Oncologic reconstruction of the hand and upper extremity: Maximizing functional outcomes

被引:9
作者
Knaus, William J. [1 ]
Alluri, Ram [2 ]
Bakri, Karim [3 ]
Iorio, Matthew L. [1 ]
机构
[1] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Div Plast Surg, 330 Brookline Ave,Stoneman 10, Boston, MA USA
[2] Univ So Calif, Keck Sch Med, Dept Orthopaed Surg, Los Angeles, CA 90033 USA
[3] Mayo Clin, Div Plast Surg, Rochester, MN USA
关键词
upper extremity reconstruction; free flap; anterior lateral thigh flap; oncologic reconstruction; SOFT-TISSUE SARCOMA; LIMB-SALVAGE SURGERY; FLAP RECONSTRUCTION; POSTOPERATIVE RADIOTHERAPY; NERVE RECONSTRUCTION; SURGICAL-MANAGEMENT; RADIATION-THERAPY; RANDOMIZED-TRIAL; AMPUTATION; TUMORS;
D O I
10.1002/jso.24196
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Upper extremity malignancies have the potential to create significant functional impairment, and as such represent an opportunity for collaborative reconstruction to minimize potential morbidity. Given the increased complexity and array of potential reconstruction solutions, functional limb preservation is overwhelmingly and increasingly successful in appropriately selected patients. The purpose of this review is to familiarize the reader with the general functional considerations of the upper extremity, review major reconstructive options, and present a general algorithm for reconstruction and maintenance of function. J. Surg. Oncol. 2016;113:946-954. (c) 2016 Wiley Periodicals, Inc.
引用
收藏
页码:946 / 954
页数:9
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