[Macroreplantation of the upper extremity: Inventory in 2024]
Pierre Barbat1, Anne Sophie Henry1, Anastasia Pop1
1Service de chirurgie plastique, reconstructrice et esthétique, CHRU de la Cavale Blanche de Brest, université de Brest, boulevard Tanguy-Prigent, 29200 Brest, France.
Summary
Macro-amputations are severe upper limb traumas. This review updates treatment protocols for macro-reimplantation, crucial for limb survival and function.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Hand Surgery
Background:
- Macro-amputations are rare but critical emergencies in upper limb surgery.
- Treatment protocols are often not well-established among surgical and anesthetic teams due to rarity.
Purpose of the Study:
- To provide an updated review of macro-amputation injuries.
- To propose a treatment algorithm for guiding medical teams in managing these complex cases.
Main Methods:
- Literature review on macro-amputations and reimplantation.
- Development of a treatment algorithm based on current knowledge.
Main Results:
- Highlights the importance of a well-defined action plan for macro-reimplantation.
- Emphasizes key pre- and post-operative management stages for successful outcomes.
Conclusions:
- Effective management of macro-amputations requires precise knowledge of surgical and anesthetic protocols.
- A structured approach is essential for limb survival and functional recovery after major upper limb reimplantation.
Keywords:
AlgorithmAlgorithmeHistoriqueHistoryMacro-réimplantationMacroreplantationMembre supérieurSurgical sequenceSéquence chirurgicaleUpper limbMore Related Videos
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