Holdings: Flaps in hand and upper limb reconstruction

Flaps in hand and upper limb reconstruction: surgical anatomy, operative techniques and differential therapy

Saved in:

Bibliographic Details
Format:	Book
Language:	English
Published:	München Elsevier, Urban & Fischer 2014
Edition:	1. ed.
Subjects:	Handchirurgie Armchirurgie Lappenplastik
Online Access:	Inhaltsverzeichnis Klappentext
Physical Description:	XIV, 583 S. zahlr. Ill., graph. Darst.
ISBN:	0723436525 9780723436522

Staff View

MARC


LEADER	00000nam a2200000 c 4500
001	BV039658399
003	DE-604
005	20140205
007	t
008	111025s2014 ad\|\| \|\|\|\| 00\|\|\| eng d
020			\|a 0723436525 \|9 0-7234-3652-5
020			\|a 9780723436522 \|9 978-0-7234-3652-2
035			\|a (OCoLC)760143472
035			\|a (DE-599)BVBBV039658399
040			\|a DE-604 \|b ger \|e rakwb
041	0		\|a eng
049			\|a DE-355 \|a DE-19
084			\|a YI 7211 \|0 (DE-625)153684:12917 \|2 rvk
245	1	0	\|a Flaps in hand and upper limb reconstruction \|b surgical anatomy, operative techniques and differential therapy \|c Robert Hierner ...
250			\|a 1. ed.
264		1	\|a München \|b Elsevier, Urban & Fischer \|c 2014
300			\|a XIV, 583 S. \|b zahlr. Ill., graph. Darst.
336			\|b txt \|2 rdacontent
337			\|b n \|2 rdamedia
338			\|b nc \|2 rdacarrier
650	0	7	\|a Handchirurgie \|0 (DE-588)4023219-0 \|2 gnd \|9 rswk-swf
650	0	7	\|a Armchirurgie \|0 (DE-588)4143022-0 \|2 gnd \|9 rswk-swf
650	0	7	\|a Lappenplastik \|0 (DE-588)4202810-3 \|2 gnd \|9 rswk-swf
689	0	0	\|a Handchirurgie \|0 (DE-588)4023219-0 \|D s
689	0	1	\|a Armchirurgie \|0 (DE-588)4143022-0 \|D s
689	0	2	\|a Lappenplastik \|0 (DE-588)4202810-3 \|D s
689	0		\|5 DE-604
700	1		\|a Hierner, Robert \|e Sonstige \|4 oth
776	0	8	\|i Erscheint auch als \|n Online-Ausgabe \|z 978-3-437-59195-2
856	4	2	\|m Digitalisierung UB Regensburg - ADAM Catalogue Enrichment \|q application/pdf \|u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024507870&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA \|3 Inhaltsverzeichnis
856	4	2	\|m Digitalisierung UB Regensburg - ADAM Catalogue Enrichment \|q application/pdf \|u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024507870&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA \|3 Klappentext
999			\|a oai:aleph.bib-bvb.de:BVB01-024507870

Record in the Search Index

_version_	1804148520657092608
adam_text	Table of Contents A Basic knowledge ........................... 1 4.4.3 4.4.4 1 Systematic anatomy and topography 4.5 of the upper limb .......................... 2 4.5.1 1.1 The upper arm .............................. 4 4.5.2 1.1.1 Compartments of the upper arm ................. 4 4.5.3 1.1.2 Vascularisation .............................. 4 1.1.3 Cross sectional anatomy ...................... 16 1.2 The forearm ................................ 18 В 1.2.1 Compartments of the forearm .................. 18 1.2.2 Vascularisation .............................. 20 1.2.3 Cross sectional anatomy ...................... 30 1.3 The hand .................................. 32 5 1.3.1 Compartments of the hand .................... 32 5.1 1.3.2 Vascularisation .............................. 36 5.1.1 1.3.3 Cross sectional anatomy ...................... 52 5.1.2 1.3.4 The structure and function of the nail and the 5.1.3 nail bed (nail complex) ........................ 54 5,1.4 2 Applied anatomy ........................... 57 2.1 The biomechanics of the skin ................... 58 5.1.5 2.1.1 The anisotropic properties of the skin 5.1.6 (relaxed skin tension lines) ..................... 58 5.1.7 2.1.2 Nonlinear properties of the skin ................. 58 2.1.3 Time-dependent properties of the skin ............ 58 5.1.8 2.2 Functional units and subunits of the upper limb and hand ...................................... 60 5.1.9 2.3 The concept of low-resistance zones of the upper 5.1.10 limb and hand .............................. 62 5.1.11 2.4 The concept of a soft tissue/bone functional unit .... 62 5.1.12 3 Functional, aesthetic and social aspects 5.1,13 of the upper limb .......................... 65 3.1 Functional aspects of the upper extremity ......... 66 5.1.14 3.2 Aesthetic aspects of the upper extremity .......... 71 3.3 Social aspects of the upper extremity ............. 71 5.1.15 4 Generalities of flap surgery .................. 73 5.1.16 4.1 Skin flaps .................................. 74 4.1.1 Classification ................................ 74 5.1.17 4.1.2 Vascularisation .............................. 77 4.1.3 Indications ................................. 80 5.1.18 4.2 Fasciai and adipofascial flaps ................... 82 5.1.19 4.2.2 Vascularisation .............................. 82 5.1.20 4.2.3 Indications ................................. 82 5.1.21 4.3 Muscle flaps ................................ 82 4.3.1 Classification ................................ 82 5.1.22 4.3.2 Vascularisation .............................. 83 5.1.23 4.3.3 Indications ................................. 83 4.4 Bone flaps (vascularised bone graft) ............. 84 5.1.24 4.4.1 Classification ................................ 84 5.1.25 4.4.2 Bone transplant (bone graft) .................... 84 5.1.26 Vascularisation .............................. 86 Indications ................................. 86 Compound flaps ............................. 88 Classification ................................ 88 Vascularisation .............................. 88 Indications ................................. 88 Flaps and further treatment options forcoverage of soft tissue and bone defects of the upper limb .......................... 89 Skin flaps ................................. 91 Pedicled skin flaps from the hand region .......... 92 Four-flap Z-plasty according to Woolf and Broadbent 92 Butterfly flap according to Shaw ................. 94 Trident flap plasty according to Glicenstein or Hirshowitz ............................... 96 Three flap transposition plasty according to Levandovsky ...................... 98 Dorsopalmar transposition flap according to Flatt .. 100 Nail bed transposition flap according to Shepard .... 102 Radiolateral index finger transposition flap according to Spinner .......................... 104 Palmar pedicled transposition flap according to Vasconez ........................ 106 Laterodigital transposition flap according to Bunnell 108 Palmar transposition flap according to Hueston ..... 112 Dorsal transposition flap according to Hueston ..... 114 Palmar advancement flap family according to Moberg .......................... 118 Palmar advancement flap family according to Tranquilli-Leau ................... 122 Homodigital laterodorsal island flap according to Joshi or Pho ...................... 126 Lateral advancement flap family according to Geissendörfer or Kutler ............. 128 Homodigital neurovascular exchange island flap according to Foucher ......................... 134 Homodigital reverse island flap according to Oberlin .......................... 136 Thenar flap according to Gatewood .............. 138 Dorsal cross-finger flap according to Cronin ....... 140 Palmar cross-finger flap according to Iselin ........ 144 Dorsal sensible cross-finger flap according to Gaul ............................ 146 Dorsal flag flap according to Vilain .............. 148 Dorsal median phalanx island flap according to Büchler ......................... 152 Laterodigital island flap according to Rose ......... 156 Heterodigital island flap according to Littler ....... 160 Dorsocommissural flap according to Dautel ........ 164 XII Table of Contents 5.1.27 1st dorsal metacarpal artery (DMCA I) flap according to Hilgenfeldt ....................... 166 5.1.28 Dorsal metacarpal artery (DMCA) II to IV flap according to Earley and Milner ................. 170 5.1.29 Distally based dorsal radial neurocutaneous metacarpal flap according to Bertelli and Khoury ... 176 5.2 Pedicled flaps from the forearm region ........... 180 5.2.1 Pedicled radial forearm flap according to Yang ..... 180 5.2.2 Antecubital fasciocutaneous perforator flap according to Lamberty and Cormack .............. 186 5.2.3 Ulnar artery forearm flap according to Lovie ....... 188 5.2.4 Distal ulnar artery perforator flap according to Becker 192 5.2.5 Posterior interosseous artery flap according to Penteado or Zancolli ............... 194 5.2.6 Anterior interosseous artery flap according to Ни ... 198 5.2.7 Distally based lateral antebrachial neurocutaneous flap according to Bertelli ......... 202 5.3 Pedicled skin flaps from the upper arm region ...... 208 5.3.1 Lateral upper arm flap according to Song ......... 208 5.3.2 Medial upper arm flap according to Daniel ........ 210 5.3.3 Posterior upper arm flap according to Masquelet .... 214 5.4 Pedicled skin flaps from the thorax region ......... 216 5.4.1 Parascapular flap according to Nassif ............ 216 5.5 Pedicled skin flaps from a distant region .......... 220 5.5.1 Cross-arm flap according to McCash (including techniqueofiatrogenicsyndactylyrelease ) ...... 220 5.5.2 Pocket flap according to Marino (including multiple-stage flap delay ) ........... 224 5.5.3 Abdominal flap according to Zoltán (including flap training ) ..................... 226 5.5.4 Groin flap according to McGregor (including secondary flap thinning ) ............ 230 5.6 Generally applicable pedicled skin flaps ........... 234 5.6.1 Translation flap ............................. 234 5.6.2 Rotation flap according to Imre ................. 236 5.6.3 W-plasty techniques according to Borges.......... 240 5.6.4 Two-flap Z-plasty according to Horner ............ 244 5.6.5 Double-opposing Z-plasty according to Pick ....... 248 5.6.6 Rhomboid flap according to Limberg or Dufourmentel 250 5.7 Free microvascular skin flaps ................... 252 5.7.1 Venous flap according to Yoshimura .............. 252 5.7.2 Free anterolateral thigh flap (ALT) according to Song 256 5.7.3 Dorsalis pedis artery flap according to McCraw and Furlow ................................. 260 6 Fascia and adipofascial flaps ................. 267 6.1 Pedicled fascia flaps from the hand region ........ 268 6.1.1 Hypothenar fat pad (adipofascial) flap according to Cramer .......................... 268 6.2 Pedicled fascia flaps from the forearm region ...... 271 6.3 Pedicled fascia flaps from the upper arm regions .... 271 6.4 Pedicled fascia flaps from the thorax regions ....... 271 6.5 Free microvascular fascia flap .................. 271 6.5.1 Superficial temporal artery fascia flap according to Smith ........................... 272 7 Muscle flaps ............................... 275 7.1 Pedicled muscle flaps from the hand region ........ 276 7.1.1 1st dorsal ¡nterosseous muscle flap according to Mathes .......................... 276 7.1.2 2nd and 3rd dorsal ¡nterosseous muscle flap according to Hierner .......................... 278 7.1.3 Abductor pollicis brevis muscle flap according to Mathes and Nahai .................. 282 7.1.4 Lumbrical muscle flap according to Wilgis ......... 284 7.1.5 Abductor digiti minimi muscle flap according to Huber or Nicolaysen ................ 286 7.2 Pedicled muscle flaps from the forearm region ..... 290 7.2.1 Pronator quadratus muscle flap according to Dellon 290 7.2.2 Brachioradialis muscle flap according to Ger ....... 294 7.3 Pedicled muscle flaps from the elbow region ....... 298 7.3.1 Anconeus muscle flap according to Cardany ....... 298 7.4 Pedicled muscle flaps from the thorax region ...... 302 7.4.1 Serratus anterior muscle flap according to Takayanagi and Tsukie ......................... 302 7.4.2 Latissimus dorsi muscle flap according to Olivari ... 306 7.4.3 Bipolar complete pectoralis major muscle flap according to Dautry or Carroll .................. 316 7.5 Free microvascular muscle flaps ................. 322 7.5.1 Free multifunctional, split segmental myocuta- neous gracilis flap according to Harm or Mantkelow .. 322 8 Bone flaps (vascularised bone grafts) ......... 327 8.1 Pedicled bone flaps from the hand region ......... 328 8.1.1 Callotaxis lengthening according to Ilizarov ....... 328 8.1.2 Pisiform bone transfer according to Beck .......... 332 8.1.3 2nd metacarpal bone flap according to Brunelli ...... 336 8.2 Pedicled bone flaps from the forearm region ....... 338 8.2.1 Vascularised bone flap according to Zaidemberg ___ 338 8.3 Free microvascular bone flaps .................. 340 8.3.1 Deep circumflex iliac artery (DCIA) bone flap according to Taylor .......................... 340 8.3.2 Free microvascular fibula bone flap according to Ueba ........................... 344 8.3.3 Medial femoral condyle vascularised bone graft according to Masquelet ........................ 350 9 Compound flaps ........................... 355 9.1 Pedicled compound flaps from the hand region ..... 356 9.1.1 Pollicisation according to Gösset ................ 356 9.1.2 Finger ray transposition according to Graham or Carroll ........................... З6О 9.1.3 Homodigital DIP to PIP joint transfer according to Foucher ......................... 364 9.2 Free microvascular compound flaps .............. 366 9.2.1 Free great toe transplantation according to Cobbett or Buncke .................................. 366 9.2.2 Modified wrap-around great toe flap according to Morrison ........................ 372 9.2.3 Free second toe transfer according to Yang ........ 378 9.2.4 Free metatarsophalangeal (MTP) joint transfer according to Mathes .......................... 384 9.2.5 Free PIP joint transplantation from the second toe according to Foucher ......................... З88 Table of Contents XIII 10 Further treatment options for coverage of soft tissue and bone defects at the upper limb 393 10.1 Skin and soft tissue defects .................... 394 10.1.1 Primary wound closure ........................ 394 10.1.2 Controlled secondary wound healing of acute wounds ( cicatrisation dirigée ) ............. 396 10.1.3 Split-thickness skin grafting according to Ollier or Thiersch .................. 398 10.1.4 Full-thickness skin grafting according to Wolfe or Krause................................... 402 10.1.5 Split-thickness nail bed grafting according to Shepard 406 10.1.6 Skin expansion according to Neumann or Radovan ................................. 408 10.1.7 Continuous soft tissue distraction according to Messina .......................... 411 10.1.8 Synovial flap according to Wulle ................ 412 10.2 Bone and compound defects ................... 414 10.2.1 Non-vascularised cancellous bone grafting according to Matti ........................... 414 10.2.2 Tissue-bank concept according to Chase ( Spare part flap surgery ) ...................... 418 10.2.3 Amputation distal to the radiocarpal joint (microamputation) .......................... 422 10.2.4 Amputation proximal to the radiocarpal joint (macroamputation) .......................... 426 10.2.5 Replantation distal to the distal radioulnar joint (microreplantation) according to Komatsu and Tamai 432 10.2.6 Replantation proximal to the distal radioulnar joint (macroreplantation) according to Malt and McKhann 442 C Pre- and postoperative additional therapy ..... 449 11 Basic principles and goals of physiotherapy of the upper limb and hand .................. 451 11.1 Introduction ................................ 452 11.2 Passive and active movement exercises ........... 452 11.3 Occupational therapy ......................... 452 11.4 Thermo- and cryotherapy ...................... 453 11.5 Massage ................................... 453 11.6 Electrotherapy .............................. 453 12 Basic principles of scar treatment ............ 455 12.1 Introduction ................................ 456 12.2 Prevention of inadequate cicatrisation ........... 456 12.3 Suppression of inadequate cicatrisation .......... 457 12.4 Correction of inadequate cicatrisation ........... 457 13 Basic principles of prosthetics ................ 459 13.1 Definition: Passive and active prostheses .......... 460 13.2 Principles of prosthetic fitting according to the level of amputation ..................... 460 13.2.1 Hand and fingers ............................ 460 13.2.2 Forearm ................................... 461 13.2.3 Elbow ..................................... 461 13.2.4 Upper arm ................................. 461 13.2.5 Glenohumeral exarticulation ................... 462 13.2.6 Shoulder girdle (interscapulo-thoracic amputation) .................... 462 D Differential therapy ........................ 463 14 Basic principles of defect management at the upper limb and hand — global defect management at the combined hand and upper limb clinic ........................... 465 14.1 Introduction ................................ 466 14.2 Profound basic knowledge ..................... 466 14.3 Multidisciplinary team approach ................ 466 14.4 Standardized patient selection .................. 468 14.4.1 Defect-related factors ......................... 468 14.4.2 Patient-related factors ........................ 469 14.4.3 Therapy-related factors ....................... 469 14.5 Integrative treatment concept ................. 474 14.5.1 Emergency management ...................... 475 14.5.2 Primary treatment ........................... 475 14.5.3 Adjuvant treatment .......................... 475 14.5.4 Secondary interventions to improve functions ...... 476 15 Skin and soft tissue defects of the upper limb .. 477 15.1 Shoulder ................................... 478 15.1.1 Cranial shoulder subunit (supraclavicular region) ... 478 15.1.2 Middle shoulder subunit ...................... 478 15.1.3 Caudal shoulder subunit (axilla) ................. 478 15.1.4 Polyregional shoulder defects .................. 478 15.2 Upper arm ................................. 479 15.2.1 Anterior upper arm subunit .................... 479 15.2.2 Posterior upper arm subunit .................... 480 15.2.3 Medial upper arm subunit/lateral, upper arm subunit 480 15.2.4 Polyregional upper arm defects ................. 480 15.3 Elbow (distal third of upper arm and proximal third of forearm) ................................. 481 15.3.1 Posterior elbow subunit (region of the olecranon) ... 481 15.3.2 Anterior elbow subunit (cubital region) ........... 481 15.3.3 Lateral elbow subunit ......................... 482 15.3.4 Medial elbow subunit ........................ 483 15.3.5 Polyregional elbow defects .................... 483 15.4 Forearm ................................... 484 15.4.1 Middle third of forearm ....................... 484 15.4.2 Distal third of the forearm (including wrist) ........ 485 15.4.3 Dorsal region of the wrist ...................... 485 15.4.4 Palmar wrist region .......................... 485 15.4.5 Ulnar region of the wrist ...................... 486 15.4.6 Radial region of the wrist ...................... 486 15.4.7 Polyregional wrist defects ..................... 486 15.5 Hand ..................................... 487 15.5.1 Dorsum of the hand .......................... 487 15.5.2 Palm of the hand ............................ 490 15.5.3 1st web space ............................... 493 15.5.4 Thumb defects .............................. 497 15.5.5 2nd to 4th web spaces ......................... 508 15.5.6 Finger defects ............................... 511 XIV Table of Contents 16 Defects of the nails and nail matrix........... 523 16.1 Primary care of traumatic nail injuries ............ 524 16.1.1 Cut injuries ................................. 524 16.1.2 Subungual haematoma ....................... 524 16.1.3 Luxation of the nail plate ...................... 525 16.1.4 Defects of the sterile matrix region .............. 525 16.1.5 Defects of the germinative matrix region .......... 525 16.2 Secondary surgery ........................... 526 16.2.1 Defects of the dorsal nail wall .................. 526 16.2.2 Defects of the lateral nail wall .................. 526 16.2.3 Split-nail deformity ........................... 526 16.2.4 Claw-nail deformity .......................... 526 16.2.5 Defects of the nail complex .................... 526 17 Fractures, bone defects and joint defects ...... 527 17.1 Introduction ................................ 528 17.2 Fractures and bone defects without additional soft tissue defects ................... 528 17.2.1 Simple fractures ............................. 528 17.2.2 Simple bone defects .......................... 528 17.2.3 Avascular bone necroses ...................... 529 17.3 Fractures and bone defects with additional soft tissue defects (combined bone and soft tissue defects) ___ 530 17.4 Joint defects ................................ 532 17.4.1 Vascuiarised joint transplantation of the hand ...... 532 18 Amputation and amputation-like injuries ...... 535 18.1 Introduction ................................ 536 18.2 Basic knowledge ............................ 536 18.3 Multidisciplinary treatment team and common language .......................... 536 18.3.1 Diagnostics ................................. 536 18.3.2 Classification ............................... 536 18.4 Standardized patient selection .................. 540 18.4.1 Possibility of replantation ...................... 540 18.4.2 Dignity of replantation ........................ 540 18.4.3 Risk of replantation .......................... 540 18.4.4 Worthy of replantation ........................ 542 18.4.5 Intention of replantation ...................... 543 18.4.6 Replantation concept ......................... 544 18.4.7 Does the replanted part impair the patient s health? . 544 18.4.8 Is there need for secondary surgery? ............. 544 18.5 Integrative replantation concept ............... 545 18.5.1 Emergency management ...................... 545 18.5.2 Primary treatment (replantation, stump provision) .. 546 18.5.3 Adjuvant treatment .......................... 546 18.5.4 Secondary, function-improving interventions ....... 546 19 Reconstruction of grip function .............. 547 19.1 Introduction ................................ 548 19.2 The inadequate thumb ....................... 549 19.2.1 Loss of function with a normal length ............ 549 19.2.2 Loss of function through amputation injuries ....... 549 19.3 Inadequate finger(s) ......................... 552 19.3.1 Loss of function with normal length .............. 552 19.3.2 Loss of function through amputation injuries ....... 552 19.4 Inadequate thumb and finger(s) ................ 554 19.4.1 Loss of function with a normal length ............ 554 19.4.2 Loss of function through amputation injury ........ 554 Index ..................................... 557 Flap surgery of the hand and upper limb: keeping you posted! The management of patients with hand and upper-limb deficiencies is a routine task in reconstructive surgery. A multitude of conventional and microvascular flap reconstructions have been described, and it is rather difficult to keep track of them all. This book is coming to your rescue: ■ A concise and practical guide to all relevant flap procedures ■ Uniform structure of all chapters: surgical anatomy, surgical technique and postoperative care, variants, indications and contraindications ■ Uniform design: text on the left, illustrations on the right hand side ■ More than 700 high-quality drawings displaying surgical and anatomical details provide dear, step-by-step instructions ■ Advantages and disadvantages of each method are compared and contrasted ■ Extensive section on differential therapeutic considerations including numerous synoptic tables on when to use which flap procedure ■ Additional chapters on the anatomy as well as functional, aesthetic and social aspects of both hand and upper limb ■ Conventional and microvascular flap reconstructions presented as procédures complementing one another The book furnishes both the general surgeon facing emergency situations and the hand surgery specialist with valuable aids and suggestions. A textbook and reference guide to the primary and secondary treatment of hand and upper-limb deficiencies
any_adam_object	1
building	Verbundindex
bvnumber	BV039658399
classification_rvk	YI 7211
ctrlnum	(OCoLC)760143472 (DE-599)BVBBV039658399
discipline	Medizin
edition	1. ed.
format	Book
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01937nam a2200409 c 4500</leader><controlfield tag="001">BV039658399</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">20140205 </controlfield><controlfield tag="007">t</controlfield><controlfield tag="008">111025s2014 ad\|\| \|\|\|\| 00\|\|\| eng d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">0723436525</subfield><subfield code="9">0-7234-3652-5</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">9780723436522</subfield><subfield code="9">978-0-7234-3652-2</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)760143472</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV039658399</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-355</subfield><subfield code="a">DE-19</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">YI 7211</subfield><subfield code="0">(DE-625)153684:12917</subfield><subfield code="2">rvk</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Flaps in hand and upper limb reconstruction</subfield><subfield code="b">surgical anatomy, operative techniques and differential therapy</subfield><subfield code="c">Robert Hierner ...</subfield></datafield><datafield tag="250" ind1=" " ind2=" "><subfield code="a">1. ed.</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">München</subfield><subfield code="b">Elsevier, Urban & Fischer</subfield><subfield code="c">2014</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">XIV, 583 S.</subfield><subfield code="b">zahlr. Ill., graph. Darst.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Handchirurgie</subfield><subfield code="0">(DE-588)4023219-0</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Armchirurgie</subfield><subfield code="0">(DE-588)4143022-0</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Lappenplastik</subfield><subfield code="0">(DE-588)4202810-3</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="689" ind1="0" ind2="0"><subfield code="a">Handchirurgie</subfield><subfield code="0">(DE-588)4023219-0</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2="1"><subfield code="a">Armchirurgie</subfield><subfield code="0">(DE-588)4143022-0</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2="2"><subfield code="a">Lappenplastik</subfield><subfield code="0">(DE-588)4202810-3</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hierner, Robert</subfield><subfield code="e">Sonstige</subfield><subfield code="4">oth</subfield></datafield><datafield tag="776" ind1="0" ind2="8"><subfield code="i">Erscheint auch als</subfield><subfield code="n">Online-Ausgabe</subfield><subfield code="z">978-3-437-59195-2</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">Digitalisierung UB Regensburg - ADAM Catalogue Enrichment</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024507870&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Inhaltsverzeichnis</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">Digitalisierung UB Regensburg - ADAM Catalogue Enrichment</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024507870&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Klappentext</subfield></datafield><datafield tag="999" ind1=" " ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-024507870</subfield></datafield></record></collection>
id	DE-604.BV039658399
illustrated	Illustrated
indexdate	2024-07-10T00:08:27Z
institution	BVB
isbn	0723436525 9780723436522
language	English
oai_aleph_id	oai:aleph.bib-bvb.de:BVB01-024507870
oclc_num	760143472
open_access_boolean
owner	DE-355 DE-BY-UBR DE-19 DE-BY-UBM
owner_facet	DE-355 DE-BY-UBR DE-19 DE-BY-UBM
physical	XIV, 583 S. zahlr. Ill., graph. Darst.
publishDate	2014
publishDateSearch	2014
publishDateSort	2014
publisher	Elsevier, Urban & Fischer
record_format	marc
spelling	Flaps in hand and upper limb reconstruction surgical anatomy, operative techniques and differential therapy Robert Hierner ... 1. ed. München Elsevier, Urban & Fischer 2014 XIV, 583 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Handchirurgie (DE-588)4023219-0 gnd rswk-swf Armchirurgie (DE-588)4143022-0 gnd rswk-swf Lappenplastik (DE-588)4202810-3 gnd rswk-swf Handchirurgie (DE-588)4023219-0 s Armchirurgie (DE-588)4143022-0 s Lappenplastik (DE-588)4202810-3 s DE-604 Hierner, Robert Sonstige oth Erscheint auch als Online-Ausgabe 978-3-437-59195-2 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024507870&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024507870&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext
spellingShingle	Flaps in hand and upper limb reconstruction surgical anatomy, operative techniques and differential therapy Handchirurgie (DE-588)4023219-0 gnd Armchirurgie (DE-588)4143022-0 gnd Lappenplastik (DE-588)4202810-3 gnd
subject_GND	(DE-588)4023219-0 (DE-588)4143022-0 (DE-588)4202810-3
title	Flaps in hand and upper limb reconstruction surgical anatomy, operative techniques and differential therapy
title_auth	Flaps in hand and upper limb reconstruction surgical anatomy, operative techniques and differential therapy
title_exact_search	Flaps in hand and upper limb reconstruction surgical anatomy, operative techniques and differential therapy
title_full	Flaps in hand and upper limb reconstruction surgical anatomy, operative techniques and differential therapy Robert Hierner ...
title_fullStr	Flaps in hand and upper limb reconstruction surgical anatomy, operative techniques and differential therapy Robert Hierner ...
title_full_unstemmed	Flaps in hand and upper limb reconstruction surgical anatomy, operative techniques and differential therapy Robert Hierner ...
title_short	Flaps in hand and upper limb reconstruction
title_sort	flaps in hand and upper limb reconstruction surgical anatomy operative techniques and differential therapy
title_sub	surgical anatomy, operative techniques and differential therapy
topic	Handchirurgie (DE-588)4023219-0 gnd Armchirurgie (DE-588)4143022-0 gnd Lappenplastik (DE-588)4202810-3 gnd
topic_facet	Handchirurgie Armchirurgie Lappenplastik
url	http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024507870&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024507870&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA
work_keys_str_mv	AT hiernerrobert flapsinhandandupperlimbreconstructionsurgicalanatomyoperativetechniquesanddifferentialtherapy

Holdings

There is no print copy available.

Interlibrary loan Place Request Caution: Not in THWS collection! Indexes

MARC

Record in the Search Index

There is no print copy available.

Similar Items