Thoroughly revised to bring you up to date with the latest techniques in the field, Operative Techniques Hand and Wrist Surgery, 4th Edition, expertly covers the essential procedures you are mostly likely to employ in everyday practice. This well-regarded, atlas-style volume provides an efficient review of the scope of hand surgery, including every potential patient scenario, while updated indications and techniques equip you to treat the full range of upper extremity disorders. Enhanced procedural videos, produced and narrated by Dr. Chung himself, help guide the essence and key aspects of an operation and are included in most chapters.

Key Features
Combines brief bulleted descriptions of surgical procedures with excellent procedural videos, full-color intraoperative photographs, and detailed surgical diagrams. Radiographs and MR images show presenting problems and post-surgical outcomes.

Features all-new videos and extensive new content and images throughout.

Covers key topics such as tissue transplantation, tendon and nerve transfer for spinal cord injury, wide awake approach for tendon transfers, total wrist arthroplasty, and techniques for fixing Bennett and Rolando fractures.

Features tips, pearls, and pitfalls from the authors that enable you to improve your technique and optimize outcomes.

Presents multiple approaches for the surgical repair of each disorder, ranging from the least to the most invasive procedures.

Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.


Author Information
By Kevin C. Chung, MD, MS, Charles B.G. De Nancrede Professor in Surgery, Section of Plastic Surgery; Assistant Dean for Faculty Affairs, Associate Director for Global REACH, University of Michigan Medical School, Ann Arbor, Michigan

Foreword
1 Anesthesia of the Hand
2 Fasciotomy for Compartment Syndrome of the Hand and Forearm
3 Digit Amputations
4 Proximal Upper Extremity Amputation
5 Finger Infections (Paronychia, Felons, Pyogenic Flexor Tenosynovitis)
6 Splints and Orthoses
7 Principles of Bone Fixation and Healing
8 Kirschner Wire Fixation of Mallet Fractures
9 Treatment of Extraarticular Phalangeal Fractures
10 Open Reduction and Internal Fixation of Extraarticular Phalangeal Fractures
10 Dynamic External Fixation of Fracture-Dislocation of the Proximal Interphalangeal Joint
11 Open Reduction and Internal Fixation of Intraarticular Phalangeal Fractures
12 Volar Plate Arthroplasty of the Proximal Interphalangeal Joint
13 Hemi-Hamate Arthroplasty
14 Techniques and Fixation of Metacarpal Fractures
15 Percutaneous Intramedullary Fixation of Metacarpal Head and Neck Fractures
15 Open Reduction and Internal Fixation of Metacarpal Shaft Fractures
15 Open Reduction for Metacarpophalangeal Joint Dislocation
16 Corrective Osteotomy of Metacarpal Fracture Malunion
17 Reconstruction of Acute and Chronic Ulnar Collateral Ligament Injuries of the Thumb
18 Techniques for Fixation of Bennett and Rolando Fractures
19 Wrist Arthroscopy
20 TFCC Repair
21 Scapholunate Ligament Repair
22 Scapholunate Ligament Reconstruction
23 Lunotriquetral Ligament Reconstruction Options using Tendon Grafts
24 Scapholunate and Lunotriquetral Ligament Reconstruction with Internal Brace and Tendon Grafting
25 Open Reduction and Internal Fixation of Acute Scaphoid Fracture
26 Treatment of Scaphoid Nonunion
27 Salvage Procedures for Scaphoid Nonunion
28 Open Reduction and Fixation of Acute Lunate or Perilunate Dislocation With or Without Fracture
29 Ulnar Shortening Osteotomy for Ulnar Impaction Syndrome
30 Distal Radioulnar Joint Reconstruction Using the Palmaris Longus Graft
31 Procedures for Avascular Necrosis of the Lunate (Kienböck Disease)
32 Operative Treatment of Distal Radius Fractures
33 Corrective Osteotomy of Radius Malunion
34 Associated Ulnar Fixation (ulnar styloid and metadiaphyseal fractures)
35 Management of Other Carpal Fractures
35 Forearm Fracture-Dislocations (Galeazzi and Monteggia)
36 Metacarpophalangeal Joint Synovectomy, Crossed Intrinsic Tendon Transfer, and Extensor Tendon Centralization
37 Tendon Transfers for Rheumatoid Tendon Attrition Rupture
38 Stabilization of Extensor Carpi Ulnaris Tendon Subluxation with Extensor Retinaculum
39 Associated Ulnar Fixation
39 Correction of Swan-Neck Deformity
40 Correction of Boutonniere Deformity
41 Metacarpophalangeal Arthroplasty
42 Proximal Interphalangeal Arthroplasty
43 Distal Interphalangeal Joint Arthrodesis
44 Joint Fusion for Thumb Metacarpophalangeal Instability
45 CMC Fusion for Basilar Joint Arthritis
46 Reconstruction for Thumb Carpometacarpal Joint Instability Using Flexor Carpi Radialis (Littler Procedure)
47 Trapeziectomy and Abductor Pollicis Longus Suspensionplasty
48 Revision Carpometacarpal Joint Arthroplasty
49 Distal Ulnar Resection (Darrach Procedure)
50 Sauvé-Kapandji Procedure
51 Hemiresection Ulnar Arthroplasty
52 Total Wrist Arthroplasty
53 Total Wrist Fusion
54 Thumb Denervation for CMC Arthritis
54 Wrist Denervation
55 Open Carpal Tunnel Release
56 Endoscopic Carpal Tunnel Release
57 Revision Carpal Tunnel Release and Coverage Using a Hypothenar Fat Pad Flap
58 Procedures for Ulnar Compressive Neuropathy
59 Radial Nerve Decompression
60 Digital Nerve Repair
61 Ulnar Nerve Group Fascicular Repair
62 Median Nerve Epineural and Group Fascicular Nerve Repair
63 Tendon Transfers for Low Median Nerve Injury: Opponensplasty
64 Tendon Transfers for High Median Nerve Palsy
65 Tendon Transfers for Low and High Ulnar Nerve Injury
66 Tendon Transfers for High and Low Radial Nerve Injury
67 Tendon Transfers for Combined Nerve Palsy
68 Distal Anterior Interosseous Nerve (AIN) Transfer to Motor Branch of Ulnar Nerve
69 Tendon and Nerve Transfers for Spinal Cord Injury Patients
70 Restoration of Elbow Extension: Deltoid to Triceps Transfer and Biceps to Triceps Transfer
71 Restoration of Wrist Extension: Brachioradialis to Extensor Carpi Radialis Tendon Transfer
72 Restoration of Active Key Pinch: Brachioradialis and Pronator Teres to Flexor Pollicis Longus Transfer
73 Restoration of Passive Key Pinch
74 Restoration of Active Pinch and Grasp: Extensor Carpi Radialis Longus Transfer to Flexor Digitorum Profundus
75 Intrinsic Tendon Reconstruction
76 Nerve Transfer for Spinal Cord Injuries
77 Wide Awake Approach for Tendon Transfers
78 Acute Repair of Flexor Tendon Injuries in Zones I–V
79 Two-Stage Flexor Tendon Reconstruction with Silicone Rod
80 A2 Flexor Tendon Pulley Reconstruction with Free Tendon Graft
81 Tenolysis of Flexor Tendons
82 Acute Repair of Extensor Tendon Injuries: Zones I to VII
83 Release of Trigger Finger
84 Release of De Quervain Tenosynovitis
85 Management of Mangled Extremities
86 Local Tissue Rearrangement for Treatment of Scar Contractures
87 Flap Coverage of Fingertip Injuries
88 Flap Coverage for Thumb Defects
89 Dorsal Metacarpal Artery Flap and Dorsal Metacarpal Artery Perforator Flap
90 Pedicled Forearm Flaps
91 Groin Flaps
92 Lateral Arm Flap
93 Venous Flap
94 Revascularization and Replantation of Digits and Hand
95 Toe to Thumb Transfer
96 Major Limb Replantation
96 Sympathectomy of Radial, Ulnar, and Common Digital Arteries for Raynaud’s Phenomenon
97 Ulnar Artery to Superficial Arch Bypass with a Vein Graft
98 Surgical and Nonsurgical Treatment of Dupuytren Contracture
99 Revascularization and Replantation of Major Limbs
99 Biceps and Brachialis Lengthening
100 Step-cut Fractional Lengthening of Flexor Tendons and Flexor Digitorum Superficialis to Flexor Digitorum Profundus Transfer
101 Percutaneous Needle Aponeurotomy for Dupuytren Contracture
101 Open Fasciectomy for Dupuytren Contracture
101 Dermatofasciectomy for Dupuytren Contracture
101 Flexor-Pronator Slide
102 Venous Flap
102 Thumb Adductor Release
103 Capsulotomy for Proximal Interphalangeal Contracture
104 Capsulotomy for Metacarpophalangeal Contracture
105 Pediatric Trigger Digits
106 Release of Finger Syndactyly Using Dorsal Rectangular Flap
107 Duplicated Thumb and Finger Treatment
108 Free Gracilis Flap for Elbow Flexion
108 Index Pollicization for Hypoplastic Thumb
109 Pediatric Opponensplasty
110 Extensor Carpi Radialis Longus Transfer to Flexor Digitorum Profundus
110 Camptodactyly Correction
111 Macrodactyly Correction
112 Release of Constriction Ring Syndrome
113 Centralization for Radial Longitudinal Deficiency
114 Cleft Hand Reconstruction
115 Arthrogryposis Reconstruction
116 Hand Masses
117 Excision of Vascular Lesions of the Hand
118 Excision of Metacarpal Enchondroma
119 Excision of Peripheral Nerve Schwannoma
120 Excision of Malignant Skin Tumors