Current concepts of replantation.
The rapidly expanding microsurgical knowledge and technology along with a growing experience in replantation has led the way to new concepts of management that have become essential in the progressive treatment for these complex injuries. Appropriate patient selection, proper modes of limb transportation, injury assessment, surgical technique, and postoperative care are all key components to successful recovery and restoration of function. As the ability to restore vascular flow to amputated digits, hands, and limbs has advanced, critical evaluation of the potential extent of recovery in comparison to amputation revision is imperative. This article discusses the current ideas of the perioperative treatment for replantation with specific attention directed towards these evolving issues.
Raskin
K B
KB
Department of Orthopaedic Surgery, New York University Medical Center, New York, New York 10016, USA.
Weiland
A J
AJ
D000673:Amputation, Traumatic / Q000601:surgery*; D001158:Arteries / Q000601:surgery; D005383:Finger Injuries / Q000601:surgery*; D005543:Forearm Injuries / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods; D011182:Postoperative Care; D012092:Replantation / Q000379:methods*; D016896:Treatment Outcome; D014680:Veins / Q000601:surgery