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Microvascular reconstruction: Anatomy, application and surgical technique
BOOK
REVIEWS
AND
Book Reviews
OF MEETINGS
CURRENT ORTHOPAEDICS Executive Editor, Robert A.
MICROVASCULAR RECONSTRUCTION: Anatomy, Application and Surgical Technique by Ralph T. Manktelow, M.D., F.R.C.S. (C), Associate Professor of Surgery, University of Toronto Faculty of Medicine, and Head, Division of Plastic Surgery, Toronto
General Hospital, 200 Elizabeth Street, Toronto, Ontario, Canada MSG 2C4. Section on Paediatrics by Ronald M. Zuker. 221 pages, 139 illustrations and diagrams. Springer- Verlag: Berlin, Heidelberg, New York, Tokyo. Price f138.50. This excellent book follows a tradition established by acknowledged giants in the world of microsurgery. O’Brien, Ohmori, Buncke, Biemer and now Manktelow, all provide a personal view of the techniques and their application and each has a particular pearl or two to cast before us. In Dr. Manktelow’s case, this is undoubtedly his experience with functioning muscle transfers, but it is not only for this section that the publication is valuable. The book is divided into two main parts. The first 83 pages described the various flaps that can be transferred, with admirable clarity. Ken Finch’s illustrations are clear and helpful. The little tips that are given are commonly only available if one visits the surgeon in the operating room and watches him perform, but Dr. Manktelow guides the reader through the elaborate steps of flap preparation with such meticulous care so that one might almost be there. It is good to see the dorsalis pedis flap given its deserved place in such a book and one can certainly forgive the omission of scalp, delto-pectoral, medial arm, saphenous and thigh flaps. Why there are no details of the lateral arm flap or the hemi-toe pulp flap is perplexing and while Dr. Manktelow enumerates all these flaps and states his deliberate intention of omitting them, he fails to say why. The second part of the book is devoted to the clinical use of the flaps in reconstructive surgery. Here 38 pages are devoted to upper extremity reconstruction with 14 pages on functioning muscle transplantation. This section is quite superb, with a thoughtful section on the indications followed by a minutely detailed explanation of the technique and illustrated by marvellously successful clinical cases. A similar chapter on toeto-hand transfer is also of particular interest to the hand surgeon and it is an admirable characteristic of the whole book that the disadvantages of microsurgical operations are not neglected but faced up to and discussed. A codicil of 10 pages on paediatric microsurgery by Dr. Ronald Zuker completes the book. Dr. Manktelow states, perhaps a little surprisingly, that postoperative monitoring of flaps by techniques such as plethysmography, have not found much popularity. While one can only agree with him that experienced clinical observation is most important, one is left with the feeling that in his skilful hands post-operative monitoring is not essential because a failure is unknown . . . It is a great pity that the publishers have priced this book so highly that they have put it beyond the reach of so many surgeons to whom it would be of real benefit. Nevertheless, every well endowed library should have it. Martyn 146
REPORTS
H. C. Webster.
Dickson. Quarterly, Issue Z, September 1986. Issues 2, 3 and 4, 1987 ZSSN 0268-0890. Subscriptions; Institutions &jO.00 U.K., f65.00 Overseas, 9.5$ U.S.A. Individuals f39.50 U.K., f44.50 Overseas, 76.50$ U.S.A. Publishers, Churchill Livingstone, Medical Division of Longman Group U.K. Ltd. This new journal has published its first volume in September 1986. It opens with a statement by the Editorial Board justifying its creation. I feel their arguments are sound and that there is a need for such a publication. The Board aim to produce a review journal covering all aspects of orthopaedic surgery in a four-year cycle. Review articles are planned of around 5000 words with perhaps 20 key references which will provide a regular up-date for surgeons both in training and practice. The material will be presented under three broad headings:Adult Orthopaedics Children’s Orthopaedics Trauma It is felt that some subjects will be better treated in a minisymposium with several aspects of a topic presented by a variety of experts. Subjects on the interface between orthopaedics and other specialities will also be covered during the four-year cycle and there will be articles of general historical interest and self-assessment exercises for those undertaking post-graduate orthopaedic examinations. The journal is attractively laid out on paper that has a pleasant texture and a matt finish that does not produce irritating reflections. The text is well presented in two columns with an attractive typeface. The quality of radiographs, diagrams and photographs is also extremely good. In conclusion, I feel there is a need for a journal such as this and that the Editorial Board have researched the requirements carefully. Current Orthopaedics should prove a valuable update to consultants and registrars. Frank D. Burke.
Reports of Meetings THE THIRD CONGRESS OF THE INTERNATIONAL FEDERATION OF SOCIETIES FOR SURGERY OF THE HAND. Tokyo. November 3 - 8 1986. Over forty members and friends of the Society travelled to Japan for the Congress; most took the opportunity to visit China for the week before. The jet-lagged party arrived in Shanghai on October 26th and was immediately challenged by a meal in a Chinese restaurant, before going on to see a dazzling display of circus acts at the Acrobatic Theatre. The following morning Prof. Zhang Guang-Jian entertained us at the Shanghai First Medical College. After seeing patients in the wards we had a wide-ranging discussion. On the same day we met Prof. Ti-Sheng Chang at the Ninth Peoples’ Hospital who, with his team, showed us his patients, after which several members of the Society presented papers. Our hosts throughout the visit were the China Association of Science and Technology who kindly gave a banquet for us in the evening. THE JOURNAL
OF HAND
SURGERY
REVIEWS
AND
Book Reviews
OF MEETINGS
CURRENT ORTHOPAEDICS Executive Editor, Robert A.
MICROVASCULAR RECONSTRUCTION: Anatomy, Application and Surgical Technique by Ralph T. Manktelow, M.D., F.R.C.S. (C), Associate Professor of Surgery, University of Toronto Faculty of Medicine, and Head, Division of Plastic Surgery, Toronto
General Hospital, 200 Elizabeth Street, Toronto, Ontario, Canada MSG 2C4. Section on Paediatrics by Ronald M. Zuker. 221 pages, 139 illustrations and diagrams. Springer- Verlag: Berlin, Heidelberg, New York, Tokyo. Price f138.50. This excellent book follows a tradition established by acknowledged giants in the world of microsurgery. O’Brien, Ohmori, Buncke, Biemer and now Manktelow, all provide a personal view of the techniques and their application and each has a particular pearl or two to cast before us. In Dr. Manktelow’s case, this is undoubtedly his experience with functioning muscle transfers, but it is not only for this section that the publication is valuable. The book is divided into two main parts. The first 83 pages described the various flaps that can be transferred, with admirable clarity. Ken Finch’s illustrations are clear and helpful. The little tips that are given are commonly only available if one visits the surgeon in the operating room and watches him perform, but Dr. Manktelow guides the reader through the elaborate steps of flap preparation with such meticulous care so that one might almost be there. It is good to see the dorsalis pedis flap given its deserved place in such a book and one can certainly forgive the omission of scalp, delto-pectoral, medial arm, saphenous and thigh flaps. Why there are no details of the lateral arm flap or the hemi-toe pulp flap is perplexing and while Dr. Manktelow enumerates all these flaps and states his deliberate intention of omitting them, he fails to say why. The second part of the book is devoted to the clinical use of the flaps in reconstructive surgery. Here 38 pages are devoted to upper extremity reconstruction with 14 pages on functioning muscle transplantation. This section is quite superb, with a thoughtful section on the indications followed by a minutely detailed explanation of the technique and illustrated by marvellously successful clinical cases. A similar chapter on toeto-hand transfer is also of particular interest to the hand surgeon and it is an admirable characteristic of the whole book that the disadvantages of microsurgical operations are not neglected but faced up to and discussed. A codicil of 10 pages on paediatric microsurgery by Dr. Ronald Zuker completes the book. Dr. Manktelow states, perhaps a little surprisingly, that postoperative monitoring of flaps by techniques such as plethysmography, have not found much popularity. While one can only agree with him that experienced clinical observation is most important, one is left with the feeling that in his skilful hands post-operative monitoring is not essential because a failure is unknown . . . It is a great pity that the publishers have priced this book so highly that they have put it beyond the reach of so many surgeons to whom it would be of real benefit. Nevertheless, every well endowed library should have it. Martyn 146
REPORTS
H. C. Webster.
Dickson. Quarterly, Issue Z, September 1986. Issues 2, 3 and 4, 1987 ZSSN 0268-0890. Subscriptions; Institutions &jO.00 U.K., f65.00 Overseas, 9.5$ U.S.A. Individuals f39.50 U.K., f44.50 Overseas, 76.50$ U.S.A. Publishers, Churchill Livingstone, Medical Division of Longman Group U.K. Ltd. This new journal has published its first volume in September 1986. It opens with a statement by the Editorial Board justifying its creation. I feel their arguments are sound and that there is a need for such a publication. The Board aim to produce a review journal covering all aspects of orthopaedic surgery in a four-year cycle. Review articles are planned of around 5000 words with perhaps 20 key references which will provide a regular up-date for surgeons both in training and practice. The material will be presented under three broad headings:Adult Orthopaedics Children’s Orthopaedics Trauma It is felt that some subjects will be better treated in a minisymposium with several aspects of a topic presented by a variety of experts. Subjects on the interface between orthopaedics and other specialities will also be covered during the four-year cycle and there will be articles of general historical interest and self-assessment exercises for those undertaking post-graduate orthopaedic examinations. The journal is attractively laid out on paper that has a pleasant texture and a matt finish that does not produce irritating reflections. The text is well presented in two columns with an attractive typeface. The quality of radiographs, diagrams and photographs is also extremely good. In conclusion, I feel there is a need for a journal such as this and that the Editorial Board have researched the requirements carefully. Current Orthopaedics should prove a valuable update to consultants and registrars. Frank D. Burke.
Reports of Meetings THE THIRD CONGRESS OF THE INTERNATIONAL FEDERATION OF SOCIETIES FOR SURGERY OF THE HAND. Tokyo. November 3 - 8 1986. Over forty members and friends of the Society travelled to Japan for the Congress; most took the opportunity to visit China for the week before. The jet-lagged party arrived in Shanghai on October 26th and was immediately challenged by a meal in a Chinese restaurant, before going on to see a dazzling display of circus acts at the Acrobatic Theatre. The following morning Prof. Zhang Guang-Jian entertained us at the Shanghai First Medical College. After seeing patients in the wards we had a wide-ranging discussion. On the same day we met Prof. Ti-Sheng Chang at the Ninth Peoples’ Hospital who, with his team, showed us his patients, after which several members of the Society presented papers. Our hosts throughout the visit were the China Association of Science and Technology who kindly gave a banquet for us in the evening. THE JOURNAL
OF HAND
SURGERY