Major replantation versus revision amputation and prosthetic fitting in the upper extremity: A late functional outcomes study

Graham, Brent; Adkins, Paula; Tsai, Tsu‐Min; Firrell, John C.; Breidenbach, Warren C.

doi:10.1016/s0363-5023(98)80151-2

Cited by 177 publications

(99 citation statements)

References 18 publications

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“…This is particularly true in the lower extremity where modem prosthetic appliances have proven to be effective in the restoration of almost normal function [13]. Exhaustive work done at Kleinert Institute, Louisville, USA, has conclusively proven that salvaged upper limbs are functionally better than the best available prosthesis [14]. The Indian experience suggests that patients prefer to retain their own limb, even though deformed, provided it is paiuless and retains function [12].…”

Section: Limbsmentioning

confidence: 99%

Reconstruction in Warfare Injuries

Langer

2010

Medical Journal Armed Forces India

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Traumatic injuries, especiaUy in the combat setting, stress the surgical team. that may be sited in a remote forward area, battling against paucity of time, reIItlUI'eeI and infrastrueture. The lone surgeon may be faced with the arduous challenge of saving life.There is seldom thought given to reeonstruction in this high-presmre situation. If the patient survives, morbidity for want of reeonstruction can be severe and quality oflife can suffer IignifiQ1DtIy. lteooostruetion after 3 to 5 days is fraught with eomplicationJ and usually does compromise outcome in the post-operative phase. The reconstructive IIIII'geOD. should be involved early in the management as he can provide eoverage for large soft tiuue defeets after agg:reaive debridement with panaehe. H the patient is haem.odynamiea11y stable, he should be transferred ugently, preferrably by air, to a higher centre with multi-specialty care, espeeially being equipped with an orthopaedic: and trauma reeonstruetive IUrgeon. It has been proved beyond doubt that the healing improvea IIignifieantlJ aDd there is marked decrease in morbidity if coverage ofWODDdl!I is pnmded early, before colonized wounds get infected.WAF! WIO;

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Section: Limbsmentioning

confidence: 99%

Reconstruction in Warfare Injuries

Langer

2010

Medical Journal Armed Forces India

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“…Hand transplantation: the milan experience functional results to amputation and the use of a prosthesis (3,4,5).…”

Section: "Experimentation (…) Is Justified Primarily By the Individuamentioning

confidence: 99%

Hand Transplantation: The Milan Experience

Lanzettà¹,

Nolli²,

Vitale³

et al. 2007

Polish Journal of Surgery

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The authors describe the most critical aspects of transplantation of the hand. Three successful cases are presented from the Italian Hand Transplantation National Program. The key issues of this new type of surgical reconstruction for major amputations are selection criteria of suitable candidates, technical aspects of surgery, postoperative regime and functional rehabilitation. Other important aspects are staff requisites and organisation of the clinical trial, ethical and legal implications, dealing with the media. The authors comment on the fact that we might be ready to accept that almost anything could come from a cadaver, even if it is not a life-saving organ, to reconstruct missing parts and restore anatomical integrity and, especially, function.

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“…However, the risks of a replantation procedure and the extent of the necessary postoperative treatment should reasonably relate to the expected benefit (1,3,4,6,12). The points detailed below are of particular importance.…”

Section: Indicationsmentioning

confidence: 99%

Upper Extremity Replantation – A Review

Meyer

2003

Eur Surg

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Summary: Background: In the early 1970s, replantation surgery became an important addition to the armamentarium of reconstructive surgery. In view of the heavy institutional commitment, it became quickly obvious that this type of advanced surgery cannot be performed in all places as occasional surgery. Methods: This article provides a review of the evolution of upper extremity replantation over the past 20 years with regard to indications, basic surgical techniques, and final results. Results: Thirty-eight major upper extremity replantations have recently been analysed and compared with 182 replantations performed 20 years ago, using the same data and the same format in both series. No significant differences could be found between these two groups. Analysing this 20-year period, one finds that few changes took place. The only major change that could be ascertained was a significant decrease in the number of replantations in Switzerland due to improved safety measures for working with dangerous machines. Most probably this is true in general for all highly industrialized countries. Conclusions: Replantation of the upper extremity is a wellestablished method in the treatment of amputation injuries that has a substantial socioeconomic impact. These replantation procedures are very demanding: special skills and experience of the surgical team is the basis for excellent long-term functional results. (Eur. Surg. 2003; 35:167-173) Replantation der oberen Extremität -Eine Übersicht

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Major replantation versus revision amputation and prosthetic fitting in the upper extremity: A late functional outcomes study

Cited by 177 publications

References 18 publications

Reconstruction in Warfare Injuries

Reconstruction in Warfare Injuries

Hand Transplantation: The Milan Experience

Upper Extremity Replantation – A Review

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