Epistemis

Reconstructive Hand Surgery — Specialized Surgery Treaty

Surgery · Clinical Specialties

How it begins

Analytical manual focused on the anatomical, biomechanical and functional restoration of the upper limb. Technical compendium of microsurgery, tendon, nerve and complex tissue coverage reconstructions for the reconstructive surgeon.

What it covers

  1. Hand Surgery
  2. Surgical Anatomy and Applied Biomechanics
  3. · The Osteoarticular Framework and the Biomechanics of the Arches
  4. · Synovial Sheaths and Flexor Pulleys System
  5. · Vascularization and Digital Innervation
  6. General Principles and Surgical Planning
  7. · The "Ladder" vs. the "Elevator" Reconstructor
  8. · Surgical Management of Ischemia (Pneumatic Cuff)
  9. · Magnification and Instrument Selection
  10. Initial Management of Complex Hand Trauma
  11. · Definition and Evaluation of the Catastrophic Hand
  12. · Surgical Priority Algorithm in Emergencies
  13. Flexor Tendon Reconstruction
  14. · Verdan Zones (IFSSH Classification)
  15. · Biomaterials and Architecture of the Tendon Suture
  16. Extensor Tendon Reconstruction
  17. · Kleinert and Verdan Zone Classification for Extenders
  18. Neurorrhaphy, Nerve Grafts and Transfers
  19. · Direct Neurorrhaphy Techniques
  20. · Autologous Nerve Grafts and Regeneration Conduits
  21. · High Precision Nerve Transfers (Neurotizations)
  22. Tendon Transfers for Nerve Paralysis
  23. · The Surgical Commandments of Boyes and Brand
  24. · Transfer Schemes by Type of Paralysis
  25. Microsurgery and Revascularization of the Hand
  26. · Indications for Reimplantation of Limbs and Fingers
  27. · Repair Sequence in Digital Reimplantation
  28. · Prevention and Management of Vasospasm and Flow Insufficiency
  29. Skin Coverage Flaps
  30. · Local Flaps for Fingertip Reconstruction
  31. · Regional Forearm and Wrist Flaps
  32. · Microvascular Free Flaps
  33. Osteosynthesis and Bone Reconstruction
  34. · Principles of Osteosynthesis in Hand Surgery (AO Standard)
  35. · Treatment of Segmental Bone Defects
  36. Arthroplasty, Arthrodesis and Hand Stiffness
  37. · Surgical Pathophysiology of PFI Rigidity
  38. · Resection Arthroplasty vs. Joint Implants
  39. · Rescue Arthrodesis and Functional Positions
  40. Special Soft Tissue Pathologies
  41. · Dupuytren's Aponeurotic Contracture
  42. · Compartment Syndrome of the Hand and Fasciotomies
  43. · Complex Hand Infections (Suppurative Tenosynovitis)
  44. Congenital Malformations of the Hand
  45. · Modified Swanson Classification (IFSSH)
  46. · Surgical Management of Syndactyly
  47. · Preaxial Polydactyly (Thumb Duplication)
  48. Rehabilitation, Therapies and Postoperative Prognosis
  49. · Early Mobilization Protocols for Flexor Tendons
  50. · Sensitive Reeducation and Management of Neuropathic Pain
  51. · Hand Functional Assessment Scales

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Surgery
Category
Clinical Specialties
Type
Study Guide
Sections
51
Reviewed
2026-08-02
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