Management of complex forearm defects: A multidisciplinary approach - 08/10/20
Prise en charge des pertes de substance complexes de l’avant-bras : une approche pluridisciplinaire
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Summary |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Reconstruction, Forearm, Trauma, Compound tissue defect, Free flap, Hand, Multidisciplinary approach
Mots clés : Reconstruction, Avant-bras, Traumatisme, Perte de substance complexe, Lambeau libre, Main, Approche pluridisciplinaire
Plan
Vol 65 - N° 5-6
P. 625-634 - novembre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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