Avoiding Unfavorable Results in Microsurgical Reconstruction in Upper-Extremity Trauma

ABSTRACT

The treatment of hand and upper-extremity injuries is complex. The treatment goals are to restore maximal hand function and, if possible, preinjury form. Several complications are frequently encountered while treating hand and upper-extremity injuries. Complications such as edema, direct structural destruction, and nerve palsies are the result of the inflicting injury. Skin graft contraction, fascial adhesions causing restricted tendon motion, and diminution of muscle function with time during staged reconstructions are treatment-related complications. The nature of these complications as well as means for their prevention and treatment are reviewed.

KEYWORDS

Upper-extremity trauma - avoiding unfavorable results

REFERENCES

• 1 Brüser P, Poss T, Larkin G. Results of proximal interphalangeal joint release for flexion contractures: midlateral versus palmar incision.  J Hand Surg [Am]. 1999;  24 288-294
• 2 Sheetz K K, Bishop A T, Berger R A. The arterial blood supply of the distal radius and ulna and its potential use in vascularized pedicled bone grafts.  J Hand Surg [Am]. 1995;  20 902-914
• 3 Lin C H, Wei F C, Rodriguez E D, Lin Y T, Chen C T. Functional reconstruction of traumatic composite metacarpal defects with fibular osteoseptocutaneous free flap.  Plast Reconstr Surg. 2005;  116 605-612
• 4 Lin C H, Wei F C. Immediate Camitz opponensplasty in acute thenar muscle injury.  Ann Plast Surg. 2000;  44 270-276