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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Fractures: Bone Repair01:27

Fractures: Bone Repair

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Flail Chest-II01:26

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Burn Injuries01:22

Burn Injuries

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Updated: May 19, 2026

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
07:59

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Published on: October 29, 2021

Current management of the mangled upper extremity.

Marko Bumbasirevic1, Milan Stevanovic, Aleksandar Lesic

  • 1School of Medicine, Clinic of Orthopaedic Surgery and Traumatology, Clinical Centre, University of Belgrade, Visegradska 26, 11000 Belgrade, Serbia. marko.bumbasirevic@gmail.com

International Orthopaedics
|August 28, 2012
PubMed
Summary
This summary is machine-generated.

Mangled upper extremity injuries require prompt surgical reconstruction for optimal outcomes. Early, complete reconstruction is preferred over amputation, emphasizing meticulous surgical steps and rehabilitation.

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Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction
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Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction
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Published on: September 28, 2019

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Microsurgery

Background:

  • Mangled extremities present a complex challenge with two primary treatment options: amputation or salvage reconstruction.
  • Modern advancements in microsurgery, fixation devices, and reconstructive techniques have improved outcomes for limb salvage.

Purpose of the Study:

  • To review the principles and outcomes of mangled upper extremity reconstruction.
  • To emphasize the importance of early intervention and comprehensive surgical management.

Main Methods:

  • Review of current literature on mangled upper extremity treatment.
  • Discussion of essential surgical steps including debridement, fixation, revascularization, nerve repair, and soft tissue coverage.
  • Emphasis on early and planned rehabilitation.

Main Results:

  • Early or immediate upper extremity reconstruction yields better clinical and functional results compared to delayed procedures.
  • Successful reconstruction offers outcomes often superior to modern prosthetics.
  • Comprehensive management, including debridement, antibiotics, irrigation, fixation, revascularization, nerve repair, and soft tissue coverage, is crucial.

Conclusions:

  • Early, complete upper extremity reconstruction should be the treatment of choice when feasible.
  • While scoring systems aid decision-making, surgical judgment remains paramount in choosing between reconstruction and amputation.
  • Meticulous surgical technique and timely rehabilitation are key to achieving favorable functional outcomes.