Preoperative assessment and hand therapy for elective microvascular surgery

The special reconstructive needs of elective microsurgical candidates present a formidable challenge for the restoration of functional capacity. This article provides an overview of current hand rehabilitation procedures available for preoperative and postoperative management. The need for preoperative assessment is stressed and specific measurement variables and techniques are provided. Treatment principles and methods are shared and preferred splint design features are identified. The uniqueness of each individual case is emphasized, as it necessitates ongoing communication among the members of the treatment team who strive to define and achieve successful outcomes.