Flaps in Hand and Upper Limb Reconstruction: Surgical Anatomy, Operative Techniques and Differential Therapy PDF
Preview Flaps in Hand and Upper Limb Reconstruction: Surgical Anatomy, Operative Techniques and Differential Therapy
R. Hierner, R. Putz, A. T. Bishop, Z. Shen, K. Wilhelm Flaps in Hand and Upper Limb Reconstruction This page intentionally left blank Robert Hierner, Reinhard Putz, Allen T. Bishop, Zunli Shen, Klaus Wilhelm Flaps in Hand and Upper Limb Reconstruction Surgical Anatomy, Operative Techniques and Differential Therapy First Edition With contributions from Alexander Y. Shin and Mikko Larsen Translations provided by Thomas Lederer, Walla Walla, WA, USA Edward W. Beese, Munich, Germany All business correspondence should be forwarded to Elsevier GmbH, Urban & Fischer Verlag, Hackerbrücke 6, 80335 München, [email protected] Important notice for the reader Practices in medicine are forever changing due to research and clinical experience. The publishers and authors of this book have taken tremendous care to ensure that the therapeutic advice and information herein (particularly with respect to indications, dosage schedules and adverse effects) confer with the standards accepted at the time of publication. This does not absolve the readers of this book from the obligation to verify, by referring to further written sources of information, that the information is not contradictory, nor does it release them from full responsibility for the therapeutic decisions they make. The publisher can accept no responsibility for the selection and integrity of the information on the medicinal products listed in this book. Protected product names (trademarks) are generally highlighted as such (®). The lack of such a reference does not necessarily imply that the names are not protected. Bibliographic information published by the Deutsche Nationalbibliothek. The Deutsche Nationalbibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data are available in the Internet at http://dnb.d-nb.de. All rights reserved: 1. Edition 2014 © Elsevier GmbH, Munich, Germany Urban & Fischer Verlag is an imprint of Elsevier GmbH. 14 15 16 17 18 5 4 3 2 1 All rights, including translation, are reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any other form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the prior written permission of the publisher. Acquisition Editor: Dr. Martina Braun, Dr. Till Meinert, Munich, Germany Development Editor: Dr. Bernhard Gall, Munich, Germany Translation: Dr. Thomas Lederer, Walla Walla, WA, USA; Edward W. Beese MD, Munich, Germany Illustrations: Ulrike Brugger and Luitgard Kellner, Munich, Germany; Henriette Rintelen, Velbert, Germany Copy Editing: Alessandra Kreibaum, Leinfelden-Echterdingen, Germany Production Manager: Petra Laurer, Munich, Germany Composed by: Kösel , Krugzell, Germany Printed and bound by: Printer Trento, Trento, It aly Cover Illustration: © Ulrike Brugger and Luitgard Kellner, Munich, Germany Cover Design: Spiesz Design, Neu-Ulm, Germany ISBN Print 978-0-7234-3652-2 ISBN e-Book 978-3-437-59195-2 Current information by www.elsevier.de and www.elsevier.com Preface Treating hand and upper-limb deficiencies is an everyday task in recon- Combining a textbook and a reference guide into one, this work will structive surgery. This book provides an excellent survey of the immense no doubt contribute significantly to improving the quality of primary variety of both conventional and microvascular flap reconstructions of and secondary treatment of deficiencies of the hand and the upper limb. the hand and upper limb, regarding them as complementary rather than We should like to thank the authors for their personal dedication and for mutually exclusive approaches. a book that stands out for its language, content and artwork. The authors attach great importance to complying with the basic prin- ciples of plastic surgery, which often tend to be neglected as hand and upper limb surgery becomes more and more specialised. Also, physio- therapy is firmly integrated in each of the therapy regimes suggested, which is another advantage. The way anatomic specifics are presented here is unique in the rele- vant literature. Based on this, the book provides a concise and practical guide where detailed descriptions of the various therapeutic procedures are followed by differential therapeutic evaluations. It furnishes both the October 2013 surgeon facing emergency situations and the hand and upper limb Prof. Yong-Dong Gu s urgery specialist with valuable aids and suggestions. Shanghai Medical University Foreword Despite the large number of excellent publications and books on the topic role. So the surgeon must be familiar with the basics of physiotherapy in of flap surgery of the hand and upper limb, no complete survey has yet order to adequately prepare for and supervise postoperative recovery. been available that provides an exhaustive description of the numerous The differential therapy options that are reflected in the various tables possible flap procedures together with an evaluation and ranking of their give a survey of the approaches and procedures performed at various practical feasibility. It was our desire to fill this gap. large centres across the world. They are based on experimental investiga- Faced with a plethora of possibilities, we need to concern ourselves tions as well as on many years of clinical experience. We do not seek to with the functional, aesthetic and social aspects of the hand in order to convey dogmatic factual knowledge but to make rational therapeutic choose the flap procedure that is the best in a given case. It is not techni- suggestions. cal feasibility that we seek but the therapy which is appropriate for the This book is directed to all disciplines involved in the fields of hand indi vidual patient. and upper limb surgery. With its practical decision-making aids, it is The confidence with which individually appropriate treatment is conceived as a handbook for readers with little or moderate experience. achieved is what distinguishes the beginner from the experienced sur- For the advanced and the specialist, it proposes to be a stimulating geon. The aim was to provide a concise and structured overview of the reference work. procedure and yet offer the key references. To achieve maximum authen- ticity in the illustrations, the drawings are based not only on surgical October 2103 documentation but also on anatomical latex injection preparations of the Moers, Shanghai, Rochester and Munich separate steps of flap surgery. Performing flap surgery demands profound anatomical knowledge Robert Hierner and a thorough understanding of the basics of tissue perfusion and in- Zunli Shen nervation. Surgical precision that derives from these foundations is an Allen Bishop indispensable requirement for the successful healing of the flap. Post- Reinhard Putz operative treatment, especially physiotherapy, plays an equally important Klaus Wilhelm Acknowledgements The authors wish to thank all who have been involved in the making of The authors would also like to extend their gratitude to Bernhard Gall, this book. Till Meinert and Martina Braun as well as the entire team at Elsevier The anatomical illustrations are a crucial element. They are based on U rban & Fischer for preparing this edition. selected specimens prepared by Riccardo Giunta and Robert Hierner. We are aware that it was not an easy decision for the publisher to pro- The illustrations are the work of Ulrike Brugger and Luitgard Kellner. vide the book with so many detailed (and expensive) high-quality draw- Both artists have shown high levels of intuitive skill in familiarising ings. Nevertheless these instructive drawings highlighting the main themselves with the complex subject matter, and their ability to focus on operative steps are the basis of successful teaching and are therefore an the essentials has given the illustrations a unique technical and artistic essential element of the book. We would like to thank Elsevier for expression. Thanks are due likewise to Henriette Rintelen, who con- e nabling us to plan and execute such an elaborate project. tributed many of the icons and additional graphics, and to Horst Ruß We would like to thank Professor Yong-Dong Gu from Shanghai Uni- (Fig. 4.1). The CT and MRI images have been kindly supplied by Roland versity for writing the preface for this book. Scheck. Special thanks are reserved for the translators Thomas Lederer and Edward W. Beese for their tremendous work. Many helpful comments were made by Karin Beifuss. Picture credits Fig. 1.1 – 1.3, 1.5 a, 1.6, 1.8 a, 1.13, 1.14, 1.16, 1.18, 1.19, 1.21, Ulrike Brugger and Luitgard Kellner, Munich, Germany 1.26 – 1.35, 1.37 – 3.2, 4.2 – 14.1, 14.5, 15.2, 18.1, 18.2, 18.5 Pages 92, 94, 96, 98, 100, 102, 104, 106, 108, 112, 114, 118, 122, 126, 128, 134, 136, 138, 140, 144, 146, 148, 152, 156, 160, 164, 166, 170, 176, 192, 220, 224, 226, 230, 252, 260, 268, 272, 276, 278, 282, 284, 286, 290, 302, 328, 332, 336, 338, 356, 360, 364, 366, 372, 378, 384, 388, 406, 412, 478 – 481, 483 – 522, 550 – 555 Fig. 1.4, 1.7, 1.9, 1.10, 1.15, 1.17, 1.20, 1.24, 1.36 a1, b1, c1 Paulsen F, Waschke J (eds.): Sobotta Atlas of Human Anatomy, 15. English Edition, Elsevier Urban und Fischer, Munich, Germany Fig. 1.5 b, 1.8 b, 1.11, 1.12, 1.22, 1.23, 1.25 Putz R, Pabst R (eds.): Sobotta Atlas of Human Anatomy, 14. English Edition, Elsevier Urban und Fischer, Munich, Germany Fig. 1.36 a2, a3, b2, b3, c2, c3 Roland Scheck, Hausham, Germany Fig. 4.1 Horst Ruß, Munich, Germany © Reinhard Putz Fig. 14.2 – 14.4, 14.6, 14.7, 15.1, 17.1, 18.3, 18.4 Henriette Rintelen, Velbert, Germany Pages 180, 186, 188, 194, 198, 202, 206, 210, 214, 216, 234, 236, 240, 244, 248, 250, 256, 294, 298, 306, 316, 322, 340, 344, 350, 394, 396, 398, 402, 408, 411, 414, 418, 422, 426, 432, 442 Authors Allen T. Bishop, MD Chair, Division of Hand Surgery Department of Orthopedic Surgery Mayo Clinic 200 1st St. SW Rochester, MN 55905 USA Robert Hierner, MD, PhD Professor and Chair Plastic Surgery Department of Plastic, Reconstructive, Aesthetic and Hand Surgery Bethanien Hospital and Foundation Moers Bethanienstraße 21 47441 Moers Germany Reinhard Putz, MD, PhD Professor Emeritus of Anatomy Ludwig-Maximilians-University Pettenkoferstraße 11 80336 München Germany Zunli Shen, MD, PhD Professor and Director Department of Plastic, Hand and Aesthetic Surgery Shanghai First Peoples Hospital Shanghai Jiao Tong University Wu Jin Road 85 Shanghai 200080 China Klaus Wilhelm, MD, PhD Professor Emeritus of Hand Surgery Ludwig-Maximilians-University Munich Germany
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