The Hand Trauma Committee (HTC) of the FESSH is dedicated exclusively to Hand Trauma and Hand Trauma Prevention.

The HTC will oversee a sub-committee for the Prevention of Hand Injuries.

The goal of the HTC is to improve standards of care for Emergency Hand Trauma in Europe.

In order to achieve this goal, the HTC will be responsible for the ongoing strategy for the European Emergency Hand Trauma Network and the Accreditation Process for participating Centers.


  1. Collect data from participating centers
  2. Define the standards for delivery of Emergency Hand Trauma Services
  3. Sets the Inclusion Criteria for the European Emergency Hand Trauma Network and the Accreditation process of Hand Trauma and Replantation Centers 
  4. Analyze the data so that differences and similarities between the European countries can be identified and discussed

The HTC will encourage the participation and collaboration of all countries to join a European Emergency Network of Hand Trauma and Replantation Centers.


It is recognized that emergency Hand Trauma Services are delivered by many well qualified Hand Trauma Surgeons who do not necessarily work in hospitals with 24 hour dedicated emergency hand surgery teams.

The proposed Network will exist for the purposes of collaboration in audit, research, teaching and training. The accreditation process will recognize those Centers delivering services to the highest standards the Hand Trauma and Replantation Centers (HTRC).

Hand Trauma and Replantation Center (HTRC) can apply to be accredited as part of the network following the criteria defined by the Hand Trauma Committee according to the FESSH Council.

If the applicant unit does not fulfill the criteria to become an HTRC, the unit will be placed on a list of recognized “Hand Trauma Units”, provided that it fulfills a minimum of requirements, and will participate in the hand trauma network.  The Hand Trauma Units (HTU) will not be audited, are not certified by the HTC and FESSH. Some minimum criteria are also necessary for Hand trauma Units listed in the trauma network.

These last criteria for the units of trauma network are suitable of changing once a year by the HTC and FESSH Council.

The HTC National Representatives and the board of each National Hand Society could check if required by HTC the data provided by their national network and report in the HTC eventual problems.

The recognition of Accredited Hand Trauma and Replantation Centers  will be the responsibility of the HTC.

A validation of the HTRCs (audits) will be undertaken, randomly, by members of the committee and one HTC National representative.

In order to build a real European cooperation through this network, two National representatives for each FESSH country will be appointed by the boards of each National Hand Surgery Society. (Duties of the National Representatives)


Members of the Hand Trauma Committee: Piotr Czarnecki (Poland), Zoe Dailiana (Greece), Igor Golubev (Russia), Peter Houpt (Netherland), Marcos Sanmartín Fernandez (Spain), Kai Megerle (Germany), Pierluigi Tos (Italy)

Members of the Hand Trauma Prevention sub-committee chaired by Martin Leixnering (Austria), Tufan Kaleli (Turkey), Anna De Leo (UK)


Pierluigi Tos, MD, PhD is the chair of FESSH Hand Trauma Committee. He is the head of the Hand Surgery and Reconstructive Microsurgery Unit at the Orthopaedic University Hospital Gaetano Pini – CTO in Milan, Italy; specialized both in Orthopaedic and Plastic Surgery. Dr Tos is former president of the Italian Society for Microsurgery (SIM) and the European delegate for this Society at the European Federation of Societies for Microsurgery (EFSM). He is currently involved in the board of the Italian Society for Surgery of the Hand (SICM) as international delegate for the IFSSH. His main field of research is nerve repair and regeneration from basic science to clinical application and reconstructive microsurgery.


Marcos Sanmartín Fernandez, MD, works as a Hand Surgeon at the Povisa Hospital in Vigo, Spain. He is an Orthopedic Surgeon trained at the Hand Surgery Department from Santa Casa of São Paulo Hospital, Brazil, and at the Kleinert Institute for Hand and Microsurgery in Louisville, Kentucky, USA.  His current main fields of interest are wrist and tendon surgery.


Peter Houpt, MD PhD is a plastic surgeon mainly dealing with hand surgery. He held positions in the national society. He works in the largest general hospital in the Netherlands. Working together with 6 plastic surgeons and 7 residents in training. His main interest are trauma, wrist surgery and arthroplasties.


Zoe Dailiana, MD PhD, is member of FESSH Hand Trauma Committee. She is a specialist trained Hand Surgeon, and Professor of Orthopaedic Surgery at the University of Thessalia, in Larissa, Greece. Dr Dailiana is the past President of the Hellenic Society for Reconstructive Microsurgery. Her main fields of interest are peripheral nerve surgery, upper extremity nonunions/skeletal defects reconstruction and basic science on bone/periosteal flaps, GFs and BMPs.


Igor Golubev, MD, PhD. He is a head of Microsurgery and Hand Trauma Department in National Medical Research Centre of Traumatology and Orthopaedic named after N.N. Priorov. He is specialised both in Orthopaedics and Plastic surgery. Present Chairman of the Board of the Russian Hand Surgery Society. Member of ASSH, EWAS. His main field of the interest is wrist trauma and vascularised bone transfer.



Piotr Czarnecki, MD, PhD is a member and national delegate of FESSH Hand Trauma Committee. He is working in Traumatology, Orthopaedics and Hand Surgery Department at Poznan University of Medical Sciences, Poland, specialized in orthopaedics and trauma surgery. Dr Czarnecki is present chief of Hand Surgery Section at Polish Orthopaedics and Traumatology Society and President Elect and FESSH National Delegate for Polish Society for Surgery of the Hand. He is also a member of FESSH Examination Committee. His main field of research and clinical practice is secondary postraumatic reconstruction and degenerative disorders.

Kai Megerle, MD, PhD is a member of the FESSH Research Committee. He is an Associate Professor of Plastic Surgery and Hand Surgery at the Technical University of Munich, specialized in hand and reconstructive microsurgery. Currently, he is a member of the online media team of the German Society for Surgery of the Hand as well as coordinator of the German FESSH Hand Trauma Centers. His main research interests are carpal biomechanics, wide awake surgery as well as medical data science and machine learning. He is cofounder and hand specialist of an interdisciplinary treatment unit for professional musicians at the University and still hasn’t fully given up the idea of pursuing a career as a rock star.

Martin Leixnering

Anna de Leo, fellow of European Board of Plastic Reconstructive Aesthetic Surgery, and of the International school in Microsurgery, is a Consultant at London Welbeck Hospital, London United Kingdom. Ms De Leo is leading the “Prevention Wave” since 2012 when she collaborate with WHO prevention office and a prevention campaign format was spread in Italy by the SICM(Italian Society for Surgery of the Hand). She is working with RoSPA (Royal Society for the Prevention of Accidents). BAPRAS (British Association of Plastic Reconstructive and Aesthetic Surgeons) choose her as spokeperson for the successful Media UK call on the use of door stoppers. Currently working with the Hand Trauma Committee BSSH ( British Society for Surgery of the Hand ) prevention group. Her main interest are Aesthetic and Reconstructive Surgery of the upper limb and breast.