BACKGROUND: Free vascularized tissue transfer to preserve upper extremity amputation level is an uncommon procedure. The authors investigate the role of free tissue transfer in preserving both morphology and function of the amputated upper extremity, with the goal of facilitating prosthetic rehabilitation.METHODS: Thirteen patients who underwent microsurgical free tissue transfer to preserve upper extremity amputation level were reviewed retrospectively. These cases were selected from four centers: Duke University Medical Center (Durham, N.C.) University Hospital of Modena (Modena, Italy), Careggi University Hospital (Florence, Italy), and the University of Heidelberg (Heidelberg, Germany). Parameters that were evaluated included age, sex, cause of the defect, reconstructive procedure, structures to be salvaged, and functional outcome, among others.RESULTS: The cause of amputation was trauma in 92 percent of patients. Mean age was 32 years. In 31 percent of the cases, an emergency free fillet flap was used, and in the remaining 69 percent, a traditional free flap was performed. Structures/function to be preserved included pinch function to the hand, function of the elbow and shoulder joints, and skeletal length greater than 7 cm. Complications occurred in 38 percent of the cases, but the final goal of the procedure was achieved in all cases. A treatment algorithm for the management of the amputated upper extremity is presented.CONCLUSION: Use of free vascularized tissue transfer for preservation of upper extremity amputation level in well-selected cases facilitates prosthetic rehabilitation and improves residual limb function

Free vascularized tissue transfer to preserve upper extremity amputation levels / Baccarani, A; Follmar, Ke; DE SANTIS, Giorgio; Adani, R; Pinelli, M; Innocenti, M; Baumeister, S; VON GREGORY, H; Germann, G; Erdmann, D; Levin, Ls. - In: PLASTIC AND RECONSTRUCTIVE SURGERY. - ISSN 0032-1052. - ELETTRONICO. - 120:4(2007), pp. 971-981. [10.1097/01.prs.0000256479.54755.f6]

Free vascularized tissue transfer to preserve upper extremity amputation levels

BACCARANI A;DE SANTIS, Giorgio;
2007

Abstract

BACKGROUND: Free vascularized tissue transfer to preserve upper extremity amputation level is an uncommon procedure. The authors investigate the role of free tissue transfer in preserving both morphology and function of the amputated upper extremity, with the goal of facilitating prosthetic rehabilitation.METHODS: Thirteen patients who underwent microsurgical free tissue transfer to preserve upper extremity amputation level were reviewed retrospectively. These cases were selected from four centers: Duke University Medical Center (Durham, N.C.) University Hospital of Modena (Modena, Italy), Careggi University Hospital (Florence, Italy), and the University of Heidelberg (Heidelberg, Germany). Parameters that were evaluated included age, sex, cause of the defect, reconstructive procedure, structures to be salvaged, and functional outcome, among others.RESULTS: The cause of amputation was trauma in 92 percent of patients. Mean age was 32 years. In 31 percent of the cases, an emergency free fillet flap was used, and in the remaining 69 percent, a traditional free flap was performed. Structures/function to be preserved included pinch function to the hand, function of the elbow and shoulder joints, and skeletal length greater than 7 cm. Complications occurred in 38 percent of the cases, but the final goal of the procedure was achieved in all cases. A treatment algorithm for the management of the amputated upper extremity is presented.CONCLUSION: Use of free vascularized tissue transfer for preservation of upper extremity amputation level in well-selected cases facilitates prosthetic rehabilitation and improves residual limb function
120
4
971
981
Free vascularized tissue transfer to preserve upper extremity amputation levels / Baccarani, A; Follmar, Ke; DE SANTIS, Giorgio; Adani, R; Pinelli, M; Innocenti, M; Baumeister, S; VON GREGORY, H; Germann, G; Erdmann, D; Levin, Ls. - In: PLASTIC AND RECONSTRUCTIVE SURGERY. - ISSN 0032-1052. - ELETTRONICO. - 120:4(2007), pp. 971-981. [10.1097/01.prs.0000256479.54755.f6]
Baccarani, A; Follmar, Ke; DE SANTIS, Giorgio; Adani, R; Pinelli, M; Innocenti, M; Baumeister, S; VON GREGORY, H; Germann, G; Erdmann, D; Levin, Ls
File in questo prodotto:
File Dimensione Formato  
free vascularised.pdf

non disponibili

Tipologia: Post-print dell'autore (bozza post referaggio)
Dimensione 2.76 MB
Formato Adobe PDF
2.76 MB Adobe PDF   Visualizza/Apri   Richiedi una copia
PRS-2007-UEAmp.pdf

non disponibili

Dimensione 2.76 MB
Formato Adobe PDF
2.76 MB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11380/608445
Citazioni
  • ???jsp.display-item.citation.pmc??? 7
  • Scopus 34
  • ???jsp.display-item.citation.isi??? 32
social impact