INDICATIONS AND SELECTION FOR DIGITAL AMPUTATION AND REPLANTATION
Identifieur interne : 000427 ( Main/Curation ); précédent : 000426; suivant : 000428INDICATIONS AND SELECTION FOR DIGITAL AMPUTATION AND REPLANTATION
Auteurs : P. N Soucacos [Grèce]Source :
- Journal of Hand Surgery [ 0266-7681 ] ; 2001.
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
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:
- https://api.istex.fr/document/D0FC127C74680A619E89151334FAEE2ABAAAA046/fulltext/pdf
- https://api.istex.fr/document/6D5DA87CB85403817DDAF0E5FBCC29B385500201/fulltext/pdf
DOI: 10.1054/jhsb.2001.0595
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<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>
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<front><div type="abstract" xml:lang="en">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.</div>
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