Management of complex forearm defects: A multidisciplinary approach.
Approche pluridisciplinaire
Avant-bras
Compound tissue defect
Forearm
Free flap
Hand
Lambeau libre
Main
Multidisciplinary approach
Perte de substance complexe
Reconstruction
Trauma
Traumatisme
Journal
Annales de chirurgie plastique et esthetique
ISSN: 1768-319X
Titre abrégé: Ann Chir Plast Esthet
Pays: France
ID NLM: 8305839
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
26
06
2020
accepted:
29
06
2020
pubmed:
7
9
2020
medline:
1
10
2021
entrez:
6
9
2020
Statut:
ppublish
Résumé
Complex forearm defects with significant damage to, or loss of skin, tendon, muscle, bone and neurovascular structures represent a great challenge for surgeons. The management of such injuries, whether a result of trauma or tumor resection, is focused on preservation of the damaged limb and restoration of hand function. A multidisciplinary approach combining plastic and orthopedic surgical expertise in a coordinated team is proposed to address these challenging cases. The authors have laid emphasis on adequate debridement for wound bed preparation, bone stabilization and reconstruction for a stable bony framework, vascular repair for early revascularization, musculotendinous and nerve reconstruction as well as vascularized tissue coverage on a case-to-case basis to facilitate optimal functional recovery. They also maintain that besides expedient surgical treatment, early mobilization based on an individualized rehabilitation program as well as psychological and socio-professional supports are necessary means of achieving rapid and successful social integration.
Identifiants
pubmed: 32891459
pii: S0294-1260(20)30097-2
doi: 10.1016/j.anplas.2020.06.011
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
625-634Informations de copyright
Copyright © 2020. Published by Elsevier Masson SAS.