Document Detail


Hs09 replantation surgery - the reconstructive approach.
MedLine Citation:
PMID:  17490120     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
1) The debridement should be generous and the shortening judicious. More than 50% of the skin should be in direct contact, and direct anastomosis of some of vessels should be possible. 2) The skeletal stabilization should be of good very quality that will allow free mobilization of the joints. 3) The repair of the tendons should take advantage of the excess length for a strengthen repair. Some degree of active mobilization should be make possible. 4) Primary nerve grafting or nerve transfer should be considered if there is loss of nerve length. 5) Vascular repair should be on the basis of as many as possible the number of arteries and veins that can be found for anastomosis. 6) Any residual skin defect should be planned for a proper resurfacing within the next 5 to 10 days. 7) Early intensive active rehabilitation should be prescribed. Gradual active ROM for tendon gliding should be instituted with in the first week.
Authors:
L C Teoh
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  77 Suppl 1     ISSN:  1445-1433     ISO Abbreviation:  -     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  A35     Citation Subset:  IM    
Affiliation:
Singapore.
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