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The Book Forum
June 2, 1978

Surgical Stabilization of the Skeleton of the Hand

Author Affiliations

University Hospitals Cleveland

JAMA. 1978;239(22):2386. doi:10.1001/jama.1978.03280490070035

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This small volume is another of the series extending to the hand the internal fixation concepts of the Swiss Association for the Study of Internal Fixation. As such, it is a welcome addition to this literature. For the knowledgeable hand surgeon, this compendium of techniques and "how to" illustrations may prove very useful, for it contains many innovative "tricks and wrinkles."

On the equally important level of "when to," this text falls far short of ideal. A number of illustrations show examples that reflect an extreme bias toward plating techniques and open reductions where few US surgeons would choose to operate. An extreme example of this is illustrated in Figures 77 a to d where a neck fracture of the fifth metacarpal is shown and has been treated with a T-plate and four screws resulting in a pseudarthrosis. The answer to this probably iatrogenic problem is an axial compression screw

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