Revascularization
The diagnosis of a finger devascularization, single or multiple, should be made upon admission of the patient because it defines the degree of urgency. Revascularization consists of restoring arterial inflow…
Injury Assessment and Operative Strategy
Injuries of the hand are common and account for 30% of work-related accidents and also a significant percentage of household and leisure accidents. There are 400,000 people with work-related hand…
Instrumentation and Technical Equipment
The practice of hand surgery requires appropriate instrumentation. The instruments used should be adapted in size to the tissue structures themselves, and the instruments should have an ergonomic handle for…
Emergency Microsurgery of the Upper Extremity
Introduction Severe upper extremity and hand injuries have significant morbidity and economic impact. Recovery may be long and complicated, placing the patient and his or her livelihood at risk. Significant…
Facet Joint Replacement for the Treatment of Degenerative Disorders of the Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: This chapter discusses the new technologies being developed in the area of facet arthroplasty. Significant and relevant anatomy of the lumbar spine is reviewed, and the…
Posterior Minimally Invasive Decompressive Techniques for the Lumbar Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: Recent advances in techniques have enabled surgeons to perform lumbar decompression surgery through smaller incisions, with less soft-tissue disruption. There is a learning curve associated with…
Use of Nucleus Replacement for the Treatment of Degenerative Disorders of the Lumbar Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: Symptomatic degenerative disc disease (DDD) represents a significant socioeconomic burden on today’s society. In the past, the only alternative was discectomy with or without fusion, with…
Posterior Minimal Incision Interbody Fusion Techniques for the Lumbar Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: Minimally invasive approach to posterior interbody fusion is predicated on performing the same goals as traditional midline surgery with the emphasis on preserving the lumbar multifidus…
Posterior Motion-Sparing Instrumentation and Interspinous Devices for the Treatment of Degenerative Disorders of the Lumbar Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: During 1995–2005, a large number of dynamic stabilization devices have been introduced. The posterior interpedicular dynamic stabilization is primarily indicated for activity-related mechanical back pain. Once…
Kyphoplasty for the Treatment of Vertebral Body Fractures
CHAPTER PREVIEW CHAPTER SYNOPSIS: As the population ages, vertebral compression fractures become much more common. Although some compression fractures may be relatively asymptomatic, others can lead to chronic pain and…
