regional flap reconstructions, and free tissue transfers for fingertip coverage. Additional topics include the management of fingertip burns (thermal, chemical and electrical, and frostbite) as well as special considerations in pediatric fingertip injuries and rehabilitation strategies. It will be an essential reference for orthopedic and hand surgeons, as well as plastic, trauma and emergency surgeons and their staff at work in the ER.