Reconstructive surgery of the hand and upper extremity is divided into seven sections general principles techniques of structure repair treatment algorithms clinical examples atlas of flaps rehabilitation protocols and classification and zones of injury the authors provide 115 treatment specific algorithms divided across 69 chapters. Reconstructive surgery of the hand and upper extremity reconstructive surgery of the upper extremity has progressed significantly due to advances in microsurgical techniques which include the increased popularity of perforator flaps refinements in functional free muscle transfer the application of nerve conduits and nerve allografts motor . Reconstructive surgery of the hand and upper extremity presents a unique color coded roadmap for managing the complex upper extremity patient based on a logical approach to surgical decision making authors gunter germann randolph sherman and l scott levin deliver seven systematically organized sections and 69 chapters with versatile evidence based guidelines and techniques. Hand surgery is a sub specialty of reconstructive surgery which addresses several injuries and conditions that might impact the function flexibility and strength of the upper extremities the hand to the shoulder