This book presents the principles of hand trauma and plastic reconstructive surgery in a clear and concise manner. Its aim is to instruct the reader on how to identify the priorities of treatment and, using the principles of therapy, select the appropriate treatment modalities. Part one presents the principles of burns and plastic surgery, followed by an explanation of the roles of the multidisciplinary team. Part two explores the role of the physiotherapist and includes the principles of hand therapy, assessment and treatment modalities. Treatment rationales are referenced with the available evidence and aspects that lack evidence are highlighted, with the intention of stimulating further investigation. In order to clarify and reaffirm essential parts of the text, key point boxes are provided regularly throughout the book.

For the first time the textbook includes a DVD ROM containing sections on musculoskeletal tests, massage and exercises, as well as high resolution graphics that can be used to aid revision, student presentations and teaching purposes.

RECONSTRUCTIVE SURGERY OF UPPER EXTREMITY AFTER THERMAL BURNS u2013 GUIDELINES OR EXPERIENCEA. STRITAR MD PhD, M. Miku0161a MD, L. Emeru0161iu010d MD, A. ArharDepartment of Plastic Surgery and Burns, University Medical Centre Ljubljana, SloveniaObjectivesHand burns hold a special place in the field of burn care, even though the surface area of the hand comprises approximately 1%TBSA. This is due to their anatomical, functional and aesthetic characteristics. Surgical treatment is a priority in these types of burns, especially on the dorsum of the hand and fingers.MethodsEarly tangential excision is the method of choice for treating deep dermal and subdermal hand burns. In these cases surgery yields considerably better functional and aesthetic outcomes, as opposed to conservative therapy. Consequently, hands are given priority over other parts of the body in surgical interventions.Physiotherapy and rehabilitation play a very important role in the treatment of hand burns. Functionality of the hand is of paramount importance for the quality of life of burn patients. Some general rules apply for the treatment of hand burns, i.e. an individualised approach, careful patient selection and operative therapy based on the principles of the reconstructive ladder.ResultsPatientu2019s psychophysical state and participation are undoubtedly important; they have to be monitored in addition to providing the patient with objective information regarding their treatment. The treatment should be opportune and carefully planned in regard to the expected timeline as well as to the prediction of the end result. Postoperative follow-up is lengthy, several operations may be required and the rehabilitation programme completes the whole treatment.ConclusionGuidelines and experience occasionally differ. The former primarily protect logistic and forensic facts, while the latter expresses operative, surgical and patientu2019s outcomes. Nevertheless, hand reconstruction, be it primary or late, should abide by the protocol without sudden changes or improvisation, while being in accordance with the expected timeline and burn scar maturation.

This manual is a comprehensive guide to reconstructive hand surgery for orthopaedic and plastic surgeons. Beginning with an introduction to hand surgery and general considerations, the following chapters discuss surgery for different parts of the hand, including bone, nerve, joint and tendon reconstruction. The subsequent sections examine different conditions that may necessitate hand surgery, such as congenital disorders, tumours, infection and degenerative diseases. Extensive appendices explain preparations for the surgical procedures and the harvesting of grafts. Presented in a clear layout, each chapter includes clinical pearls, bullet points and tables for quick and easy reference. More than 160 diagrams and photographs enhance learning. Key points Comprehensive guide to reconstructive hand surgery for orthopaedic and plastic surgeons Covers surgery for all parts of the hand and associated conditions Extensive appendices detailing procedure preparation and graft harvesting Includes clinical pearls, bullets, tables, diagrams and photographs for quick reference

This text book is open access under a CC BY 4.0 license. Written by a group of international experts in the field and the result of over ten years of collaboration, it allows students and readers to gain to gain a detailed understanding of scar and wound treatment – a topic still dispersed among various disciplines. The content is divided into three parts for easy reference. The first part focuses on the fundamentals of scar management, including assessment and evaluation procedures, classification, tools for accurate measurement of all scar-related elements (volume density, color, vascularization), descriptions of the different evaluation scales. It also features chapters on the best practices in electronic-file storage for clinical reevaluation and telemedicine procedures for safe remote evaluation. The second section offers a comprehensive review of treatment and evidence-based technologies, presenting a consensus of the various available guidelines (silicone, surgery, chemical injections, mechanical tools for scar stabilization, lasers). The third part evaluates the full range of emerging technologies offered to physicians as alternative or complementary solutions for wound healing (mechanical, chemical, anti-proliferation). Textbook on Scar Management will appeal to trainees, fellows, residents and physicians dealing with scar management in plastic surgery, dermatology, surgery and oncology, as well as to nurses and general practitioners

Concise, practical, and packed full of clinical information, the Oxford Handbook of Surgical Nursing is the essential resource for all those working in nursing practice surgery and its sub-specialties. Easily-accessible, this handbook provides all of the information and practical advice needed to care effectively and professionally for surgical patients. This handbook provides a thorough introduction to the principles and practice of the care of patients undergoing the range of surgical procedures. It covers all of the core elements of surgical care from point of diagnosis, through to discharge and rehabilitation. The Oxford Handbook of Surgical Nursing provides clinical knowledge and skills for managing complex cases in the hospital or clinic. This guide will assist the reader in understanding the core role of the surgical nurse within the modern surgical team, to plan, implement and evaluate patient care delivery, and to manage complications arising from surgery. Evidence-based, and following the latest national guidelines, you can be sure this will be an indispensable companion, for all nurses, whether new to the specialty, or more experienced in surgical care.

With the combined expertise of leading hand surgeons and therapists, Rehabilitation of the Hand and Upper Extremity, 6th Edition, by Drs. Skirven, Osterman, Fedorczyk and Amadio, helps you apply the best practices in the rehabilitation of hand, wrist, elbow, arm and shoulder problems, so you can help your patients achieve the highest level of function possible. This popular, unparalleled text has been updated with 30 new chapters that include the latest information on arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management. An expanded editorial team and an even more geographically diverse set of contributors provide you with a fresh, authoritative, and truly global perspective while new full-color images and photos provide unmatched visual guidance. Access the complete contents online at www.expertconsult.com along with streaming video of surgical and rehabilitation techniques, links to Pub Med, and more. Provide the best patient care and optimal outcomes with trusted guidance from this multidisciplinary, comprehensive resource covering the entire upper extremity, now with increased coverage of wrist and elbow problems. Apply the latest treatments, rehabilitation protocols, and expertise of leading surgeons and therapists to help your patients regain maximum movement after traumatic injuries or to improve limited functionality caused by chronic or acquired conditions. Effectively implement the newest techniques detailed in new and updated chapters on a variety of sports-specific and other acquired injuries, and chronic disorders. Keep up with the latest advances in arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management See conditions and treatments as they appear in practice thanks to detailed, full-color design, illustrations, and photographs. Access the full contents online with streaming video of surgical and rehabilitation techniques, downloadable patient handouts, links to Pub Med, and regular updates at www.expertconsult.com. Get a fresh perspective from seven new section editors, as well as an even more geographically diverse set of contributors.