Practical Tips to Improve Efficiency and Success in Upper Limb Replantation.

Abstract:

LEARNING OBJECTIVES:After reading this article, participant should be able to: 1. Describe the technique of replantation for very distal amputation of the digit and salvage procedures for venous drainage. 2. Perform single-digit replantation after viewing the videos. 3. Recognize appropriate cases for joint salvage techniques in periarticular amputation at each joint of the digit and wrist. 4. Outline the methods of flexor and extensor tendon reconstruction in an avulsed amputation of the digit or thumb. 5. Understand the order of digital replantation and transpositional replantation for a restoration of pinch or grip in multiple-digit amputation. SUMMARY:This article provides practical tips and caveats for the latest replantation surgical techniques for digit, hand, and upper extremity amputation. Four videos, clinical photographs, and drawings highlight important points of operative technique and outcomes of replantation.

journal_name

Plast Reconstr Surg

authors

Woo SH

doi

10.1097/PRS.0000000000006134

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

878e-911e

issue

5

eissn

0032-1052

issn

1529-4242

pii

00006534-201911000-00042

journal_volume

144

pub_type

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