Soft Tissue Reconstruction of Complete Circumferential Defects of the Upper Extremity
Identifieur interne : 000173 ( Main/Exploration ); précédent : 000172; suivant : 000174Soft Tissue Reconstruction of Complete Circumferential Defects of the Upper Extremity
Auteurs : Zhi Yang Ng [États-Unis] ; Shaun Shi Yan Tan [Royaume-Uni] ; Alexandre Gaston Lellouch [États-Unis] ; Curtis Lisante Cetrulo [États-Unis] ; Harvey Wei Ming Chim [États-Unis]Source :
- Archives of Plastic Surgery [ 2234-6163 ] ; 2017.
Abstract
Upper extremity soft tissue defects with complete circumferential involvement are not common. Coupled with the unique anatomy of the upper extremity, the underlying etiology of such circumferential soft tissue defects represent additional reconstructive challenges that require treatment to be tailored to both the patient and the wound. The aim of this study is to review the various options for soft tissue reconstruction of complete circumferential defects in the upper extremity.
A literature review of PubMed and MEDLINE up to December 2016 was performed. The current study focuses on forearm and arm defects from the level at or proximal to the wrist and were assessed based on Tajima's classification (J Trauma 1974). Data reviewed for analysis included patient demographics, causality, defect size, reconstructive technique(s) employed, and postoperative follow-up and functional outcomes (when available).
In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 14 unique articles were identified for a total of 50 patients (mean=28.1 years). Underlying etiologies varied from extensive thermal or electrical burns to high impact trauma leading to degloving or avulsion, crush injuries, or even occur iatrogenically after tumor extirpation or extensive debridement. Treatment options ranged from the application of negative pressure wound dressings to the opposite end of the spectrum in hand transplantation.
With the evolution of reconstructive techniques over time, the extent of functional and aesthetic rehabilitation of these complex upper extremity injuries has also improved. The proposed management algorithm comprehensively addresses the inherent challenges associated with these complex cases.
Url:
DOI: 10.5999/aps.2017.44.2.117
PubMed: 28352600
PubMed Central: 5366518
Affiliations:
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type="wicri:Area/Main/Curation">000173</idno><idno type="wicri:Area/Main/Exploration">000173</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Soft Tissue Reconstruction of Complete Circumferential Defects of the Upper Extremity</title><author><name sortKey="Ng, Zhi Yang" sort="Ng, Zhi Yang" uniqKey="Ng Z" first="Zhi Yang" last="Ng">Zhi Yang Ng</name><affiliation wicri:level="1"><nlm:aff id="A1">Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA</wicri:regionArea><wicri:noRegion>MA</wicri:noRegion></affiliation></author><author><name sortKey="Tan, Shaun Shi Yan" sort="Tan, Shaun Shi Yan" uniqKey="Tan S" first="Shaun Shi Yan" last="Tan">Shaun Shi Yan Tan</name><affiliation wicri:level="1"><nlm:aff id="A2">Royal College of Physicians and Surgeons of Glasgow, Scotland, UK.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Royaume-Uni</country><wicri:regionArea>Royal College of Physicians and Surgeons of Glasgow, Scotland</wicri:regionArea><wicri:noRegion>Scotland</wicri:noRegion></affiliation></author><author><name sortKey="Lellouch, Alexandre Gaston" sort="Lellouch, Alexandre Gaston" uniqKey="Lellouch A" first="Alexandre Gaston" last="Lellouch">Alexandre Gaston Lellouch</name><affiliation wicri:level="1"><nlm:aff id="A1">Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA</wicri:regionArea><wicri:noRegion>MA</wicri:noRegion></affiliation></author><author><name sortKey="Cetrulo, Curtis Lisante" sort="Cetrulo, Curtis Lisante" uniqKey="Cetrulo C" first="Curtis Lisante" last="Cetrulo">Curtis Lisante Cetrulo</name><affiliation wicri:level="1"><nlm:aff id="A1">Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA</wicri:regionArea><wicri:noRegion>MA</wicri:noRegion></affiliation></author><author><name sortKey="Chim, Harvey Wei Ming" sort="Chim, Harvey Wei Ming" uniqKey="Chim H" first="Harvey Wei Ming" last="Chim">Harvey Wei Ming Chim</name><affiliation wicri:level="1"><nlm:aff id="A3">Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL</wicri:regionArea><wicri:noRegion>FL</wicri:noRegion></affiliation></author></analytic><series><title level="j">Archives of Plastic Surgery</title><idno type="ISSN">2234-6163</idno><idno type="eISSN">2234-6171</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Upper extremity soft tissue defects with complete circumferential involvement are not common. Coupled with the unique anatomy of the upper extremity, the underlying etiology of such circumferential soft tissue defects represent additional reconstructive challenges that require treatment to be tailored to both the patient and the wound. The aim of this study is to review the various options for soft tissue reconstruction of complete circumferential defects in the upper extremity.</p></sec><sec><title>Methods</title><p>A literature review of PubMed and MEDLINE up to December 2016 was performed. The current study focuses on forearm and arm defects from the level at or proximal to the wrist and were assessed based on Tajima's classification (J Trauma 1974). Data reviewed for analysis included patient demographics, causality, defect size, reconstructive technique(s) employed, and postoperative follow-up and functional outcomes (when available).</p></sec><sec><title>Results</title><p>In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 14 unique articles were identified for a total of 50 patients (mean=28.1 years). Underlying etiologies varied from extensive thermal or electrical burns to high impact trauma leading to degloving or avulsion, crush injuries, or even occur iatrogenically after tumor extirpation or extensive debridement. Treatment options ranged from the application of negative pressure wound dressings to the opposite end of the spectrum in hand transplantation.</p></sec><sec><title>Conclusions</title><p>With the evolution of reconstructive techniques over time, the extent of functional and aesthetic rehabilitation of these complex upper extremity injuries has also improved. The proposed management algorithm comprehensively addresses the inherent challenges associated with these complex cases.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tajima, T" uniqKey="Tajima T">T Tajima</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Waikakul, S" uniqKey="Waikakul S">S Waikakul</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lo, S" uniqKey="Lo S">S Lo</name></author><author><name sortKey="Lin, Yt" uniqKey="Lin Y">YT Lin</name></author><author><name sortKey="Lin, Ch" uniqKey="Lin C">CH Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harrison, Bl" uniqKey="Harrison B">BL Harrison</name></author><author><name sortKey="Lakhiani, C" uniqKey="Lakhiani C">C Lakhiani</name></author><author><name sortKey="Lee, Mr" uniqKey="Lee M">MR 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Curtis Lisante" sort="Cetrulo, Curtis Lisante" uniqKey="Cetrulo C" first="Curtis Lisante" last="Cetrulo">Curtis Lisante Cetrulo</name><name sortKey="Chim, Harvey Wei Ming" sort="Chim, Harvey Wei Ming" uniqKey="Chim H" first="Harvey Wei Ming" last="Chim">Harvey Wei Ming Chim</name><name sortKey="Lellouch, Alexandre Gaston" sort="Lellouch, Alexandre Gaston" uniqKey="Lellouch A" first="Alexandre Gaston" last="Lellouch">Alexandre Gaston Lellouch</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Tan, Shaun Shi Yan" sort="Tan, Shaun Shi Yan" uniqKey="Tan S" first="Shaun Shi Yan" last="Tan">Shaun Shi Yan Tan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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