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Management of bone in digital replantation: free vascularized and composite bone grafts.

Publication ,  Journal Article
Urbaniak, JR; Hayes, MG; Bright, DS
Published in: Clin Orthop Relat Res
June 1978

Microvascular surgical techniques have been applied to the problem of digital amputation, persistent nonunion and complicated extremity injuries with segmental bone and soft tissue loss. In replantations, adequate bone shortening and fixation with intramedullary pins or rods is mandatory. Proper patient selection, preoperative management of the amputated parts, application of microsurgical disciplines, employment of an organized surgical sequence, and rigid postoperative monitoring has resulted in an 80% viability rate in 121 replantations. Recent advances in the management of skeletal injuries using microvascular techniques include free vascularized bone grafting and salvage of the preamputation limb using free composite grafts of skin, subcutaneous tissue and bone. These free composite grafts techniques are exacting and time consuming. Meticulous planning, preoperative rehearsal and careful coordination between the operating teams make the functional restoration of a severely injured limb possible.

Duke Scholars

Published In

Clin Orthop Relat Res

ISSN

0009-921X

Publication Date

June 1978

Issue

133

Start / End Page

184 / 194

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Transplantation, Autologous
  • Tendons
  • Replantation
  • Postoperative Care
  • Orthopedics
  • Orthopedic Fixation Devices
  • Microsurgery
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Urbaniak, J. R., Hayes, M. G., & Bright, D. S. (1978). Management of bone in digital replantation: free vascularized and composite bone grafts. Clin Orthop Relat Res, (133), 184–194.
Urbaniak, J. R., M. G. Hayes, and D. S. Bright. “Management of bone in digital replantation: free vascularized and composite bone grafts.Clin Orthop Relat Res, no. 133 (June 1978): 184–94.
Urbaniak JR, Hayes MG, Bright DS. Management of bone in digital replantation: free vascularized and composite bone grafts. Clin Orthop Relat Res. 1978 Jun;(133):184–94.
Urbaniak, J. R., et al. “Management of bone in digital replantation: free vascularized and composite bone grafts.Clin Orthop Relat Res, no. 133, June 1978, pp. 184–94.
Urbaniak JR, Hayes MG, Bright DS. Management of bone in digital replantation: free vascularized and composite bone grafts. Clin Orthop Relat Res. 1978 Jun;(133):184–194.
Journal cover image

Published In

Clin Orthop Relat Res

ISSN

0009-921X

Publication Date

June 1978

Issue

133

Start / End Page

184 / 194

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Transplantation, Autologous
  • Tendons
  • Replantation
  • Postoperative Care
  • Orthopedics
  • Orthopedic Fixation Devices
  • Microsurgery
  • Male
  • Humans