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Hu, W.; Le Nen, D.; Kerfant, N.; Henry, A.S.; Trimaille, A.; Rouanet, M.; Letissier, H.; Perruisseau-Carrier, A.; Ta, P.
Annales de chirurgie plastique et esthétique, November 2020, 2020-11-00, 20201101, Volume: 65, Issue: 5-6Journal Article
Complex forearm defects with significant damage to, or loss of skin, tendon, muscle, bone and neurovascular structures represent a great challenge for surgeons. The management of such injuries, whether a result of trauma or tumor resection, is focused on preservation of the damaged limb and restoration of hand function. A multidisciplinary approach combining plastic and orthopedic surgical expertise in a coordinated team is proposed to address these challenging cases. The authors have laid emphasis on adequate debridement for wound bed preparation, bone stabilization and reconstruction for a stable bony framework, vascular repair for early revascularization, musculotendinous and nerve reconstruction as well as vascularized tissue coverage on a case-to-case basis to facilitate optimal functional recovery. They also maintain that besides expedient surgical treatment, early mobilization based on an individualized rehabilitation program as well as psychological and socio-professional supports are necessary means of achieving rapid and successful social integration.
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