Severe Tramatic Defects of the Upper Limb : Published in Association with the Federation of European Societies for Surgery of the Hand

Assembling international experts and featuring more than 300 illustration, this text presents the latest clinical thinking on the correct strategy to adopt in surgical management of upper limb trauma. After defining current issues, the book covers soft tissue repair, bone reconstruction, joint reconstruction, nerve defect repair, tendon defect repair, and compound transfers. The final chapter is devoted to general indications. The book highlights of flap techniques, bone reconstruction and bone substitutes, joint reconstruction and replacement, nerve grafts and alternative methods for reinervation, tendon grafting and transfer, and future advances in hand and upper limb surgery. Book cover......Page 1 Half-title......Page 2 Title......Page 3 Copyright......Page 4 Contents......Page 6 Introduction......Page 16 1. What is a severe defect?......Page 17 Soft tissue repair: flap techniques......Page 19 2. Pedicled fasciocutaneous and adipofascial flaps......Page 20 3. Pedicled muscle and musculocutaneous flaps......Page 40 4. Free flaps......Page 51 5. Emergency free flaps for the reconstruction of open injuries of the upper limb......Page 72 Bone reconstruction......Page 79 6. Bone auto- and allografts in post-traumatic reconstruction of the upper limb......Page 80 7. Massive bone defects of the upper limb: reconstruction by vascularized bone transfer......Page 101 8. Loss of the post-traumatic infected substance of the upper limb......Page 116 9. Bone substitutes......Page 136 Joint reconstruction......Page 147 10. Joint transfers and joint reconstruction......Page 148 11. Joint replacement as a secondary procedure......Page 158 12. Joint fusion in severe traumatic defects of the upper limb......Page 168 Nerve defect repair......Page 182 13. Nerve grafts......Page 183 14. Bridging nerve defects: the role of tissue interpositioning......Page 205 15. End-to-side neurorrhaphy: an alternative method for reinnervation in cases with long nerve defects......Page 225 Tendon defect repair......Page 239 16. Conventional tendon grafting......Page 240 17. When to use vascularized tendon transfers and how is the digital flexion sliding system supposed to work?......Page 309 Compound transfers......Page 327 18. Composite tissue transfer in the upper extremity......Page 328 19. Free functioning muscle transfer......Page 339 20. Combined soft tissue and tendon reconstruction: the dorsum and thenar regions......Page 350 General indications......Page 367 21. Principles of emergency reconstruction......Page 368 22. Principles of repair of a compound defect as a secondary procedure: the multiple stages approach......Page 381 23. Surgical management of infection......Page 393 24. Reconstruction of large defects of the upper limb in children......Page 404 25. Future advances in hand and upper limb surgery: application of tissue engineering and biotechnology......Page 416 Index......Page 427 This Book Assembles Over 40 International Experts To Present The Latest Clinical Thinking On The Correct Strategy To Adopt In Surgical Management. Flaps, Bone And Joint Reconstruction, Nerve And Tendon Defect Repair, And Compound Transfers Are All Included (although Finger Mutilation Is Not). Introduction -- What Is A Severe Defect? -- Soft Tissue Repair: Flap Techniques -- Pedicled Fasciocutaneous And Adipofascial Flaps -- Pedicled Muscle And Musculocutaneous Flaps -- Free Flaps -- Emergency Free Flaps For The Reconstruction Of Open Injuries Of The Upper Limb -- Bone Reconstruction -- Bone Auto- And Allografts In Post-traumatic Reconstruction Of The Upper Limb -- Massive Bone Defects Of The Upper Limb: Reconstruction By Vascularized Bone Transfer -- Loss Of The Post-traumatic Infected Substance Of The Upper Limb -- Bone Substitutes -- Joint Reconstruction -- Joint Transfers And Joint Reconstruction -- Joint Replacement As A Secondary Procedure -- Joint Fusion In Severe Traumatic Defects Of The Upper Limb -- Nerve Defect Repair -- Nerve Grafts -- Bridging Nerve Defects: The Role Of Tissue Interpositioning -- End-to-side Neurorrhaphy: An Alternative Method For Reinnervation In Cases With Long Nerve Defects -- Tendon Defect Repair -- Conventional Tendon Grafting -- When To Use Vascularized Tendon Transfers And How Is The Digital Flexion Sliding System Supposed To Work? -- Compound Transfers -- Composite Tissue Transfer In The Upper Extremity -- Free Functioning Muscle Transfer -- Combined Soft Tissue And Tendon Reconstruction: The Dorsum And Thenar Regions -- General Indications -- Principles Of Emergency Reconstruction -- Principles Or Repair Of A Compound Defect As A Secondary Procedure: The Multiple Stages Approach -- Surgical Management Of Infection -- Reconstruction Of Large Defects Of The Upper Limb In Children -- Future Advances In Hand And Upper Limb Surgery: Application Of Tissue Engineering And Biotechnology. Edited By Alain C. Masquelet, Acacio C. Ferreira. Published In Association With The Federation Of European Societies For Surgery Of The Hand--p. 4 Of Cover. Includes Bibliographical References And Index. Severe mutilation from injury to the upper limb can have devastating consequences for the patient's daily life. This book assembles international experts to present the latest thinking on surgical management