State-of-the-art solutions to restore hand function in patients with difficult hand ailmentsThe intricate balance of the intrinsic and extrinsic soft tissue structure and bony scaffold of the hand, coupled with 31 articulating services in the hand and wrist, can lead to significant surgical challenges. Providing surgeons with technical pearls to overcome these challenges is the primary focus of Problems in Hand Surgery: Solutions to Recover Function by internationally renowned hand surgeons Michael W. Neumeister and Michael Sauerbier, and an impressive group of contributors.Organized by 29 sections and 90 chapters, this comprehensive book focuses on secondary hand surgeries to optimize hand form and function in patients with challenging trauma- and disorder-related hand issues. Among the many topics addressed are problems associated with nonunion, malunion, dysvascular limbs, trauma-related degenerative changes, stiffness, tendon dysfunction, joint disruption, nerve injury, neuropathy, vasospasm, fractures, and osteoarthritis.Key HighlightsUnique approaches for stiff fingers, recurrent cubital tunnel and ulnar neuropathy, suboptimal bone healing/avascular necrosis in the hand and wrist, and moreHigh-quality videos provide insightful guidance on various surgical techniquesOver 1,100 color illustrations and preoperative, intraoperative, and postoperative images help readers visualize the steps involved in each operative procedureThe extraordinary clinical tools in this step-by-step surgical resource will help orthopaedic surgery residents and experienced orthopaedic and plastic surgeons manage difficult cases and achieve optimal patient outcomes.This book includes complimentary access to a digital copy on https://medone.thieme.com.

Part I: Problems with Nailbed Repairs1 Nonadherence of the Nail Plate2 Posttraumatic Split Nails3 Gentian Violet Treatment of Severe Chronic ParonychiaPart II: Problems with Trigger Release4 BowstringingPart III: Problems with Dupuytren's Disease5 Exposed Tendons6 Acute Vascular Compromise After Dupuytren's Fasciectomy7 Secondary Contractures8 Complications of Dupuytren's Contracture TreatmentPart IV: Problems with Flexor Tendon Repair9 Flexor Tendon Rupture10 Adhesions of the Flexor Tendon11 Bowstringing of the Flexor Tendon12 Ruptured Flexor Pollicis Longus TendonPart V: Problems with Extensor Tendon Repair13 Extensor Lag14 Stiffness in the Extensor Tendon15 Relative Motion Treatment of Chronic Boutonniere Deformity16 Management of Chronic Sagittal Band Rupture17 Posttraumatic Swan Neck DeformityPart VI: Problems with Vasospasm18 Refractory Raynaud's PhenomenonPart VII: Problems with Compression Neuropathy19 A Practical Approach to Recurrent Carpal Tunnel Syndrome20 Recurrent Carpal Tunnel Syndrome21 Failed Carpal Tunnel Release: Recognizing the Lacertus Syndrome22 Cubital Tunnel Release at the Elbow23 Recurrent Cubital Tunnel24 Recurrent Ulnar Neuropathy25 Radial Tunnel Release in the ForearmPart VIII: Problems with Nerve Repair26 End Neuroma27 Pain following Nerve RepairPart IX: Problems with Nerve Palsy28 Finger ContracturesPart X: Sarcoma29 Incomplete Resection of Sarcoma at the HandPart XI: Problems with Soft Tissue Coverage30 Perfusion Problems31 The Bulky Flap32 Contracture after Acute Trauma Surgery of a Blast Burn33 Dorsal Hand DefectPart XII: Problems with Nonarticular Phalanx Fractures34 Malrotation in Nonarticular Phalanx Fractures35 Nonunion in Nonarticular Phalanx Fractures36 Stiffness and Hardware Problems in Nonarticular Phalanx Fractures37 Angulation in Nonarticular Phalanx FracturesPart XIII: Problems with Articular Phalanx Fractures38 Angulation in Articular Phalanx Fractures39 Posttraumatic Bone Loss in Articular Phalanx Fractures40 Fracture after Prior Kirschner's Wire Fixation41 Contractures in Articular Phalanx FracturesPart XIV: Problems with Metacarpal Fractures42 Nonunion in Metacarpal Fractures43 Malunion in Metacarpal Fractures44 Angulation in Metacarpal FracturesPart XV: Problems with Basilar Joint Osteoarthritis45 Recurrent Pain in Basilar Joint Osteoarthritis46 Painful Proximalization of First Metacarpal After Trapeziectomy47 Metacarpal Phalangeal HyperextensionPart XVI: Problems with Metacarpal Phalangeal Osteoarthritis after Implant Arthroplasty48 Intraoperative Instability During Metacarpophalangeal Joint Arthroplasty for Osteoarthritis49 Revision of Subsided Pyrocarbon ImplantsPart XVII: Problems with Interphalangeal Osteoarthritis50 Failed Silicone Proximal Interphalangeal Joint Arthroplasty51 Stiffness in Interphalangeal Osteoarthritis52 Contracture in Interphalangeal Osteoarthritis53 Proximal Interphalangeal Posttraumatic OsteoarthritisPart XVIII: Problems with Infection in the Thumbs, Fingers, and Wrist54 Inadequate Drainage of Infection in the Thumbs, Fingers, and Wrist55 Salvage of Osteomyelitis of the Distal Radius after Internal Fixation of an Open Fracture56 Infectious Destruction of the WristPart XIX: Problems with Replantation57 Stiffness after Replantation58 Failed Replant: Ray Amputation59 Failed Digit Replant: Toe-to-Hand Transfer60 Failed Thumb Replant: Great Toe-to-Thumb Transfer61 Failed Replant: Failed Degloving Revascularization62 Attempted Replantation63 Nonunion following Digital Replant64 Nonunion following Major Replant65 Painful Finger after Bony Nonunion66 Stiff Fingers and Elbow after Replantation67 Poor Grip or Weak Motion after ReplantationPart XX: Problems with Complex Regional Pain Syndromes68 Complex Regional Pain SyndromePart XXI: Problems with Scaphoid Fractures69 Nonunion of the Proximal Pole70 Scaphoid Nonunion with Avascular Necrosis71 Scaphoid Revision Nonunion72 Scaphoid Nonunion73 Scaphoid Implant MalplacementPart XXII: Problems with Scapholunate Instability74 Failed Scapholunate Ligament Repair: Acute75 Failed Reconstruction with Tenodesis: ChronicPart XXIII: Problems with the Lunotriquetral Joint76 Problems with the Lunotriquetral Joint After Ligament Repair77 Problems with Lunotriquetral FusionPart XXIV: Problems after Partial Wrist Fusions78 Complications of Partial Wrist Fusion79 Dislocated Lunar Facet Fragments and Radioscapholunate ArthrodesisPart XXV: Total Wrist Arthroplasty80 Implant Migration after Total Wrist ArthroplastyPart XXVI: Problems with Triangular Fibrocartilage Complex Tears81 Pain After Triangular Fibrocartilage Complex Tears82 Persistent Instability After Triangular Fibrocartilage Complex TearsPart XXVII: Problems with Ulnar Impaction83 Arthroscopic Treatment of Ulnar Impaction84 Nonunion after Ulnar ShorteningPart XXVIII: Problems with Distal Radial Ulnar Joint85 Failed Bowers' Arthroplasty: Ulnar Head Prosthesis86 Dislocated Ulnar Head ProsthesisPart XXIX: Problems with Distal Radius Fractures87 Distal Radius Fracture Malunion88 Distal Radius Fracture Nonunion89 Troublesome Lunate Facet90 Troublesome Lunate Facet: Treatment with Microvascular Techniques