This long-awaited book is easy to read and conversational in tone; it reflects the author's concise logical approach to surgery. The book correlates and integrates Dr Flatt's numerous articles on congenital hand anomalies and summarizes his personal experience with more than 1,500 patients whose cases have been carefully analyzed and documented over several decades. The initial chapters on the role of reconstructive surgery, genetics and inheritance patterns, growth and kinesiology, and classification are written clearly and interspersed with appropriate diagrams and tables, making it an enjoyable introduction to the subject. The book is not intended to be an encyclopedic compendium of congenital hand anomalies with details of varieties of surgical techniques. Instead, it is personal and is supplemented by the author's dissections and documentations, as, for instance, in the anomalous anatomy seen in the radial clubhand, acrosyndactyly, complex syndactyly in Apert's syndrome, and thumb duplications. The photographs and illustrations are
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Joseph Upton (1978) studied this question.