[Coverage of arterial repair of the upper limb. Choice of a technique apropos of 24 cases].
Twenty-four cases of complex trauma of the upper limb, with soft tissue damage including at least loss of part of an artery and the overlying skin, were recorded and treated in the Hand Emergency Unit at the Timone Hospital in Marseilles. These cases were dealt with globally in a single staged operation with careful wound care, bone stabilisation when this was deemed necessary, arterial shunt and repair of the soft tissues. To cover the exposed arterial shunt, the choice of coverage technique depends on the site of the lesion, on the extent of soft tissue damage, and also on the reliability of the flap and its residual scar. The authors analyse their series and present their indications.
Bardot
J
J
Service de Chirurgie Plastique Réparatrice et Esthétique, Hôpital de la Conception, Marseille.
Legré
R
R
Tranier
T
T
Aubert
J P
JP
D001134:Arm Injuries / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D001916:Brachial Artery / Q000293:injuries* / Q000601:surgery; D004630:Emergencies; D005260:Female; D005543:Forearm Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D013524:Surgical Flaps; D013536:Suture Techniques
Couverture des réparations artérielles du membre supérieur. Choix d'une technique à propos de 24 cas.