By Alain C. Masquelet, Acacio C. Ferreira
Assembling overseas specialists and that includes greater than three hundred representation, this article provides the newest medical considering at the right technique to undertake in surgical administration of higher limb trauma. After defining present concerns, the publication covers delicate tissue fix, bone reconstruction, joint reconstruction, nerve illness fix, tendon illness fix, and compound transfers. the ultimate bankruptcy is dedicated to basic symptoms. The ebook highlights of flap recommendations, bone reconstruction and bone substitutes, joint reconstruction and alternative, nerve grafts and substitute tools for reinervation, tendon grafting and move, and destiny advances in hand and higher limb surgical procedure.
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Extra info for Severe Tramatic Defects of the Upper Limb: Published in association with the Federation of European Societies for Surgery of the Hand
E) Appearance at 4 months after surgery illustrating viability of the flap and the hand. (f,g) Drawing and harvesting of the free functional muscle transfer. (h) Appearance at 7 months after surgery. Already the patient has a useful grip capacity. Reproduced with permission of the Editor, Eur J Plast Surg 1991; 44:533–7. majority of cases (Fig. 3) (Lamberty and Cormarck 1983, Cormarck and Lamberty 1984). Osteomyofasciocutaneous flaps These have specific indications for reconstruction of bone defects in the upper limb.
B) Flap design of a pedicled latissimus dorsi flap. (c) Intraoperative view after transposition of the latissimus dorsi island flap to the elbow. (d) Result 6 months postoperatively. be partially sacrificed. The shoulder wound was open for 6 months and the patient suffered from constant pain. After thorough debridement the soft tissue defect at the shoulder measured 5 × 12 cm and was closed with a pedicled latissimus dorsi island flap. The patient is disease free since 18 months, shows no sign of infection and her pain status was classified as mild (Fig.
Nakajima H, Fujino T, Adachi S (1986) A new concept of vascular supply to the skin and classification of the skin flaps according to their vascularization , Ann Plast Surg 16:1–11. Niranjan N, Shibu M (1994) The median forearm flap, Br J Plast Surg 47:272–4. O’Rahilly R (1986) Anatomy: A Regional Study of Human Structure. In: Gardner, Gray, O’Rahilly, eds. WB Saunders Company: Philadelphia. Parks B, Arbelaez J, Homer R (1978) Medical and surgical importance of the arterial blood supply of the thumb, J Hand Surg 3B:383–5.