Orthoplastic Hand Surgeryの追求－いかに経験を積み，未来へつなげるか－

抄録

  In order to complete the treatment of mangled hand injury, it is necessary to use the orthoplastic approach, which requires knowledge and skills in orthopedic surgery, plastic surgery, and hand surgery. It is difficult to treat mangled hand injuries without appropriate goal setting. On the other hand, the frequency of such mangled hand injuries has been decreasing in Japan in recent years as the safety of various machines has improved; thus, opportunities for young microsurgeons to gain treatment experience are limited. In this article, we present our approach to the treatment of mangled hand injury, as understanding of treatment concepts and strategies is equally or even more important than surgical skill. The author then discusses how young microsurgeons can gain experience and keep progressing into the future as well as the future prospects of this field in Japan.