Macroreplantation of the upper extremity: Inventory in 2024

Macro-amputations are extremely serious traumas and represent one of the rare extreme emergencies in hand and upper limb surgery. Their rarity, especially in our developed countries, makes their treatment relatively unknown by surgical and anesthetic teams. However, the action plan to use during a m...

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Bibliographic Details
Published in:Annales de chirurgie plastique et esthétique 2024-09, Vol.69 (5), p.355
Main Authors: Barbat, Pierre, Henry, Anne Sophie, Pop, Anastasia, Claudic, Yannis, Saraoui, Wyçal, Hu, Weiguo
Format: Article
Language:eng ; fre
Subjects:
Algorithms
Amputation, Traumatic - surgery
Humans
Replantation - methods
Upper Extremity - injuries
Upper Extremity - surgery
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Summary:Macro-amputations are extremely serious traumas and represent one of the rare extreme emergencies in hand and upper limb surgery. Their rarity, especially in our developed countries, makes their treatment relatively unknown by surgical and anesthetic teams. However, the action plan to use during a macro-reimplantation, the decisive elements of pre- and post-operative management, and the key stages of the surgery, must be perfectly known, because they determine the success of a major reimplantation, for the limb survival and the future functional result. After a brief historical overview, the literature review proposed here provides an opportunity for an update on these formidable injuries and propose a treatment algorithm to guide the medical team in the management of these complex patients.
ISSN:1768-319X
1768-319X
DOI:10.1016/j.anplas.2024.06.001