The Mutilated Hand

I. Mutilating Injuries of the Hand: Picking Up the Pieces
1. An Historical Odyssey of the Mutilated Hand
2. Initial Management and Reconstructive Goals
3. Current Classification Systems
II. Dorsal and Palmar Mutilating Injuries
4. Management of the Dorsal Mutilating Injury
5. Management of the Palmar Mutilating Injury
III. Ulnar Mutilating Injuries
6. Management of the Ulnar Mutilating Injury
IV. Radial Mutilating Injuries
7. On Making a Thumb: More Than a Century Surgical Effort
8. Prehension in the Normal Hand and in the Mutilated Hand
9. Distraction-Lengthening for Thumb Reconstruction
10. Digital Pollicization for Traumatic Thumb Loss
11. Great Toe?to?Thumb Transfer
12. Second Toe Transfer for Post-Traumatic Thumb Reconstruction
13. Modified Wrap?Around Procedure for Thumb Reconstruction
V. Replantation and Revascularization
14. Principles of Replantation and Revascularization
15. Thumb Replantation
16. Multiple Digit Replantations
17. Joint Transfer
18. Transmetacarpal Replantation
19. Secondary Surgery Following Replantation
VI. Reconstruction of Transverse Mutilating Injuries
20. Reconstruction of the Phalangeal Hand
21. Reconstruction of the Metacarpal Hand
22. The Mutilated Wrist
23. Krukenberg’s Operation
VII. Degloving Injuries
24. Management of the Degloved Hand
VIII. Soft Tissue Coverage of the Mutilated Hand
25. Emergency Free Flaps
26. Secondary Soft Tissue Reconstruction
IX. Bony Reconstruction of the Mutilated Hand
27. Principles of Bony Reconstruction
28. Principles of Internal Fixation
29. Principles of External Fixation
30. Distraction-Lengthening for Reconstruction of the Hand
X. Spare Parts Surgery
31. Spare Parts in Upper Extremity Reconstruction
32. Cross-Finger Transfe
33. Emergency Cross?Hand Replantation Revisited
XI. Reconstruction of the Mutilated Hand in Children
34. Replantation and Revascularization in Children
35. Reconstruction of the Pediatric Mutilated Hand
XII. Post?Operative Management and Complications
36. Psychological Aspects of Mutilating Hand Injuries
37. Rehabilitation of the Mutilated Hand
38. Painful Digits and Amputation Stumps of the Hand
39. Revision Amputations of the Hand and Digits
40. Prostheses for Mutilated Hands
XIII. Reconstruction of the Mutilated Hand: The Next Generation
41. Limb Allotransplantation - Experimental
42. Hand and Composite Tissue Allotransplantation: Past, Present
and Future
43. The Final Frontier




Author Information
By Norman Weinzweig, MD, FACS, Adjunct Attending in Surgery,
Department of Plastic Surgery, Rush-Presbyterian-St. Luke's
Medical Center; Senior Attending in Plastic Surgery, Department
of Surgery, John F. Stroger Hospital of Cook County, Chicago,
IL; and Jeffrey Weinzweig, MD, FACS, Assistant Professor of
Surgery, Director of Research, The Wound Healing & Tissue
Engineering Laboratory; Department of Plastic Surgery, Brown
University School of Medicine; Attending Plastic Surgeon,
Department of Plastic Surgery, Rhode Island Hospital; Hasbro
Children's Hospital, Providence, Rhode Island