AN APPROACH TO COMPLEX RHEUMATOID HAND AND WRIST PROBLEMS

Each component of a strategy using multiple, concurrent operations sho uld be clearly indicated. The strategy should be adopted only by surge ons experienced in each component of the reconstruction. It is importa nt that elements in the postoperative hand therapy program not be cont radictory. An advantage of this strategy is that the total time devote d to surgical procedure, recovery, and rehabilitation for the patient is reduced. Presumably, the cost of comprehensive procedures are reduc ed. When appropriately indicated by a hand surgeon experienced in all technical components, a strategy of rheumatoid hand reconstruction usi ng multiple, concurrent operations can be highly effective.