Outcome Assessment after Reconstruction of Complex Defects of the Forearm and Hand with Osteocutaneous Free Flaps

Kremer, Thomas; Bickert, Berthold; Germann, Günter; Heitmann, Christoph; Sauerbier, Michael

doi:10.1097/01.prs.0000227742.66799.74

Cited by 62 publications

(53 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bei adäquat onkologischer Resektion bzw. Nachresektion entsteht kein prognostischer Nachteil [22,23,30,31]. Bei Tumorwachstum im Bereich der tiefen Faszie bzw.…”

Section: Klinik Und Diagnostikunclassified

See 1 more Smart Citation

Weichgewebesarkome an Unterarm und Hand

Müller

Bickert

Germann

et al. 2008

Chirurg

View full text Add to dashboard Cite

Radical tumor resection (R0) is the main therapeutic goal in the treatment of sarcomas of the forearm and hand. Plastic reconstructive procedures play a key role in limb salvage by coverage of complex defects. Sophisticated reconstructive techniques are required with the forearm and hand. Twenty patients with soft-tissue sarcomas of the hand and forearm were treated in our department between January 1995 and January 2005. Eleven were male and nine were female. The average age was 48 years. The most common tumor was myxoid fibrous histiocytoma, followed by synovial cell sarcoma. Six patients received free microvascular transplantations to cover their defects. Mesh graft or primary closure was possible in three cases; one patient received a local flap and one a pedicled flap. In nine cases preserving the limb was not possible. Ten patients received radiation and four got chemotherapy (two with neoadjuvant chemotherapy). In 18 cases histologic R0 resection was possible, in two cases R1 resection. Two patients suffered from tumor recurrence after R0 resection. The average follow-up-time was 42 months. These results show the necessity of plastic surgical reconstruction of the forearm and hand as an integral component of modern sarcoma therapy. Multidisciplinary cooperation is mandatory for adequate treatment.

show abstract

“…Bei adäquat onkologischer Resektion bzw. Nachresektion entsteht kein prognostischer Nachteil [22,23,30,31]. Bei Tumorwachstum im Bereich der tiefen Faszie bzw.…”

Section: Klinik Und Diagnostikunclassified

“…Nach wie vor ist die Resektion im Gesunden (R0-Resektion) die wichtigste Maß-nahme im multimodalen Therapiekonzept [7,17,19,22,30,31,32]. Keine andere neoadjuvante oder postoperative Therapieoption kann die onkologisch adäquate Resektion ersetzen [5,20,21,28,29].…”

Section: Therapieunclassified

Weichgewebesarkome an Unterarm und Hand

Müller

Bickert

Germann

et al. 2008

Chirurg

View full text Add to dashboard Cite

show abstract

“…Auch bei optimaler Therapie ist allerdings eine relevante perioperative Morbidität von etwa 30% zu erwarten, so dass eine gute Patientenauswahl und -führung obligat ist. [48].…”

Section: Therapie Von Dekubitalulzeraunclassified

Plastisch-rekonstruktive Verfahren in der interdisziplinären Therapie chronischer Wunden

Kremer

Germann

Riedel

et al. 2008

Chirurg

View full text Add to dashboard Cite

Chronic wounds are an increasingly serious socioeconomic problem. Their most frequent underlying causes are peripheral arterial occlusive disease, chronic venous insufficiency, and diabetic foot syndrome. Such wounds are also found in post-traumatic conditions or as pressure sores in nonambulatory patients. This review presents the reconstructive plastic surgical options and decision-making algorithms embedded for an interdisciplinary approach.

show abstract

“…Bone defects > 6 cm and those associated with recurrent nonunions may be candidates for microvascular bone transfer. Various techniques and donor sites have been described to reconstruct bone loss in the upper extremity [66,67]. Several flaps are available such as vascularized bone including fibula, iliac crest, scapula, LA, radial forearm, and dorsalis pedis.…”

Section: Microsurgical Reconstruction Of Bone Defectsmentioning

confidence: 99%

Microvascular Reconstruction of the Upper Extremity

Whitaker

Josty

van-Aalst

et al. 2007

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Where possible, the best results may be achieved by reattaching the amputated original tissues (microsurgical replantation). In noninfected, uncontaminated traumatic injuries resulting in composite soft tissue defects, Early free flap reconstruction of the upper extremities has important advantages over delayed (72 h-3 months) or late wound closure (3 months-2 years). In recent years, thin, pliable, and versatile fasciocutaneous flaps such as the anterolateral thigh (ALT) and lateral arm (LA) free flaps have been increasingly used with great success to reconstruct the upper extremity. The use of "spare parts" and functional reconstructions using osteomyocutaneous free flaps or toe to thumb transfers complete the armamentarium of the upper limb reconstructive microsurgeon.

show abstract

Outcome Assessment after Reconstruction of Complex Defects of the Forearm and Hand with Osteocutaneous Free Flaps

Abstract: This analysis demonstrates that limb salvage with osteocutaneous free flaps is the treatment of choice for three-dimensional defects of the forearm and hand.

Cited by 62 publications

References 42 publications

Weichgewebesarkome an Unterarm und Hand

Weichgewebesarkome an Unterarm und Hand

Plastisch-rekonstruktive Verfahren in der interdisziplinären Therapie chronischer Wunden

Microvascular Reconstruction of the Upper Extremity

Contact Info

Product

Resources

About