ISSN: 1859 - 2872
Reconstruction of arm stump using microsurgery
Main Article Content
Keywords
Limb stump, microsurgery, , plastic stump reconstruction
Abstract
Objective: To report on the results of stump reconstruction using microsurgery. Subject and method: The neurovascular bundle of reconstructive composite flap was microsurgically sutured and all structures were restored. Result: All wounds healed uneventfully. All microanastomoses were good. The patient was very satisfied with the functional recovery. The reconstructed part can participate in most daily activities. Conclusion: Microsurgery opens up valuable prospects for stump reconstruction. The method allows patient to improve significantly the quality of life and career opportunities.
Article Details
References
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2. Dubernard JM, Owen E, Herzberg G et al (1999) Human hand allograft: Report on first 6 months. Lancet 353(9161):1315-1320.
3. Dubernard JM, Owen E, Lefrançois N, Petruzzo P, Martin X, Dawahra M, Jullien D, Kanitakis J, Frances C et al (2000) First human hand transplantation. Case report. Transpl Int 1: 521-524.
4. Kay SPJ, Leonard DA (2023) Hand transplantation: can we balance the risks and benefits? J Hand Surg Eur 48(3): 208-213.
5. Wright TW, Hagen AD, Wood MB (1995) Prosthetic usage in major upper extremity amputations. J Hand Surg Am 20(4): 619-22.
6. Furtmüller GJ, Oh B, Grahammer J et al (2016) Orthotopic hind limb transplantation in the mouse. J Vis Exp (108): 53483.
7. Birch R (2011) Nerve repair. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, editors. Green’s operative hand surgery. Philadelphia: Elsevier: 1035-1074.
8. Tanaka K, Fujita N, Higashi Y, Ogawa N (2002) Neuroprotective and antioxidant properties of FKBP-binding immunophilin ligands are independent on the FKBP12 pathway in human cells. Neurosci Lett 330(2): 147-150.
9. Yan Y, Sun HH, Hunter DA, Mackinnon SE, Johnson PJ (2012) Efficacy of short-term FK506 administration on accelerating nerve regeneration. Neurorehabil Neural Repair 26(6): 570-580.
10. Moore AM, Ray WZ, Chenard KE, Tung T, Mackinnon SE (2009) Nerve allotransplantation as it pertains to composite tissue transplantation. Hand (N Y) 4(3): 239-244.
11. Mackinnon SE, Doolabh VB, Novak CB, Trulock EP (2001) Clinical outcome following nerve allograft transplantation. Plast Reconstr Surg 107(6): 1419-1429.
12. Brandacher G, Gorantla VS, Lee WP (2010) Hand allotransplantation. Semin Plast Surg 24(1): 11-17.