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February 24, 1969, Vol 207, No. 8 >
ARTICLE | February 24, 1969

Structural and Dynamic Bases of Hand Surgery

John G. Kuhns, MD
JAMA. 1969;207(8):1521. doi:10.1001/jama.1969.03150210105028.
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ABSTRACT

As is mentioned by the author in his preface, the surgical reconstruction of a functional hand demands profound knowledge of the intricate structures and subtle mechanisms as well as the application of the basic concepts of biomechanics. The dissections which are presented by line drawings were carried out at the Finchetto School of Surgery. The book describes these drawings and gives sketches which illustrate the faulty balance of forces which contribute greatly to the development of deformities. The author has drawn from dissection his concept of the faculty relationship of forces. From this and from his wide experience he is able to illustrate in detail his methods of treatment.

The deformities seen in claw hand as well as the common deformities shown in the spastic and arthritic hands are carefully described. In their reconstruction and repair the author first describes the faulty muscular balance. Then he describes the method that

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