Rebuilding a thumb means restoring useful pinch and grasp. Length is only part of the problem. In this episode of Plastics in Practice, we review functional assessment, sensate coverage, and…
A surviving replant is only the beginning. The goal is a hand that can feel, move, and serve the patient’s needs.In this episode of Plastics in Practice, we review patient selection, preservation,…
A mangled upper extremity can look unsalvageable before resuscitation, perfusion, and debridement reveal what function remains. In this episode of Plastics in Practice, we build a practical…
A normal-looking radiograph can hide a ligament injury that becomes stiffness, deformity, or arthritis if it is missed.In this episode of Plastics in Practice, we connect reduction, stability testing,…
Extensor tendon injuries are easy to underestimate: a small dorsal wound can conceal a complete laceration, a contaminated MCP joint, or a central slip injury that declares itself later. In this…
Flexor tendon repair succeeds only when construct strength, tendon glide, pulley preservation, and rehabilitation are planned as one system. In this episode of Plastics in Practice, we review the…
Wrist fracture decisions turn on a few measurements, but the right threshold depends on the patient, the image, and the bone. In this episode of Plastics in Practice, we review distal radius and…
Hand fracture outcomes often hinge on what radiographs miss — rotation, post-reduction stability, and whether fixation permits early motion.In this episode of Plastics in Practice, we review…
Peripheral nerve deficits are a race against irreversibledenervation — misclassify the lesion or miss the level of compression, and observation becomes lost recovery time.In this episode of Plastics…
A tendon transfer can be perfectly woven and still fail if the joint is stiff, the tissue bed is scarred, or the donor cannot match the lost motion. In this episode of Plastics in Practice, we build a…