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Severe Tramatic Defects of the Upper Limb: Published in association with the Federation of European Societies for Surgery of the Hand PDF

447 Pages·2003·10.52 MB·English
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Preview Severe Tramatic Defects of the Upper Limb: Published in association with the Federation of European Societies for Surgery of the Hand

Severe Traumatic Defects of the Upper Limb Severe Traumatic Defects of the Upper Limb Edited by Alain C Masquelet Professor of Orthopaedics and Traumatology Hopital Avicenne Bobigny France Acacio C Ferreira Director, Servico de Chirurgia Plastica Hospital Santa Maria Lisbon Portugal LONDON AND NEW YORK © 2003 Martin Dunitz, an imprint of Taylor & Francis Group First published in the United Kingdom in 2003 by Martin Dunitz, an imprint of Taylor and Francis Group, 11 New Fetter Lane, London EC4P 4EE Tel.: +44 (0) 20 7583 9855 Fax.: +44 (0) 20 7842 2298 E-mail: Scarborough, Ontario M1R 4G2, Canada Toll Free Tel.: +1 877 226 2237 E-mail: CONTENTS Contributors viii INTRODUCTION 1 What is a severe defect? Alain C Masquelet 1 SOFT TISSUE REPAIR: FLAP TECHNIQUES 2 Pedicled fasciocutaneous and adipofascial flaps José Amarante 4 3 Pedicled muscle and musculocutaneous flaps Christoph Heitmann and L Scott Levin 24 4 Free flaps Horacio Costa 35 5 Emergency free flaps for the reconstruction of open injuries of the upper limb 56 Maurizio Calcagni and Giorgio Pajardi BONE RECONSTRUCTION 6 Bone auto-and allografts in post-traumatic reconstruction of the upper limb 64 Olivier Barbier and Jean-Jacques Rombouts 7 Massive bone defects of the upper limb: reconstruction by vascularized bone transfer 85 Michael B Wood 8 Loss of the post-traumatic infected substance of the upper limb Ferdinando Da Rin, Mauro Ciotti and Alain Gilbert 100 9 Bone substitutes Norbert Passuti, Lawrence Bigotte, Sophie Touchais, Joël Delécrin 120 and François Gouin JOINT RECONSTRUCTION 10 Joint transfers and joint reconstruction Luc Téot 132 11 Joint replacement as a secondary procedure John K Stanley and Ian A Trail 142 12 Joint fusion in severe traumatic defects of the upper limb Giorgio A Brunelli 152 NERVE DEFECT REPAIR 13 Nerve grafts Michel Merle and Aymeric Lim 167 14 Bridging nerve defects: the role of tissue interpositioning Göran Lundborg 189 15 End-to-side neurorrhaphy: an alternative method for reinnervation in cases with long nerve defects 209 Manfred Frey and Pietro Giovanoli TENDON DEFECT REPAIR 16 Conventional tendon grafting Antonio Landi, Giuseppe Caserta, Norman Della Rosa and Andrea 224 Leti Acciaro 17 When to use vascularized tendon transfers and how is the digital flexion sliding system supposed to work? 293 Jean C Guimberteau COMPOUND TRANSFERS 18 Composite tissue transfer in the upper extremity Günter Germann and Simone Brüner 312 19 Free functioning muscle transfer Alain Gilbert and Vittore Costa 323 20 Combined soft tissue and tendon reconstruction: the dorsum and thenar regions 334 Francisco del Piñal GENERAL INDICATIONS 21 Principles of emergency reconstruction Abel Nascimento 352 22 Principles or repair of a compound defect as a secondary procedure: the multiple stages approach 365 Alain C Masquelet 23 Surgical management of infection Manuel Llusa, Xavier Mir and Xavier Flores 377 24 Reconstruction of large defects of the upper limb in children Massimo Ceruso, Filippo M Sènés, Giuseppe Checcucci, Prospero 388 Bigazzi, Alessandra Allegra and Gloria Taliani 25 Future advances in hand and upper limb surgery: application of tissue engineering and biotechnology Panayotis N Soucacos 400 Index 411 CONTRIBUTORS Andrea Leti Acciaro Unit of Hand Surgery and Microsurgery Azienda Ospedaliera Policlinico of Modena Italy Alessandra Allegra a 2 UO Anestesia e Rianimazione Azienda Ospedaliera Careggi Firenze Italy José Amarante Plastic Surgery Department São João University Hospital Porto Portugal Olivier Barbier Hand and Orthopaedic Surgeon St-Luc University Hospital 1200 Brussels Belgium Prospero Bigazzi UO Chirurgia della Mano e Microchirurgia Ricostruttiva Azienda Ospedaliera Careggi Firenze Italy Laurence Bigotte Clinique Chirurgicale Orthopédique CHU Nantes France Giorgio A Brunelli University of Brescia Medical School Brescia Italy Simone Brüner Department of Hand, Plastic and Reconstructive Surgery Burn Center BG Trauma Center and Ludwig-Guttmann-Strasse 13 67071 Ludwigshafen Germany Maurizio Calcagni Department of Hand Surgery Policlinico MultiMedica Institute of Plastic and Reconstructive Surgery University of Milan Via Milanese, 300 Sesto San Giovanni Milan I-20099 Italy Giuseppe Caserta Unit of Hand Surgery and Microsurgery Azienda Ospedaliera Policlinico of Modena Italy Massimo Ceruso UO Chirurgia della Mano e Microchirurgia Ricostruttiva Azienda Ospedaliera Careggi Firenze Italy Giuseppe Checcucci UOC Chirurgia della Mano e Microchirurgia Ricostruttiva Azienda Ospedaliera Careggi Firenze Italy Mauro Ciotti Istituti Codivilla-Putti Cortina Italy Horacio Costa Plastic Surgery Department

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