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Atlas of Minimally Invasive Hand and Wrist Surgery

2007 Edition, September 27, 2007

Complete Document

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Active, Most Current

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ISBN: 978-0-8493-7014-4
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Product Details:

  • Revision: 2007 Edition, September 27, 2007
  • Published Date: September 27, 2007
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 357
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


When we were first approached to assemble this volume on minimally invasive techniques in the wrist and hand, we were unsure whether enough novel and valuable material existed to merit a book. However, in putting together a rough outline, we easily came up with over 40 chapters. This told us something about the evolution of hand and wrist surgery over the last several years. The surgeon leaders in the field have been motivated to improve upon existing operations in many ways. Significant advances have been achieved by making the surgical experience more appealing to the patient by developing procedures that are less invasive with smaller incisions and shorter rehabilitation times. This work has been largely motivated by forces in society at large, with patients expecting a better aesthetic result, less morbidity, and an earlier return to function. This, of course, must be coupled with proper treatment of the pathology and equal or better technical results than the traditional open techniques.

The focus of the text, Minimally Invasive Hand and Wrist Surgery, is to describe many of these new and exciting techniques for treatment of traumatic and chronic conditions in the hand and wrist. Technology has advanced significantly over the last 10 years, and several new surgical methods have been developed that utilize percutaneous and minimally invasive techniques. These include percutaneous screw fixation for scaphoid nonunions that obviates the need for a large incision at the wrist, and also eliminates the often troublesome bone graft exposure at the iliac crest. These new methods have been developed primarily by hand surgeons, but also with significant input from the sports medicine and arthroscopic subspecialty trained surgeons. New developments in arthroscopy have expanded the indications within the wrist joint and also extended the applicability to other smaller joints, such as the thumb basal joint. These advances are resulting in improved outcomes with higher patient satisfaction and earlier return to functional activities.

No book currently exists that contains these techniques and concepts all in one volume. A few can be found in various large surgical texts, and others have only been published as journal articles. We have striven for this volume to contain the true current "state-of-the-art" techniques, so many of these procedures may have not appeared before in print. The time from manuscript submission to publication has been consciously accelerated to get these new techniques to you as quickly as possible. We hope that the compilation of this information into one concise volume adds significantly to the orthopedic literature.

The text was designed to serve both as a reference atlas and a work that may be read a section at a time. The reader should be able to turn to a surgical technique section and firmly grasp how to do a specific procedure in 5 to 10 minutes. The chapters have been assembled in a consistent format throughout the text. The "Introduction" is meant to be brief and to describe the motivation for and evolution of the minimally invasive technique. Within the "Indications" section, authors describe how the technique differs from and improves upon the similar open procedure. The surgical technique is really a "how to" section with step-by-step instructions and accompanying photographs and figures. The outcomes described are published series (when available) for the specific and similar techniques and often contain the authors' personal patient series. Unpublished work and data that were presented only at national meetings are also included to be as complete and accurate as possible. Finally, we asked all authors to include a bulleted summary section to clearly define the advantages, risks, and benefits of these new and often technically demanding techniques.

We would like to thank the many authors who contributed to this work for taking time from their busy schedules to add "another book chapter" to their long lists of accomplishments. Many of these "giants" of hand surgery have taught us many things through the years and have been inspirational with their teaching and leadership. We hope that this volume adds something unique and of significance to the world of hand and wrist surgery.