Baer, Wolfgang and Gruenert, J. and Lerch, K. and Ruf, S. and Schaller, P. (2001) Timing of soft tissue reconstruction in severe crush inury of the upper extremity. CHIRURG, 72 (11). pp. 1319-1326. ISSN 0009-4722
Full text not available from this repository. (Request a copy)Abstract
Complex injuries of the distal forearm and the hand by industrial machines often require extensive reconstructive procedures. Crush injuries with soft tissue damage extending over the limits of visible injury require a special approach. Large soft tissue defects often have to be covered by extensive flap procedures. The optimum point of time for plastic reconstruction is an essential question and represents a controversial issue in the literature. To be able to compare different patient cohorts in the future., we classify crush injuries into five clinically relevant categories. In the course of this review article, three different cases of severe crush injuries of the upper extremity are representatively discussed. Two patients were reconstructed in a secondary procedure, one patient in the acute phase. Definite coverage of soft tissue defects in severe crush injuries should be performed secondarily after 5-7 days since the extent of damage in this special form of trauma can often only be judged after a few days and the reconstruction of bones, vessels and tendons is completed.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | HAND INJURIES; COMPLEX TRAUMA; FOREARM FLAP; MANAGEMENT; COVERAGE; WOUNDS; crush injury; secondary reconstruction; soft tissue damage |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 Nov 2021 14:02 |
| Last Modified: | 29 Nov 2021 14:02 |
| URI: | https://pred.uni-regensburg.de/id/eprint/40961 |
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