Microvascular Reconstruction of the Upper Extremity

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Iain WhitakerJohn H Barker

Abstract

Upper extremity composite tissue defects may result from trauma, tumor resection, infection, or congenital malformations. When reconstructing these defects the ultimate objectives are to provide adequate soft tissue protection of vital structures, and to provide optimal functional and esthetic outcomes. The development of clinical microsurgery has added a large number of treatment options to the trauma surgeon's armamentarium - primarily replantation of amputated tissues and transplantation of vascularized tissues from distant donor sites. Since the early 1970s, considerable refinement in microsurgical tools and techniques together with a better understanding of the anatomy and physiology of microcirculatory tissue perfusion led to the introduction of a variety of thin, pliable and versatile-free flap designs. Sources for this manuscript include a comprehensive literature search using the PUBMED and EMBASE databases along with relevant text books, Selected Readings in Plastic Surgery(®), and personal experiences of upper extremity reconstruction and microsurgery. In this manuscript, we describe the primary microsurgical techniques used to reconstruct upper extremity tissue defects and discuss the basis for selecting one techniq...Continue Reading

References

Sep 1, 1978·The Journal of Hand Surgery·G Lister
May 1, 1975·Plastic and Reconstructive Surgery·G I TaylorF J Ham
Feb 1, 1991·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·F A Valauri
Nov 1, 1991·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·Z M ArnezM Godina
Nov 1, 1991·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J Olekas, A Guobys
Aug 1, 1989·Annals of Plastic Surgery·Y T JinT S Chang
Jan 1, 1989·Microsurgery·T I Ismail
Apr 1, 1988·Plastic and Reconstructive Surgery·D N HingB S Alpert
Jul 1, 1986·The Journal of Hand Surgery·J UptonW M Swartz
Sep 1, 1986·Plastic and Reconstructive Surgery·M Godina
Sep 1, 1970·Plastic and Reconstructive Surgery·S TamaiN Sasauchi
Sep 1, 1973·Plastic and Reconstructive Surgery·B M O'BrienW A Morrison
Mar 1, 1972·Plastic and Reconstructive Surgery·D H McLean, H J Buncke
Aug 1, 1973·Plastic and Reconstructive Surgery·R K Daniel, G I Taylor
Sep 1, 1982·Plastic and Reconstructive Surgery·W MühlbauerW Stock
Apr 1, 1984·Plastic and Reconstructive Surgery·L F dos Santos
Apr 1, 1984·British Journal of Plastic Surgery·Y G SongY L Song
Apr 1, 1982·Plastic and Reconstructive Surgery·T M NassifJ Baudet
Apr 1, 1993·Plastic and Reconstructive Surgery·K DoiY Kurafuji
Apr 1, 1997·The Journal of Bone and Joint Surgery. American Volume·J B JupiterL S Levin
Mar 21, 1998·Plastic and Reconstructive Surgery·H YajimaK Kizaki
Apr 6, 1999·Plastic and Reconstructive Surgery·G GermannM Sauerbier
Jun 5, 1999·The Journal of Hand Surgery·H YajimaS Mizumoto
Nov 24, 1999·Journal of Reconstructive Microsurgery·H YajimaT Yamauchi
Oct 18, 2001·Plastic and Reconstructive Surgery·N KimuraT Ostuka
Jun 5, 2002·Plastic and Reconstructive Surgery·Fu-chan WeiChih-hung Lin
Apr 10, 2003·Hand Clinics·Richard E Brown, Tzu-Ying Tammy Wu
Apr 25, 2003·Plastic and Reconstructive Surgery·Christopher T MaloneyW P Andrew Lee
Aug 5, 2003·Annals of Plastic Surgery·Martin KoschnickGuenter Germann
Sep 16, 2003·Plastic and Reconstructive Surgery·I S WhitakerD J Wright
Sep 7, 1964·JAMA : the Journal of the American Medical Association·R A MALT, C MCKHANN
Nov 25, 2003·Journal of Reconstructive Microsurgery·Christopher A DerderianGeoffrey C Gurtner
Apr 17, 2004·Journal of Reconstructive Microsurgery·Shye-Horng LinHung-Chi Chen
Apr 20, 2004·Journal of Reconstructive Microsurgery·Takuro WadaToshihiko Yamashita
May 18, 2004·British Journal of Plastic Surgery·I S WhitakerP E Butler
Mar 8, 2005·The British Journal of Oral & Maxillofacial Surgery·I S WhitakerI T H Foo
May 10, 2005·Transplantation·Marco LanzettaXinying Zhang
Jul 26, 2005·The Journal of Hand Surgery·Howard T WangL Scott Levin
Mar 7, 2006·Techniques in Hand & Upper Extremity Surgery·Howard T WangL Scott Levin
Mar 29, 2006·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·M AkinciO Erçetin
Jul 29, 2006·Plastic and Reconstructive Surgery·Thomas KremerMichael Sauerbier

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Citations

Feb 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ingo Marzi, John H Barker
May 17, 2018·Trauma Surgery & Acute Care Open·Cary Fletcher
Nov 18, 2016·International Psychogeriatrics·José Manuel Sousa de São José, Carla Alexandra Filipe Amado
Oct 3, 2015·Nursing·Celina Liu, Thomas W Barkley

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