Indications and Selection for Digital Amputation and Replantation
Identifieur interne : 000325 ( Istex/Checkpoint ); précédent : 000324; suivant : 000326Indications and Selection for Digital Amputation and Replantation
Auteurs : P. N. Soucacos [Grèce]Source :
- [ 1753-1934 ] ; 2001-12.
English descriptors
- Teeft :
- Acta orthopedica scandinavica, Amputation, Anastomosis, Avulsion, Beris, Clinical orthopaedics, Cold intolerance, Complete amputation, Complete amputations, Digit, Digital, Digital arteries, Digital replantation, Distal part, Dominant hand, Exor, Functional results, Graft, Hand surgery, Joint surgery, Main indications, Malizos, Microsurgery, Microsurgical, Nger, Normal intima, Orthopaedic clinics, Postoperative view, Preoperative view, Proximal phalanx, Reconstructive, Replantation, Replantation procedures, Replantation surgery, Selection criteria, Single digit, Single digit replantation, Soucacos, Stump, Successful replantation, Survival rate, Tendon, Touliatos, Transpositional, Transpositional microsurgery, Urbaniak, Venous, Xation.
Abstract
Even though replantation surgery has now become a routine procedure, it remains delicate and demanding surgery, requiring adequate training and expertise in microsurgical techniques. Well-defined selection criteria for replantation procedures have evolved over the past few years, including definitive guidelines for thumb, single digit, multiple digit and mid-palm amputations. For more complex cases, other techniques, including transpositional microsurgery and various secondary reconstructive procedures, such as toe-to-hand transfer, are now available. Although replantation procedures have been simplified, a second surgical team can save valuable surgical time by debriding and identifying the vessels in the amputated part, harvesting microvenous grafts, and performing bone fixation or tendon repair among other things, while the chief surgeon focuses on revascularization. Overall, the most significant guideline underlining the philosophy of digital replantation today reflects the aim of not only ensuring the survival of a digit, but its functional use as well. Experience dictates that this can be achieved only if the basic principles and indications of replantation surgery are adhered to.
Url:
DOI: 10.1054/jhsb.2001.0595
Affiliations:
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ISTEX:6D5DA87CB85403817DDAF0E5FBCC29B385500201Le document en format XML
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Soucacos</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:6D5DA87CB85403817DDAF0E5FBCC29B385500201</idno><date when="2001" year="2001">2001</date><idno type="doi">10.1054/jhsb.2001.0595</idno><idno type="url">https://api.istex.fr/document/6D5DA87CB85403817DDAF0E5FBCC29B385500201/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000454</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000454</idno><idno type="wicri:Area/Istex/Curation">000454</idno><idno type="wicri:Area/Istex/Checkpoint">000325</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000325</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Indications and Selection for Digital Amputation and Replantation</title><author wicri:is="90%"><name sortKey="Soucacos, P N" sort="Soucacos, P N" uniqKey="Soucacos P" first="P. N." last="Soucacos">P. N. Soucacos</name><affiliation wicri:level="1"><country xml:lang="fr">Grèce</country><wicri:regionArea>From the Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, Ioannina</wicri:regionArea><wicri:noRegion>Ioannina</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j"></title><idno type="ISSN">1753-1934</idno><idno type="eISSN">2043-6289</idno><imprint><publisher>SAGE Publications</publisher><date type="published" when="2001-12">2001-12</date><biblScope unit="volume">26</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="572">572</biblScope><biblScope unit="page" to="581">581</biblScope></imprint><idno type="ISSN">1753-1934</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1753-1934</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Acta orthopedica scandinavica</term><term>Amputation</term><term>Anastomosis</term><term>Avulsion</term><term>Beris</term><term>Clinical orthopaedics</term><term>Cold intolerance</term><term>Complete amputation</term><term>Complete amputations</term><term>Digit</term><term>Digital</term><term>Digital arteries</term><term>Digital replantation</term><term>Distal part</term><term>Dominant hand</term><term>Exor</term><term>Functional results</term><term>Graft</term><term>Hand surgery</term><term>Joint surgery</term><term>Main indications</term><term>Malizos</term><term>Microsurgery</term><term>Microsurgical</term><term>Nger</term><term>Normal intima</term><term>Orthopaedic clinics</term><term>Postoperative view</term><term>Preoperative view</term><term>Proximal phalanx</term><term>Reconstructive</term><term>Replantation</term><term>Replantation procedures</term><term>Replantation surgery</term><term>Selection criteria</term><term>Single digit</term><term>Single digit replantation</term><term>Soucacos</term><term>Stump</term><term>Successful replantation</term><term>Survival rate</term><term>Tendon</term><term>Touliatos</term><term>Transpositional</term><term>Transpositional microsurgery</term><term>Urbaniak</term><term>Venous</term><term>Xation</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Even though replantation surgery has now become a routine procedure, it remains delicate and demanding surgery, requiring adequate training and expertise in microsurgical techniques. Well-defined selection criteria for replantation procedures have evolved over the past few years, including definitive guidelines for thumb, single digit, multiple digit and mid-palm amputations. For more complex cases, other techniques, including transpositional microsurgery and various secondary reconstructive procedures, such as toe-to-hand transfer, are now available. Although replantation procedures have been simplified, a second surgical team can save valuable surgical time by debriding and identifying the vessels in the amputated part, harvesting microvenous grafts, and performing bone fixation or tendon repair among other things, while the chief surgeon focuses on revascularization. Overall, the most significant guideline underlining the philosophy of digital replantation today reflects the aim of not only ensuring the survival of a digit, but its functional use as well. Experience dictates that this can be achieved only if the basic principles and indications of replantation surgery are adhered to.</div></front></TEI><affiliations><list><country><li>Grèce</li></country></list><tree><country name="Grèce"><noRegion><name sortKey="Soucacos, P N" sort="Soucacos, P N" uniqKey="Soucacos P" first="P. N." last="Soucacos">P. N. Soucacos</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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