| Salvage of replanted upper extremities with major soft-tissue complications. | |
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MedLine Citation:
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PMID: 17478136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Soft-tissue complications in the replantation wound, either septic or non-septic, are the main cause of failure in major extremity replantations. In the presence of necrosis or infection, vascular errosion or thrombosis readily develops and can lead to limb loss. Very aggressive surgical treatment has been recommended to salvage the replanted limb in these highly unstable clinical situations. Over a 10-year period, 423 amputated parts were replanted, 56 of which were replants proximal to the wrist. The experience of the author in treating 11 cases of critical soft-tissue necrosis (four septic and seven non-septic) after major replantation of the upper extremity with aggressive debridement and flap coverage, is reported. All flaps and limbs survived. |
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Authors:
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Pedro C Cavadas |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2007-05-02 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 60 ISSN: 1748-6815 ISO Abbreviation: - Publication Date: 2007 |
Date Detail:
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Created Date: 2007-06-08 Completed Date: 2007-08-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 769-75 Citation Subset: IM |
Affiliation:
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pcavadas@telefonica.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amputation, Traumatic / pathology, surgery* Arm / pathology, surgery Arm Injuries / pathology, surgery* Female Forearm Injuries / pathology, surgery Humans Limb Salvage / methods* Male Middle Aged Necrosis Replantation / methods* Sepsis / pathology, surgery Skin / pathology Surgical Flaps / pathology Treatment Outcome Wrist Injuries / pathology, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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