The History of Extremity Replantation
Fig. 1.1 World’s first digital replant. Tamai 1965 (Used with permission from Kamatsu and Tamai [1]) Despite this, the history of reattachment of parts has a strong religious association, and…
Toe-to-Hand Transplantation After Failed Replantation
Fig. 9.1 (a–f) Total great-toe transfer to an unreplantable thumb amputation at proximal phalanx. (a) Coverage reconstruction of the amputation stump of the thumb with a pedicle groin flap before…
Optimizing Vascular Patency in Replantation
Fig. 8.1 An example of tagging pertinent structures in a thumb replant. Here, silver/gold clamps are utilized to mark arteries and black clamps to mark dorsal veins. A stitch is…
Heterotopic Digital Replantation
Fig. 10.1 Immediate opponensplasty with flexor digitorum superficialis from the amputated finger. Left: crush injury of right hand, resulted in incomplete amputation of right thumb, index, long, and ring fingers…
Replantation of the Forearm or Arm
Fig. 7.1 (a) This transhumeral amputation with an associated elbow dislocation occurred as a result of an 11-year-old girl getting her sleeve caught in a manure spreader. (b, c) Despite…
Distal Radius Malunion
Fig. 7.1 The different patterns of carpal response to dorsal tilt. Both patients are young and have a similar degree of deformity. In (a) the carpus has subluxed as a…
Chronic Instability of the Fingers and Thumb
Fig. 9.1 Injury of the beak ligament of the CMJC, with stretching of the dorsal ligaments, may results in subluxation of the joint, adduction of the metacarpal, hyperextension of the…
Chronic Distal Radio-ulna Instability
Fig. 11.1 Anatomy of distal radius and ulna (A) Radial styloid (B) Listers tubercule (C) Groove for extensor pollicis longus (D) Dorsal rim of radius (E) Attachment of Dorsal Radio-Ulna…
Tendon Transfers
1. Supple joints before transfer. 2. Tissue equilibrium 3. Adequate strength (donor) 4. Adequate excursion (donor) 5. Expendable donor 6. Straight line of pull 7. Synergism 8. One tendon –…
Ulnar Tunnel Syndrome
Dorsal sensation intact Dorsal sensation diminished Level of compression Proximal or distal to wrist Proximal to wrist Motor symptoms are consistent with intrinsic muscle weakness. Patients may complain of…
