Surgical Management of Secondary Complex Microsurgical Reconstructions after Amputation and Severe Trauma Injuries: A Case Series

Hoh, Marcel and Geis, Sebastian and Klein, Silvan and Prantl, Lukas and Burchak, Vadym and Dolderer, Juergen H. (2024) Surgical Management of Secondary Complex Microsurgical Reconstructions after Amputation and Severe Trauma Injuries: A Case Series. LIFE-BASEL, 14 (10): 1303. ISSN , 2075-1729

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Abstract

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.

Item Type: Article
Uncontrolled Keywords: PROXIMAL INTERPHALANGEAL JOINT; TOE-JOINT; 2ND TOE; SILICONE ARTHROPLASTY; DIGITAL REPLANTATIONS; NERVE RECONSTRUCTION; FLAP RECONSTRUCTION; CLINICAL ANALYSIS; COLD INTOLERANCE; UPPER EXTREMITY; reconstructive rocket; secondary procedures; complex hand surgery; functional outcomes; replantations; revascularisation
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 26 Jan 2026 14:42
Last Modified: 26 Jan 2026 14:42
URI: https://pred.uni-regensburg.de/id/eprint/64568

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