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KMID : 1143020220270020171
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Archives of Hand and Microsurgery
2022 Volume.27 No. 2 p.171 ~ p.179
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Forearm replantation: pearls and pitfalls
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Kim Dong-Hee
Kwak Sang-Ho
Lee Sang-Hyun
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Abstract
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Forearm replantation is a challenging procedure for both patients and medical professionals. High survival rates are now being achieved owing to developments in microsurgical techniques. However, patient expectations for a “functional hand” are ever-increasing. To obtain satisfactory functional results following major limb replantation, it is important to reduce the ischemic time. During forearm replantation, the time from the beginning of surgery to the anastomosis of the artery should be minimized. This step includes anesthesia, wound debridement, and bone fixation, which are key factors in choosing the most efficient method and reducing the time needed. Herein, we review the prognostic factors and report the general operative procedures for forearm replantation using our proposed surgical technique.
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KEYWORD
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Forearm, Upper extremity, Prostheses and implants, Replantation, Amputation
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