Microsurgical Reconstruction of the Burned Hand and Upper Extremity

被引：4

作者：

De la Garza, Mauricio ^{[1
]}

Sauerbier, Michael ^{[2
,3
]}

Guenter, Germann ^{[3
]}

Cetrulo, Curtis L., Jr. ^{[4
]}

Bueno, Reuben A., Jr. ^{[5
]}

Russell, Robert C. ^{[6
]}

Neumeister, Michael W. ^{[1
]}

机构：

[1] Southern Illinois Univ, Inst Plast Surg, 747 North Rutledge St, Springfield, IL 62702 USA

[2] BG Trauma Ctr, Dept Plast Hand & Reconstruct Surg, Friedberger Landstr 430, D-60389 Frankfurt, Germany

[3] Heidelberg Univ, BG Trauma Ctr Ludwigshafen, Burn Ctr, Dept Plast Hand & Reconstruct Surg, Ludwig Guttman St 13, D-67071 Ludwigshafen, Germany

[4] Massachusetts Gen Hosp, Dept Surg, Div Plast Surg, 55 Fruit St, Boston, MA 02114 USA

[5] Vanderbilt Univ, Med Ctr, Monroe Carell Jr Childrens Hosp, Dept Plast Surg, D-4207 Med Ctr North, Nashville, TN 37232 USA

[6] Heartland Plast Surg Ctr, 320 East Carpenter, Spfingfield, IL 62702 USA

来源：

HAND CLINICS | 2017年 / 33卷 / 02期

关键词：

Microsurgery; Hand; Burn; Reconstruction; Free flap; Contracture; POSTBURN PALMAR CONTRACTURES; PERFORATOR FLAP; INJURIES; TRANSFERS; DEFECTS; SKIN;

D O I：

10.1016/j.hcl.2016.12.007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Improvements in critical care and burn victim resuscitation have led to increased survival of burned patients. Initial resuscitation, early excision of burned tissues, prevention of burn wound sepsis, and wound coverage remain mainstays of care. Many burn wounds require complex reconstruction. This is particularly important in the hand. Coverage of tendons, ligaments, joints, vessels, nerves, and bones of the hand requires healthy vascularized tissue to maintain viability and function. Local flaps or regional flaps may be within the burn zone of injury. Refined microvascular free tissue transfer techniques offer free tissue transfer as a procedure that can be safely performed.

引用

页码：347 / +

页数：16

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