By Kevin C. Chung MD MS
This quantity within the tactics in Reconstructive surgical procedure sequence covers the major hand and higher extremity reconstruction suggestions you must remain at the innovative of this speedily evolving area of expertise. specialists sincerely clarify how one can practice approaches, sharing "tricks of the exchange" and medical pearls so that you can provide your sufferers more desirable effects. every one e-book makes use of a concise, constant structure that enhances the remark and methods in operative clips at the accompanying DVD. grasp crucial reconstructive surgical options with the great titles during this series!Provides real-life scientific info and transparent visible counsel to the several operative steps with full-color illustrations and unique artwork.Offers whole assurance of reconstructive ideas supplied through well-recognized foreign professionals to supply balanced and accomplished perspectives.Discusses universal pitfalls, emphasizing optimizing results, to refine the standard of your technique.Presents a DVD of movies of key techniques played by way of specialists to teach you the way to reinforce your abilities.
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Additional info for Hand And Upper Extremity Reconstruction
22 This picture shows how the use of 6/0 Prolene sutures can clean up the tendon ends, allowing for smoother gliding. The most disastrous complication after ﬂexor tendon repair is tendon rupture. If this occurs the patient will need to return immediately to the operating room for repeat repair. Otherwise, reconstruction with a tendon graft will be necessary. In most situations the repair can be salvaged by an immediate return to the operating room. 5-week period when they begin active exercises.
Their combined action serves to abduct the ﬁngers from the midline. The three unipennate palmar interossei adduct the ﬁngers towards the midline. When located ulnar to the central long ray, they originate on the radial border of the metacarpal and insert on the radial aspect of the proximal phalanx to pull the ulnarly located ﬁnger towards the midline. This is a mirror image on the index metacarpal to pull the radially located index ﬁnger toward the long ray. All of the interossei also contribute to the extensor apparatus via their contributions to the lateral bands.
40). There are staining methods to identify motor and sensory fascicles, but these techniques are still quite difﬁcult to perform. Fascicular suturing of the median nerve without ensuring proper matching can create a mismatch of fascicles that will be deleterious to nerve regeneration. For the median nerve at the wrist, I prefer epineural repair and engage the nerve speciﬁcity properties for appropriate matching of fascicles. The ulnar nerve at the wrist has two predictable sensory and one predictable motor fascicle; I will perform fascicular repair for the ulnar nerve at the wrist.
Hand And Upper Extremity Reconstruction by Kevin C. Chung MD MS