CRITICAL POINTS ▪ Address the whole patient; treatment is based on patient needs, not radiographs alone. ▪ Surgeon–therapist–patient cooperation is essential. ▪ Meticulous surgical technique and meticulous therapy are both…
CRITICAL POINTS ▪ The joint destruction and the deformities that occur in rheumatoid arthritis are the result of the interaction between the diseased synovial tissue and the normal joint tissue….
CRITICAL POINTS ▪ Tendon transfer is most often the treatment of choice for tendon ruptures in the rheumatoid hand. ▪ The goal for a tendon transfer is to redistribute power…
CRITICAL POINTS ▪ The thumb carpometacarpal (CMC) joint is one of the most important joints of the thumb and hand, displaying a wide arc of motion with stabilization provided by…
CRITICAL POINTS ▪ The thumb is responsible for 40% to 50% of hand function. ▪ The two most important goals of thumb reconstruction are restoration of sensation and opposition. ▪…
The world breaks everyone and afterward many are strong at the broken places. Ernest Hemingway CRITICAL POINTS ▪ Amputation of an upper limb affects physical and psychological well-being and requires…
CRITICAL POINTS ▪ Each patient must be treated individually. Their psychological, social, vocational, and avocational needs should be addressed in addition to the physical amputation when determining the appropriate kind…
CRITICAL POINTS ▪ Surface wounds may not reflect massive deep tissue injuries after electrical trauma. ▪ Recent studies suggest that decompression should be performed for the usual signs of compartment…
Hand and upper extremity injuries are often accompanied by a variety of psychological reactions related to the function of the extremity and to the perceived social acceptance of the individual,…
CRITICAL POINTS Preoperative Assessment and Management Proper selection of candidates for replantation is very important. While all attempts at reconstruction should be made, at times, the condition of the patient…
