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January 4, 1971

Operative Surgery—11: The Hand

Author Affiliations

University of Iowa Iowa City

JAMA. 1971;215(1):122. doi:10.1001/jama.1971.03180140086030

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Few people could supervise the production of a multiauthored, comprehensive, yet less-than-encyclopedic treatise on operative surgery of the hand. A lifetime of experience and respect by his colleagues eminently qualify Mr. R. Guy Pulvertaft to edit this text written by an outstanding group of "hand surgeons."

Content ranges from practical step-by-step treatment of common injuries and defects (subungual hematoma and ganglion) to a survey of complex surgical procedures (pollicization, substitutions for intrinsic muscles, and neurovascular pedicle flaps). The dissertation on acute injuries includes valuable admonitions about appropriate anesthesia, use of plaster to immobilize children's hands, proper utilization of physical therapy, and the frequently overlooked avulsion fracture of the thumb metacarpal-phalangeal collateral ligament.

Essayists on tendon and nerve repair, burn therapy, skin replacement, Dupuytren's contracture, rheumatoid arthritis, and tenosynovitis review the disorders, delineate surgical indications, and describe operative technique. Most authors followed this predetermined format.

The discussion of infection fails to