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Related Experiment Videos

A protocol for tissue expansion in upper extremity reconstruction.

R Carneiro1, J Dichiara

  • 1University of Miami School of Medicine, Department of Orthopaedics and Rehabilitation, Fla 33101.

The Journal of Hand Surgery
|January 1, 1991
PubMed
Summary

Tissue expanders facilitate upper extremity reconstruction following trauma. A specialized protocol minimized complications, with only transient neuropathies observed in patients.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Tissue Engineering

Background:

  • Extensive soft tissue loss in the upper extremity presents a significant reconstructive challenge.
  • Tissue expanders offer a potential solution for complex defect reconstruction.

Observation:

  • Twenty tissue expanders were utilized in twelve patients for upper extremity reconstruction.
  • The reconstructions addressed defects resulting from trauma or burns.

Findings:

  • A protocol emphasizing limited defect size (≤30% circumference), low-profile expanders, and gradual expansion was implemented.
  • This protocol successfully averted major complications associated with tissue expansion.

Implications:

  • The described protocol demonstrates a safe and effective method for upper extremity reconstruction using tissue expanders.

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  • Transient neuropathies were the primary complication, suggesting areas for further refinement.