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Plastic Surgery-Hand And Upper Extremity

The Division of Plastic and Reconstructive Surgery at UC Davis provides a broad spectrum of treatment and surgery for disorders of the hand and wrist. Our team of plastic and reconstructive surgeons specialize in hand and microvascular surgery and are dedicated to providing comprehensive care for a variety of injuries and pathological disorders affecting hands and upper extremities.

Plastic Surgery-Hand and Upper Extremity

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Our plastic and reconstructive surgeons work with a team of multidisciplinary physicians and other health care professionals to diagnose and identify appropriate treatment plans for patients with upper extremity peripheral nerve and brachial plexus injuries. From nerve grafting and transfers to tendon transfers to revascularization and reconstruction, our team will outline the best options for your treatment and care.

Microsurgery is a sophisticated surgical technique used to repair injured structures of all extremities, both upper and lower extremity. These include repair of nerves and blood vessels, as well as free tissue transfer techniques for the treatment of large wounds. Our Plastic and Reconstructive Surgeons have advanced training in microsurgery and specialize in microsurgical procedures which utilize state-of-the-art operating microscopes and precision instrumentation to perform intricate operations. These innovative procedures include replantation of amputated digits and extremities as well as microvascular free tissue transfer.

James E. Popp, MD, is the Director of the Hand Service at Nationwide Children's Hospital and a Adjunct Assistant Professor of Orthopaedic Surgery at The Ohio State University College of Medicine. He specializes in surgery of the hand and upper extremity in adult and pediatric patients. His expertise includes common hand problems (such as carpal tunnel syndrome), wrist arthroscopy, congenital hand differences, and complex pediatric and adult reconstructive micro-vascular surgery.

Julie Balch Samora, MD, specializes in pediatric hand and upper extremity, with a focus on congenital differences, cerebral palsy and trauma. She is a member of the American Society for Surgery of the Hand (ASSH) Evidence Based Practice Committee, ASSH Ethics and Professionalism Committee, and president of the Ruth Jackson Orthopaedic Society (RJOS).

We are one of the few programs taking part in this national registry for children born with limb differences of the hand and upper extremity. The goal is to help improve knowledge and treatment of these conditions.

The fellowship period is twelve months commencing August 1. Four positions are offered in two tracks; three positions are for Orthopedically trained applicants and one for a Plastic Surgery trained applicant. The fellowship is oriented toward those wishing to make a significant commitment to treatment of problems of the hand and upper extremity.

The Massachusetts General Hospital has the busiest emergency room in the state, and besides a broad spectrum of upper extremity cases, there is an emphasis on both acute trauma and post-traumatic reconstruction.

The match date is May 18, 2022 and the rank order lists are due approximately three weeks earlier. Interviews are by invitation. Given the upper extremity focus of the fellowship, we only accept applications from residents trained in orthopaedic and plastic surgery disciplines.

Our doctors have advanced training to diagnose and treat all hand and upper extremity conditions, from the common to the most complex. This means we can offer you effective care that is appropriate to your needs.

The Pediatric Hand and Upper Extremity Program at Monroe Carell offers diagnosis, treatment, and comprehensive patient-centered care for infants, children and adolescents. We treat congenital hand and upper extremity differences as well as acquired hand conditions from trauma, tumors, infection and athletic injuries.

The primary goal of the Hand and Upper Extremity Fellowship program is to expose and train fellows in a wide range of treatments from the most complex peripheral nerve dysfunction to the more common sports-related injuries to the hand. Each fellow is involved in one of the busiest outpatient ambulatory surgery operative services at the hospital. A fellow works closely with our attending surgeons and residents, assisting in the diagnosis, treatment, and management of a multitude of conditions affecting the hand and upper extremity including trigger finger, carpal tunnel syndrome, complex rheumatoid arthritis, hand and wrist fractures, complex elbow injuries, non- and malunions, congenital abnormalities, tumors of the upper extremity, complicated pediatric disorders, cerebral palsy, neuromuscular disorders, and brachial plexus injuries.

It is a unique program in its clinical breadth and flexibility for fellows to tailor the program to their weaknesses and interests. This includes experience in level-I acute trauma, sub-acute and chronic conditions from traumatic and chronic injury, diseases of aging, soft tissue injury and rheumatic or autoimmune conditions. The fellowship is a true upper extremity surgical fellowship that includes shoulder and elbow for interested fellows.

UAB Hospital At this busy Level 1 Trauma Center, fellows gain valuable experience in severe traumatic injuries including the mangled hand, plastic surgery coverage of the upper extremity and replantation. Fellows work with Dr. Karlee Lau Loftin, Dr. Erin Ransom, and Dr. Rachel Aliotta regularly but also have the opportunity to work with trauma faculty including Dr. Clay Spitler and Dr. Johnathan Quade if they have a special interest in shoulder or elbow trauma. Fellows also have the opportunity to work with the Plastic Surgery Division surgeons, as well as Dr. James Hwang in general surgery reconstructive burn care on select cases on an elective basis.

Specialty trained, experienced surgeons and hand/ upper extremity therapists treat all aspects of the upper extremity from the shoulder to the hand. This includes complex reconstructive problems, including replantation; skin, vascular, nerve, tendon and bone repair and reconstruction; Dupuytrens, benign and malignant tumors; rehabilitation and restoration of hands and upper extremities afflicted with arthritis; stroke problems, cerebral palsy, congenital conditions, and work-related injuries, especially cumulative disorders such as carpal tunnel syndrome. In addition degenerative and reconstructive shoulder and upper extremity disorders are addressed. Joint replacement of the shoulder, elbow, wrist and hand are performed. A full complement of arthroscopic and open techniques are used to address common and uncommon shoulder, elbow and wrist disorders.In the Hand & Upper Extremity Center, the department's specialists see adult and pediatric cases. Children requiring surgery are treated at Children's Wisconsin.Through the Medical College of Wisconsin Hand Trauma Association, the department's experts collaborate with their counterparts in plastic surgery.The department also works in conjunction with physical medicine specialists and therapists to treat injuries and chronic maladies of the nerves of the upper extremities, and with Medical College of Wisconsin radiologists, especially in the evaluation of obscure wrist pain.Ongoing research includes evaluation of surgical procedures, tendon material, microsurgery, and bone fixation techniques. Dr. Grindel and his team are actively involved in clinical outcomes research of treatments for shoulder arthritis and rotator cuff disease. He is also involved in basic research assessing motion analysis and rotator cuff function after rotator cuff repair.The department offers a post-graduate fellowship training program in hand surgery with cross-rotations in plastic surgery.

With respect to peripheral nerve surgery, she treats a wide variety of upper extremity nerve injuries, including acute nerve injuries, reconstruction for chronic nerve injuries, and brachial plexus injuries.

The University of Pittsburgh Hand and Upper Extremity experience offers fellows training in both skeletal and soft tissue aspects of hand surgery, including microsurgery. Trainees will attend weekly hand conferences, didactic lectures, and Journal Clubs. The fellowship offers six (6) positions. We accept applications to interview for positions available through the National Resident Match Program. The deadline for receiving applications is November 15. Matched candidates will have the opportunity to be trained by eight (8) full time faculty members and perform surgical procedures in outpatient surgery centers and complex upper extremity reconstruction and microsurgical procedures at the University of Pittsburgh Medical Center. The faculty members include Mark E. Baratz, MD, Program Director, Joseph E. lmbriglia, MD, Glenn A. Buterbaugh, MD, Robert J. Goitz, MD, Robert A. Kaufmann, MD, Dean Sotereanos, MD, Christopher Schmidt, MD, Thomas Hughes, MD, John Fowler, MD, and Jennifer D'Auria, MD. All physicians have Certificates of Added Qualifications in hand surgery or are eligible for the CAQ.

The goal of the fellowship program is to provide exceptional educational and clinical experience for the fellows to acquire expertise in surgery of the hand and upper extremity, as well as microvascular surgery.

The hand fellowship conference schedule is part of the overall residency/fellowship programs at the University of Pittsburgh, and involves participation of all the teaching staff. Currently, four three-hour sessions for education are given to cover the core didactic curriculum for hand surgery. In addition, a weekly conference takes place during which the fellows and residents participate in presenting cases, where the entire faculty as well as fellows and residents discuss indications and surgical techniques. A bioskills lab is also held weekly where fellows practice technical surgical skills that are essential to the performance of hand and upper extremity surgery.

Hand/upper extremity patients represent a unique patient population wherein a better understanding can help improve patient satisfaction rates. Hand surgery procedures are performed for a variety of reasons including traumatic injuries, degenerative disease processes, neurological disorders, and cosmesis.13Previous research has identified several variables related to patient satisfaction in the hand/upper extremity patient population. These have traditionally focused on issues related to postoperative pain control, joint mobility, aesthetic appearance, coping skills, and ability to perform activities of daily living.131415To date, however, few studies have evaluated variables related to the clinic setting, as opposed to clinical outcomes, that influence patient satisfaction. Variables related to clinical setting such as clinic staff, clinic work flow, clinic communication, for example, have to be evaluated in the context of patient satisfaction. 041b061a72


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