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Posttraumatic reconstruction in the hand.

The complex anatomy of the hand means that injuries result in substantial loss of function. The damage must be repaired to regain the lost function. Fractures need to heal in anatomic position, and the soft tissues must be supple so that the fingers can move through a useful range of motion. Evaluation and management of malunion, nonunion, bone loss, and stiff fingers are important factors in posttraumatic reconstruction of the hand.