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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

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Current trends in hand surgery.

Loree K Kalliainen¹

¹Department of Plastic and Hand Surgery at Regions Hospital, St. Paul, USA.

Minnesota Medicine

|August 8, 2012

Summary

Hand surgery emerged as a distinct subspecialty following World War II due to a surge in hand injuries. This field now treats the hand as a unified functional organ, evolving from fragmented care by various surgical specialists.

Area of Science:

Orthopedics
Plastic Surgery
Neurosurgery
General Surgery

Background:

Hand injuries were previously managed by multiple specialists focusing on specific tissues.
World War II saw nearly 90,000 hand injuries, necessitating specialized care.
Military hospitals dedicated to hand injuries accelerated the development of the subspecialty.

Purpose of the Study:

To review the historical origins of hand surgery.
To discuss contemporary trends in the field of hand surgery.

Main Methods:

Historical review of the development of hand surgery.
Discussion of current practices and advancements in hand surgery.

Main Results:

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Hand surgery evolved from fragmented care to a recognized subspecialty.
The field now emphasizes treating the hand as a single functional unit.

Conclusions:

The subspecialty of hand surgery was established between World War I and II.
Current trends reflect the ongoing evolution and integration of hand surgery practices.