By Norman Weinzweig MD FACS
This ebook is a treasure when you search a accomplished textual content facing the traumatized or mutilated hand. (Doody's overview) The Mutilated Hand is a entire reference masking all elements of the administration and remedy of mutilating accidents of the hand. it's the definitive e-book at the topic - either as a reference textual content in addition to a realistic device. each one entire bankruptcy includes a overview of the literature in addition to historic views; heritage of the strategy; evolution of the remedy suggestions through the years; postoperative care; present state of the art administration; problems and sequelae with a few of the suggestions; and comparability of sensible effects utilizing many of the techniques.Stunning full-color illustrationsProvides hugely established structure in all chapters facing secondary administration of mutilating hand accidents together with: algorithms at any time when attainable to simplify the decision-making technique and illustrative instances demonstrating a number of the suggestions in step by step style in colorAuthoritative insurance by way of popular overseas specialists in cosmetic surgery, hand surgical procedure, and orthopedic surgical procedure
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Edinburgh, Churchill Livingstone, 1984. 10. Scheker LR: Salvage of a mutilated hand. In Cohen M (ed): Mastery of Plastic Surgery. Boston, Little, Brown, 1994, pp 1658–1681. 11. Sundine M, Scheker LR: A comparison of immediate and staged reconstruction of the dorsum of the hand. J Hand Surg Br 21:216, 1996. 12. Tubiana R: Repair of bilateral hand mutilations. Plast Reconstr Surg 44:323, 1969. 13. Tubiana R: Reconstruction after traumatic mutilations of the hand. Injury 2:127, 1970. 14. Tubiana R: Prehension in the mutilated hand.
9. Datiashvili RO, Shibaev EY, Chichkin VG, Oganesian AR: Reconstruction of a complex defect of the hand with two distinct segments of scapula and a scapular fascial flap transferred as a single transplant. Plast Reconstr Surg 90:687, 1992. 10. Evans DM, Martin DL: Step-advancement island flap for fingertip reconstruction. Br J Plast Surg 41:105, 1988. 11. Fassio E, Laulan J, Aboumoussa J, et al: Serratus anterior free fascial flap for dorsal hand coverage. Ann Plast Surg 43:77, 1999. 12. Foucher G, Genechten F, Merle N, Michon, J: A compound radial artery forearm flap in hand surgery: An original modification of the Chinese forearm flap.
Soft tissue coverage can occasionally be achieved by harvesting a skin graft from the degloved part. Often, a groin flap or emergency free flap is required. 4,5,7 A B Degloving injuries involve circumferential loss of innervated skin and the tactile surface of the hand. They are often associated with nerve, vessel, or tendon avulsion. VI A1, Zones 3 and 6 (Ulnar Column) FIGURE 3-12. Degloving injury. Type VI A1, zones 3 and 6 (ulnar column). C 3 Type VI: Degloving Injury 42 THE MUTILATED HAND CASE 12 Type VII: Combination Injury Type VII: Combination Injury These injuries usually involve a combination of types I to VI as well as other injuries that do not fit the more rigid definitions of types I to VI.
