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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.
This issue of Hand Clinics will focus on minimally invasive hand and wrist surgery. This surgery refers to the treatment of bone and soft tissue injuries without the need for traditional open surgical incision. With the aid of new techniques and computerized machinery, even a rather complex surgery can be performed with only a few small incisions. This can be done using arthroscopy, or other techniques that use alternate methods to visualize the work site. This issue will cover all the basics of minimally invasive techniques including an overview paper on the current procedures.
This issue of Hand Clinics, guest edited by series consulting editor, Dr. Kevin C. Chung, will focus on Health Policy and Advocacy in Hand Surgery. This issue is one of four issues selected each year by Dr. Chung. Key topics discussed in this issue include, but are not limited to: Impact of Evidence and Health Policy on Hand Surgery Practice; Navigating the Intersection of Evidence and Policy in Hand Surgery Practice; Translating Hand Surgery Evidence into Practice and Policy; Using Evidence for Hand Surgery: How to Practice Evidence-Based Hand Surgery Care; Impact of the Current United States Healthcare Environment on Practice: A Private Practice Viewpoint; Influence of the United States Healthcare Environment and Reform on Academic Healthcare Practice; Leveraging the Electronic Medical Record System to Enhance Hand Surgery Practice; How to Capture Suitable Revenue: Reimbursement and the Current Healthcare Environment with Considerations of Bundled Payments; Evidence-Based Hand Therapy and It's Impact on Health Care Policy; Access to Hand Therapy Following Surgery in United States: Barriers and Facilitators; The Intersection of Hand Surgery Practice and Industry; Establishment of a National Hand Surgery Data Registry; Providing Hand Surgery Care to the Vulnerably Uninsured Patient; Impact of Healthcare Reform on Innovation and Technology; and Health Policy Evaluation in Hand Surgery: Evaluating What Works, among others.
Guest edited by Drs. Donald Lalonde and Jin Bo Tang, this issue of Hand Clinics will cover several key areas of interest related to Global Advances in Wide Awake Hand Surgery. This issue is one of four selected each year by our series Editor-in-Chief, Dr. Kevin Chung of University of Michigan. Articles in this issue include, but are not limited to: The Canadian model for instituting wide awake hand surgery; Latest advances in wide awake hand surgery; Wide awake surgery as an opportunity to enhance clinical research; Wide awake secondary tendon reconstruction; WALANT in South America; Wide awake hand surgery at in South Korea; Wide awake tendon transfers in leprosy patients in India; WALANT hand surgery in military healthcare delivery; Wide awake wrist and small joint arthroscopy of the hand; and the Impact of WALANT on departmental settings, cost, patient satisfaction and beyond
This issue of Hand Clinics will focus on flap reconstruction. Flap reconstruction is a very large part of upper extremity surgery following a traumatic injury. This issue will cover the entire process including anatomy, decision-making strategies on where to source/harvest flaps, and a large number of papers tailored to specific surgical procedures: different parts of the hand and upper extremity, pediatric reconstruction, and aesthetics.
This issue of Hand Clinics, guest edited by Dr. Steve Haase, as well as the series’ consulting editor Dr. Kevin Chung, will cover a number of key aspects of Dupuytren Disease. Topics discussed within the issue include, but are not limited to: Risk Factors, Disease Associations, and Dupuytren Diathesis, Pathologic Anatomy in Dupuytren Disease, Needle Aponeurotomy for Dupuytren Disease, Development of Collagenase Treatment for Dupuytren Disease, Collagenase Injection for Dupuytren Disease, Alternative and Adjunctive Treatments for Dupuytren Disease, Comparative Outcomes of Dupuytren Disease Treatment, Complications of Dupuytren Disease Treatment, The Role of Hand Therapy in Dupuytren Disease, Treatment of Recurrent Dupuytren Disease, and Advances in Minimally Invasive Treatment of Dupuytren Disease.
In this issue of Hand Clinics, guest editor Drs. Jin Bo Tang and Grey Giddins bring their considerable expertise to the topic of Challenging Current Wisdom in Hand Surgery. With contributing authors from eight different countries, this unique issue presents truly global perspectives that challenge current ways of thinking in an effort to uncover a more complete view of each topic. Readers will find articles that highlight the importance of thinking outside the box as well as the most modern way of thinking about each topic in this volume. - Contains relevant, practice-oriented topics including the revised treatment plan for the mallet finger; the conservative treatment of some hand and carpal fractures; internal fixation of hand fractures: field sterility and earlier removal of K wires are safe; the trapezium is not necessary: implications in treating basal joint arthritis and pollicization; dynamic rather than static procedures in correcting claw deformities from ulnar nerve palsy; and more. - Provides in-depth clinical reviews on challenges to current wisdom in hand surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
In this issue of Hand Clinics, guest editors Drs. James Saucedo and Noah M. Raizman bring their considerable expertise to the topic of The Business of Hand Surgery. This issue brings together the knowledge and experience of hand surgeons and business school professors to provide a full and comprehensive view of this timely topic. These practical, up-to-date articles will help hand surgeons not only manage their practices more efficiently and effectively, but also help resourcefully improve patient health. - Contains 12 relevant, practice-oriented topics including the revenue cycle: from billing to collections; marketing and strategy: how to build your practice; how to bring cost-effective care to your practice; the importance of culture: why leadership, diversity, and safety matter; personal development: building boundaries, emotional intelligence, effective communication, and leadership skills; and more. - Provides in-depth clinical reviews on the business of hand surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Guest editors Jin Bo Tang and Grey Giddons have assembled an expert team of authors on the topic of Hand Surgery in Asia and Europe. Article topics include: Multiple Digit and major limb replantation in Asia and Europe; Microsurgical flaps in repair and reconstruction of the hand; Composite tissue transfer: Novel techniques; Primary flexor tendon repair with early active motion: Part 1. Experience in Asia; Primary flexor tendon repair with early active motion: Part 2. Experience in Europe; Conservative treatment of hand fractures in United Kingdom; Current European practice in proximal interphalangeal joint arthroplasty; Treatment of scaphoid fractures: European approaches; Carpal ligaments: A functional classification; Current European practice in wrist arthroplasty and more!
Complications of hand injuries are very common, and the primary goal of the treatment of hand trauma is simply that of avoiding complications. They can be considered to be complications of missed diagnoses, complications of treatment, or complications of injuries.