An Update on the Management of Severe Crush Injury to the Forearm and Hand - 03/09/20
Résumé |
The main goals of treating severe crush injuries are debriding away devitalized tissue and filling any resultant dead space with vascularized tissue. In the authors’ experience, the most ideal methods for soft tissue coverage in treating crush injuries are the iliac flap, the adipofascial lateral arm flap, and the gracilis flap. Accompanying bone defects respond very well to free corticoperiosteal flaps. Digital defects often require the use of complete or subtotal toe transfer to avoid amputation and restore function to the hand.
Le texte complet de cet article est disponible en PDF.Keywords : Crush syndrome, Hand, Compartimental syndrome, Free flap, Hand revascularization, Microsurgery, Forzen hand
Plan
This article is an update of a previous version originally published in Clinics in Plastic Surgery, Volume 44, Issue 2, April 2017. The author has nothing to disclose. |
Vol 47 - N° 4
P. 461-489 - octobre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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