Reconstruction of the hand and upper extremity after tumor resection.
This article reviews the surgical options available for reconstruction of the upper extremity following tumor resection. In order to achieve maximum function and limb salvage a multidisciplinary approach to patient care is emphasized. With proper preoperative planning, salvage of limb form and function can be accomplished in over 95% of cases. Successful reconstruction is measured by preservation of patient health, limb function, limb sensation and cosmesis and stable wound coverage. Important adjuncts to reconstruction include adequate postoperative splinting and aggressive rehabilitation to maximize long-term upper extremity function.
Saint-Cyr
Michel
M
Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Langstein
Howard N
HN
D001132:Arm / Q000601:surgery; D003131:Combined Modality Therapy; D004550:Elbow / Q000601:surgery; D005385:Fingers / Q000601:surgery; D005542:Forearm / Q000601:surgery; D006225:Hand / Q000601:surgery*; D006801:Humans; D023821:Limb Salvage; D009369:Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D017568:Rectus Abdominis / Q000637:transplantation; D016038:Skin Transplantation; D012983:Soft Tissue Neoplasms / Q000601:surgery; D013524:Surgical Flaps; D013709:Tendon Transfer / Q000379:methods; D016896:Treatment Outcome; D034941:Upper Extremity / Q000601:surgery*