Reconstruction of the Thumb and Finger

This medical reference presents a chapter-by-chapter approach to restoring the thumb and finger after traumatic loss and congenital differences. The opening chapter covers the anatomy and functional design of the hand, the principles of thumb and digit reconstruction, and a classification of defects, while the remaining chapters work through those defects level by level.

A comparative digital defect indexing system based on the involved surface, the critical zone of injury or loss, and total tissue loss organizes each case. Cases move from simple to complex and set out the treatment rationale, functional and anatomical loss, reconstruction objectives, treatment options, technical provisos, long-term outcomes and clinical pearls, with older cases supported by long-term data.

Anatomy is illustrated with drawings by the late J. William Littler, including unpublished and classic illustrations. The reference is intended for novice to seasoned hand surgeons and microsurgeons and serves as a teaching tool for medical students and allied health personnel.

Key Features

Highlights

• A comparative digital defect indexing system (DDI) based on the surface involved, the critical zone of injury or loss, and a sum of tissue loss
• From simple to complex, each case includes the treatment rationale, functional/anatomical loss, reconstruction objectives, multiple treatment options, technical provisos, long-term outcomes, and clinical pearls
• Older clinical cases with long-term data bridge the gap from older to current microvascular techniques
• Pertinent anatomy is illustrated by one of the recognized founding fathers of hand surgery, the late J. William Littler, including unpublished drawings and classic illustrations