Algorithmic surgical enhancement of function after finger revascularisation
Secondary surgical procedures can improve the function of revascularised and replanted digits. We describe the case of a patient who underwent multidigit revascularisation and replantation following a saw injury at flexor tendon Zone II. To achieve maximal functional improvement after finger revascu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2016-05-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191313 |
| _version_ | 1818990353178427392 |
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| author | Luis Landin Pedro Bolado Maria-Angeles Gajete Alvaro Gonzalez-Miranda Jorge Bonastre |
| author_facet | Luis Landin Pedro Bolado Maria-Angeles Gajete Alvaro Gonzalez-Miranda Jorge Bonastre |
| author_sort | Luis Landin |
| collection | DOAJ |
| description | Secondary surgical procedures can improve the function of revascularised and replanted digits. We describe the case of a patient who underwent multidigit revascularisation and replantation following a saw injury at flexor tendon Zone II. To achieve maximal functional improvement after finger revascularisation, we performed secondary surgical procedures in an order that was determined by following a reconstructive decision procedure that covered late revascularisation, nerve reconstruction, pedicled vascularised joint transfer, staged flexor tendon reconstruction and skin revision. Performing the procedures in this manner ensured overall safety. The patient’s disabilities of the arm, hand and shoulder questionnaire score improved by 45 points, and the patient was able to return to work with an almost complete range of motion. |
| first_indexed | 2024-12-20T19:53:01Z |
| format | Article |
| id | doaj.art-7e0415ac972b49f691600dcd12d475d6 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-20T19:53:01Z |
| publishDate | 2016-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-7e0415ac972b49f691600dcd12d475d62022-12-21T19:28:15ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2016-05-01490223924410.4103/0970-0358.191313Algorithmic surgical enhancement of function after finger revascularisationLuis Landin0Pedro Bolado1Maria-Angeles Gajete2Alvaro Gonzalez-Miranda3Jorge Bonastre4Division of Plastic and Reconstructive Surgery, Hospital Universitario La Paz, Madrid, SpainDivision of Plastic and Reconstructive Surgery, Hospital Universitario La Paz, Madrid, SpainDivision of Plastic and Reconstructive Surgery, Hospital Universitario La Paz, Madrid, SpainDivision of Plastic and Reconstructive Surgery, Hospital Universitario La Paz, Madrid, SpainDivision of Plastic and Reconstructive Surgery, Hospital Universitario La Paz, Madrid, SpainSecondary surgical procedures can improve the function of revascularised and replanted digits. We describe the case of a patient who underwent multidigit revascularisation and replantation following a saw injury at flexor tendon Zone II. To achieve maximal functional improvement after finger revascularisation, we performed secondary surgical procedures in an order that was determined by following a reconstructive decision procedure that covered late revascularisation, nerve reconstruction, pedicled vascularised joint transfer, staged flexor tendon reconstruction and skin revision. Performing the procedures in this manner ensured overall safety. The patient’s disabilities of the arm, hand and shoulder questionnaire score improved by 45 points, and the patient was able to return to work with an almost complete range of motion.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191313fingerreplantationtendonvascularised joint transfer |
| spellingShingle | Luis Landin Pedro Bolado Maria-Angeles Gajete Alvaro Gonzalez-Miranda Jorge Bonastre Algorithmic surgical enhancement of function after finger revascularisation Indian Journal of Plastic Surgery finger replantation tendon vascularised joint transfer |
| title | Algorithmic surgical enhancement of function after finger revascularisation |
| title_full | Algorithmic surgical enhancement of function after finger revascularisation |
| title_fullStr | Algorithmic surgical enhancement of function after finger revascularisation |
| title_full_unstemmed | Algorithmic surgical enhancement of function after finger revascularisation |
| title_short | Algorithmic surgical enhancement of function after finger revascularisation |
| title_sort | algorithmic surgical enhancement of function after finger revascularisation |
| topic | finger replantation tendon vascularised joint transfer |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191313 |
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