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Reconstrucciones interdisciplinarias del antebrazo y la mano

Luca Kümmerl¹, Theresa Promny¹, Elisabeth Eschenbacher¹

¹Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander University of Erlangen-Nuernberg, Erlangen, Germany.

Innovative surgical sciences

|February 18, 2026

Resumen

Las estrategias interdisciplinarias y la experiencia del cirujano plástico son clave para la reconstrucción de defectos complejos del antebrazo y la mano. Este enfoque optimiza los resultados en el salvamento de las extremidades superiores, minimizando las complicaciones.

Área de la Ciencia:

Cirugía Plástica; Cirugía Ortopédica; Microcirugía

Sus antecedentes:

Los defectos complejos del antebrazo y la mano requieren enfoques de reconstrucción sofisticados.
La colaboración interdisciplinaria es esencial para manejar estos casos desafiantes.

Objetivo del estudio:

Examinar las aplicaciones clínicas de las estrategias de reconstrucción interdisciplinaria para defectos complejos del antebrazo y la mano.
Aclarar cómo la planificación colaborativa y la adaptación de técnicas influyen en los resultados del salvamento de las extremidades superiores.

Principales métodos:

Revisión retrospectiva de 79 pacientes sometidos a reconstrucción de extremidades superiores (2020-2024).
Inclusión de defectos compuestos de mano o antebrazo tratados con colgajos locales, regionales o libres.
Análisis descriptivo de datos demográficos, etiología, ubicación del defecto, técnica reconstructiva, colaboración y complicaciones.

Principales resultados:

El traumatismo fue la causa principal (68%) de los defectos, afectando a menudo a los dedos largos y pulgares.
Se utilizaron colgajos libres para defectos grandes/compuestos; colgajos locales/regionales para defectos de tejidos blandos más pequeños.
La tasa general de complicaciones fue del 12,6%, sin fallos de colgajos ni pérdida de extremidades.

Conclusiones:

La planificación individualizada, basada en la anatomía, y la cooperación interdisciplinaria mejoran la reconstrucción de las extremidades superiores.
Los cirujanos plásticos son cruciales en la adaptación de técnicas para obtener resultados funcionales y estéticos favorables.

Palabras clave:

traumatismo de mano cirugía interdisciplinaria cirugía plástica cirugía reconstructiva reconstrucción de extremidades superiores

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