FREE TISSUE TRANSFERS TO THE UPPER-LIMB

被引:12
作者
FOO, ITH [1 ]
MALATA, CM [1 ]
KAY, SPJ [1 ]
机构
[1] ST JAMES UNIV HOSP,BECKETT ST,LEEDS LS9 7TF,W YORKSHIRE,ENGLAND
关键词
D O I
10.1016/0266-7681(93)90041-D
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
90 consecutive free tissue transfers to the upper limb have been performed in 75 patients (33 children and 42 adults) by one surgeon over a 3-year period. The average age for children was 5 years, and 25 years in adults. 17 transfers were performed as emergency or urgent procedures. The main indications were congenital and traumatic defects. Included in this series were 44 toe transfers, 28 lateral arm flaps and six functional muscle transfers. The overall success rate was 99%. The re-exploration rate was 5.6% with only one failure. There were no failures in children.
引用
收藏
页码:279 / 284
页数:6
相关论文
共 21 条
[1]  
BUNCKE H.J., BUNCKE C.M., SCHULZ W.P., Immediate Nicoladoni procedure in the Rhesus monkey, or hallux-to-hand transplantation utilising microminiature vascular anastomosis, British Journal of Plastic Surgery, 19, pp. 332-337, (1966)
[2]  
CANALES F., LINEAWEAVER W.C., FURNAS H., WHITNEY T.M., SIKO P.P., ALPERT B.S., BUNCKE G.M., BUNCKE H.J., Microvascular tissue transfer in paediatric patients: Analysis of 106 cases, British Journal of Plastic Surgery, 44, pp. 423-427, (1991)
[3]  
COBBETT J.R., Free digital transfer: Report of a case of transfer of a great toe to replace an amputated thumb, Journal of Bone and Joint Surgery, 51B, 4, pp. 677-679, (1969)
[4]  
FOUCHER G., MOSS A.L.H., Microvascular second toe to finger transfer: A statistical analysis of 55 transfers, British Journal of Plastic Surgery, 44, pp. 87-90, (1991)
[5]  
FOUCHER G., SAMMUT D., CITRON N., Free vascularised toe joint transfer in hand reconstruction: a series of 25 patients, Journal of Reconstructive Microsurgery, 6, pp. 201-207, (1990)
[6]  
GILBERT A., Reconstruction of congenital hand defects with microvascular toe transfers, Hand Clinics, 1, 2, pp. 351-360, (1985)
[7]  
Harii K., OHMORI K., OHMORI S., Successful clinical transfer of ten free flaps by microvascular anastomoses, Plastic and Reconstructive Surgery, 53, 3, pp. 259-270, (1974)
[8]  
JACOBSON J.H., SUAREZ E.L., Microsurgery in anastomosis of small vessels, Surgical Forum, 11, pp. 243-245, (1960)
[9]  
KATSAROS J., SCHUSTERMAN M., BEPPU M., BANIS J.C., ACLAND R.D., The lateral upper arm flap: Anatomy and clinical applications, Annals of Plastic Surgery, 12, 6, pp. 489-500, (1984)
[10]  
KLEINERT H.E., KASDAN M.L., ROMERO J.L., Small bloodvessel anastomosis for salvage of severely injured upper extremity, Journal of Bone and Joint Surgery, 45 A, 4, pp. 788-796, (1963)