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Surgical Management of Secondary Complex Microsurgical Reconstructions after Amputation and Severe Trauma Injuries: A
Marcel Hoh1, Sebastian Geis2, Silvan Klein2
1Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Medical Center, 95445 Bayreuth, Germany.
Introduction:
Secondary complex microsurgical reconstructions after amputation and severe trauma injuries are often necessary to optimize functional outcomes.
Methods And Patients:
We reviewed eight patients who underwent extensive reconstruction after severe trauma. The details of secondary procedures are further described in the article. A literature search was performed using the National Center for Biotechnology Information (NCBI) database for studies evaluating secondary procedures after complex reconstructions.
Discussion:
To date, the order and the need for performing secondary procedures have yet to be fully defined. The tissues encountered include skin, soft tissue, bone, nerve, joint, and tendon.
Conclusions:
We described the use of a decision-theoretic approach to the secondary reconstruction. Treatment of a complex trauma should be measured by functional outcome.
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