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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Addressing common orthopaedic calamities with microsurgical solutions.

Wen Xu1, L Scott Levin2

  • 1Division of Plastic Surgery, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, United States.

Injury
|May 25, 2021
PubMed
Summary

Reconstructive microsurgery is vital for orthopaedic surgery and extremity reconstruction. This article explores microsurgical solutions for complex cases like trauma, infection, and tumors.

Keywords:
Free vascularized bone graftLymphedemaMicrosurgeryOrthopaedic surgeryOrthoplastic limb salvageReplantationVascularized composite allograft

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Area of Science:

  • Orthopaedic Surgery
  • Microsurgery
  • Extremity Reconstruction

Background:

  • Reconstructive microsurgery has been integral to orthopaedic surgery since the mid-20th century.
  • The reconstructive ladder encompasses techniques from secondary intention healing to free tissue transfer and vascularized composite allotransplantation.
  • Microsurgical skills have advanced alongside orthopaedic surgery over the past 60 years.

Purpose of the Study:

  • To discuss complex orthopaedic surgery scenarios requiring microsurgical intervention.
  • To present the spectrum of microsurgical solutions available for managing these challenging cases.

Main Methods:

  • Review of complex orthopaedic surgery scenarios including trauma, infection, and tumor resection.
  • Discussion of various reconstructive microsurgical techniques.

Main Results:

  • Microsurgical solutions offer effective management for diverse orthopaedic challenges.
  • Advanced microsurgical skills are crucial for successful extremity reconstruction.

Conclusions:

  • Reconstructive microsurgery is indispensable in modern orthopaedic practice.
  • A comprehensive understanding of microsurgical techniques is essential for addressing complex orthopaedic conditions.