Digit and hand replantation
Identifieur interne : 000388 ( Istex/Corpus ); précédent : 000387; suivant : 000389Digit and hand replantation
Auteurs : Alexandros E. Beris ; Marios G. Lykissas ; Anastasios V. Korompilias ; Gregory I. Mitsionis ; Marios D. Vekris ; Ioannis P. Kostas-AgnantisSource :
- Archives of Orthopaedic and Trauma Surgery [ 0936-8051 ] ; 2010-09-01.
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- KwdEn :
Abstract
Abstract: For the past 45 years, the advent of microsurgery has led to replantation of almost every amputated part such as distal phalanx, finger tip, etc. Replantation of digits and hand can restore not only circulation, but also function and cosmetic of the amputated part. The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care. Among various factors influencing the outcome, the most important are the type and the level of injury, ischemia time, history of diabetes, age, sex, and smoking history. During the replantation procedure, bone stabilization, tendon repair, arterial anastomoses, venous anastomoses, nerve coaptation, and skin coverage should be performed. All structures should be repaired primarily, unless a large nerve gap or a flexor tendon avulsion injury is present. Adequate postoperative evaluation is mandatory to avoid early or late complications. To improve functional results, many replantation patients may need further reconstructive surgery.
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DOI: 10.1007/s00402-009-1021-7
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ISTEX:1B92C821EBC74AAC0CEBFD30EAB0063ECDD47030Le document en format XML
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Beris</name><affiliation><mods:affiliation>Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 45110, Ioannina, Greece</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: aberis@cc.uoi.gr</mods:affiliation></affiliation></author><author><name sortKey="Lykissas, Marios G" sort="Lykissas, Marios G" uniqKey="Lykissas M" first="Marios G." last="Lykissas">Marios G. Lykissas</name><affiliation><mods:affiliation>Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 45110, Ioannina, Greece</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: mariolyk@yahoo.com</mods:affiliation></affiliation></author><author><name sortKey="Korompilias, Anastasios V" sort="Korompilias, Anastasios V" uniqKey="Korompilias A" first="Anastasios V." last="Korompilias">Anastasios V. 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The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care. Among various factors influencing the outcome, the most important are the type and the level of injury, ischemia time, history of diabetes, age, sex, and smoking history. During the replantation procedure, bone stabilization, tendon repair, arterial anastomoses, venous anastomoses, nerve coaptation, and skin coverage should be performed. All structures should be repaired primarily, unless a large nerve gap or a flexor tendon avulsion injury is present. Adequate postoperative evaluation is mandatory to avoid early or late complications. 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The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care. Among various factors influencing the outcome, the most important are the type and the level of injury, ischemia time, history of diabetes, age, sex, and smoking history. During the replantation procedure, bone stabilization, tendon repair, arterial anastomoses, venous anastomoses, nerve coaptation, and skin coverage should be performed. All structures should be repaired primarily, unless a large nerve gap or a flexor tendon avulsion injury is present. Adequate postoperative evaluation is mandatory to avoid early or late complications. To improve functional results, many replantation patients may need further reconstructive surgery.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Replantation</term></item><item><term>Digits</term></item><item><term>Hand</term></item><item><term>Anastomosis</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Orthopedics</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2009-08-13">Created</change><change when="2010-09-01">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-12-1">References added</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="corpus springer-journals not found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//Springer-Verlag//DTD 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TocLevels="0"><ArticleID>1021</ArticleID><ArticleDOI>10.1007/s00402-009-1021-7</ArticleDOI><ArticleSequenceNumber>12</ArticleSequenceNumber><ArticleTitle Language="En" OutputMedium="All">Digit and hand replantation</ArticleTitle><ArticleCategory>Trauma Surgery</ArticleCategory><ArticleFirstPage>1141</ArticleFirstPage><ArticleLastPage>1147</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2009</Year><Month>11</Month><Day>25</Day></RegistrationDate><Received><Year>2009</Year><Month>8</Month><Day>13</Day></Received><OnlineDate><Year>2009</Year><Month>12</Month><Day>9</Day></OnlineDate></ArticleHistory><ArticleCopyright><CopyrightHolderName>Springer-Verlag</CopyrightHolderName><CopyrightYear>2009</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant Grant="Restricted"></ESMGrant></ArticleGrants></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Alexandros</GivenName><GivenName>E.</GivenName><FamilyName>Beris</FamilyName></AuthorName><Contact><Phone>+30-2651007472</Phone><Fax>+30-2651034816</Fax><Email>aberis@cc.uoi.gr</Email></Contact></Author><Author AffiliationIDS="Aff1" CorrespondingAffiliationID="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Marios</GivenName><GivenName>G.</GivenName><FamilyName>Lykissas</FamilyName></AuthorName><Contact><Phone>+30-2651007472</Phone><Phone>+30-2651007515</Phone><Fax>+30-2651034816</Fax><Fax>+30-2651007891</Fax><Email>mariolyk@yahoo.com</Email></Contact></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Anastasios</GivenName><GivenName>V.</GivenName><FamilyName>Korompilias</FamilyName></AuthorName><Contact><Phone>+30-2651007472</Phone><Fax>+30-2651034816</Fax><Email>koroban@otenet.gr</Email></Contact></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Gregory</GivenName><GivenName>I.</GivenName><FamilyName>Mitsionis</FamilyName></AuthorName><Contact><Phone>+30-2651007472</Phone><Fax>+30-2651034816</Fax><Email>mitsionis@otenet.gr</Email></Contact></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Marios</GivenName><GivenName>D.</GivenName><FamilyName>Vekris</FamilyName></AuthorName><Contact><Phone>+30-2651007472</Phone><Fax>+30-2651034816</Fax><Email>vekrismd@otenet.gr</Email></Contact></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Ioannis</GivenName><GivenName>P.</GivenName><FamilyName>Kostas-Agnantis</FamilyName></AuthorName><Contact><Phone>+30-2651007472</Phone><Fax>+30-2651034816</Fax><Email>ioanniskostas@hotmail.com</Email></Contact></Author><Affiliation ID="Aff1"><OrgDivision>Department of Orthopaedic Surgery</OrgDivision><OrgName>University of Ioannina, School of Medicine</OrgName><OrgAddress><Postcode>45110</Postcode><City>Ioannina</City><Country Code="GR">Greece</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En" OutputMedium="All"><Heading>Abstract</Heading><Para>For the past 45 years, the advent of microsurgery has led to replantation of almost every amputated part such as distal phalanx, finger tip, etc. Replantation of digits and hand can restore not only circulation, but also function and cosmetic of the amputated part. The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care. Among various factors influencing the outcome, the most important are the type and the level of injury, ischemia time, history of diabetes, age, sex, and smoking history. During the replantation procedure, bone stabilization, tendon repair, arterial anastomoses, venous anastomoses, nerve coaptation, and skin coverage should be performed. All structures should be repaired primarily, unless a large nerve gap or a flexor tendon avulsion injury is present. Adequate postoperative evaluation is mandatory to avoid early or late complications. To improve functional results, many replantation patients may need further reconstructive surgery.</Para></Abstract><KeywordGroup Language="En" OutputMedium="All"><Heading>Keywords</Heading><Keyword>Replantation</Keyword><Keyword>Digits</Keyword><Keyword>Hand</Keyword><Keyword>Anastomosis</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Digit and hand replantation</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Digit and hand replantation</title></titleInfo><name type="personal"><namePart type="given">Alexandros</namePart><namePart type="given">E.</namePart><namePart type="family">Beris</namePart><affiliation>Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 45110, Ioannina, Greece</affiliation><affiliation>E-mail: aberis@cc.uoi.gr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">Marios</namePart><namePart type="given">G.</namePart><namePart type="family">Lykissas</namePart><affiliation>Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 45110, Ioannina, Greece</affiliation><affiliation>E-mail: mariolyk@yahoo.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Anastasios</namePart><namePart type="given">V.</namePart><namePart type="family">Korompilias</namePart><affiliation>Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 45110, Ioannina, Greece</affiliation><affiliation>E-mail: koroban@otenet.gr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gregory</namePart><namePart type="given">I.</namePart><namePart type="family">Mitsionis</namePart><affiliation>Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 45110, Ioannina, Greece</affiliation><affiliation>E-mail: mitsionis@otenet.gr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marios</namePart><namePart type="given">D.</namePart><namePart type="family">Vekris</namePart><affiliation>Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 45110, Ioannina, Greece</affiliation><affiliation>E-mail: vekrismd@otenet.gr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ioannis</namePart><namePart type="given">P.</namePart><namePart type="family">Kostas-Agnantis</namePart><affiliation>Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, 45110, Ioannina, Greece</affiliation><affiliation>E-mail: ioanniskostas@hotmail.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">Berlin/Heidelberg</placeTerm></place><dateCreated encoding="w3cdtf">2009-08-13</dateCreated><dateIssued encoding="w3cdtf">2010-09-01</dateIssued><dateIssued encoding="w3cdtf">2009</dateIssued><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: For the past 45 years, the advent of microsurgery has led to replantation of almost every amputated part such as distal phalanx, finger tip, etc. Replantation of digits and hand can restore not only circulation, but also function and cosmetic of the amputated part. The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care. Among various factors influencing the outcome, the most important are the type and the level of injury, ischemia time, history of diabetes, age, sex, and smoking history. During the replantation procedure, bone stabilization, tendon repair, arterial anastomoses, venous anastomoses, nerve coaptation, and skin coverage should be performed. All structures should be repaired primarily, unless a large nerve gap or a flexor tendon avulsion injury is present. Adequate postoperative evaluation is mandatory to avoid early or late complications. To improve functional results, many replantation patients may need further reconstructive surgery.</abstract><note>Trauma Surgery</note><subject lang="en"><genre>Keywords</genre><topic>Replantation</topic><topic>Digits</topic><topic>Hand</topic><topic>Anastomosis</topic></subject><relatedItem type="host"><titleInfo><title>Archives of Orthopaedic and Trauma Surgery</title><subTitle>Including Arthroscopy and Sports Medicine</subTitle></titleInfo><titleInfo type="abbreviated"><title>Arch Orthop Trauma Surg</title></titleInfo><genre type="journal" displayLabel="Archive Journal" authority="ISTEX" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">2010-08-22</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Orthopedics</topic></subject><identifier type="ISSN">0936-8051</identifier><identifier type="eISSN">1434-3916</identifier><identifier type="JournalID">402</identifier><identifier type="IssueArticleCount">18</identifier><identifier type="VolumeIssueCount">12</identifier><part><date>2010</date><detail type="volume"><number>130</number><caption>vol.</caption></detail><detail type="issue"><number>9</number><caption>no.</caption></detail><extent unit="pages"><start>1141</start><end>1147</end></extent></part><recordInfo><recordOrigin>Springer-Verlag, 2010</recordOrigin></recordInfo></relatedItem><identifier type="istex">1B92C821EBC74AAC0CEBFD30EAB0063ECDD47030</identifier><identifier type="ark">ark:/67375/VQC-3T7XZJMT-V</identifier><identifier type="DOI">10.1007/s00402-009-1021-7</identifier><identifier type="ArticleID">1021</identifier><identifier type="ArticleID">s00402-009-1021-7</identifier><accessCondition type="use and reproduction" contentType="copyright">Springer-Verlag, 2009</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>Springer-Verlag, 2009</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/1B92C821EBC74AAC0CEBFD30EAB0063ECDD47030/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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