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[Amputation involving the hand: indication and technique (author's transl)]
Summary
Work-related hand injuries can lead to amputations. When replantation isn't possible, plastic surgery aims to restore hand function and grasp.
Area of Science:
- Orthopedics
- Hand Surgery
- Trauma Surgery
Context:
- Work-related hand injuries are a significant cause of morbidity.
- Amputation occurs in over 3% of hand injuries, involving 878 amputations in 479 patients.
- Microsurgical replantation is not always feasible for severe hand trauma.
Purpose:
- To discuss surgical procedures for hand reconstruction after amputation.
- To outline strategies for rebuilding sensitive and vigorous grasp when replantation is not an option.
Summary:
- This study reviews plastic surgery techniques for hand reconstruction following traumatic amputations.
- Focus is placed on restoring functional grasp when microsurgical replantation is contraindicated or impossible.
- The discussion covers various surgical approaches to optimize outcomes for patients with severe hand injuries.
Impact:
- Provides a review of surgical options for hand salvage and functional restoration.
- Aims to guide surgical decision-making in cases of non-replantable hand amputations.
- Contributes to the understanding of reconstructive plastic surgery for traumatic hand injuries.