Plastic and Reconstructive Surgery and Orthopaedics Interdisciplinary Cooperation in the Management of Extremity Injuries. Review
Authors:
A. Nejedlý 1; V. Džupa 2; M. Tvrdek 1
Authors place of work:
Klinika plastické chirurgie 3. LF UK a FN Královské Vinohrady, Praha, přednosta: doc. MUDr. M. Tvrdek
; Ortopedicko-traumatologická klinika 3. LF UK a FN Královské Vinohrady, Praha
přednosta: prof. MUDr. J. Bartoníček, DrSc.
2
Published in the journal:
Rozhl. Chir., 2008, roč. 87, č. 6, s. 322-327.
Category:
Comprehensive Report
Summary
Gradual particularization of medicine, as witnessed during the second half of the 20th century, resulted in a detailed development of individual subspecializations. Association of therapeutic options resulting from enormous development of these subspecialization brought a new dimension to the treatment of formerly unmanageable conditions. The closest cooperation between a plastic surgeon and a traumatologist is required in the management of patients with serious extremitiy injuries. The conditions include, in particular, amputations of extremities without skeletal and soft tissue devastation, where replantation may be considered, and extensive soft tissue and skeletal injuries, requiring replacement of the missing soft tissue cover following the treatment of the skeletal parts. A new aspect of the cooperation includes common care for infected long bone fractures and osteomyelitides, where primary and extensive skeletal and soft tissue debridement is followed by covering the defect with a muscular or a musculocutaneous flap, facilitating reperfusion and infection management.
Key words:
interdisciplinary cooperation – replantation of extremities – soft tissue defects – osteomyelitis
Zdroje
1. Bihariesingh, V. J., Stolarczyk, E. M., Karim, R. B., van Kooten, E. O. Plastic solutions for orthopaedic problems. Arch. Orthop. Trauma Surg., 2004, 124, 73–76.
2. Duman, H., Sengezer, M., Celikoz, B., Turegun, M., Isik, S. Lower extremity salvage using a free flap associated with the Ilizarov method in patients with massive combat injuries. Ann. Plast. Surg., 2001, 46, 108–112.
3. Heller, L., Levin, L. S. Lower extremity microsurgical reconstruction. Plast. Reconstr. Surg., 2001, 108, 1029–1041.
4. Komatsu, S., Tamai, S. Successful replantation of a kompletly cut-of tumb. Plast. Reconstr. Surg, 1968, 42, 374–377.
5. Nejedlý, A., Tvrdek, M., Stehlík, J. Závěrečná zpráva grantu IGA MZ ČR 1651-3 „Význam užití časných tkáňových přenosů při komplexní léčbě defektních poranění dolní končetiny“. Praha: 3. LF UK, 1995, 86.
6. Nejedlý, A. (Ed) Základy replantační chirurgie. Praha: Grada Publishing, 2003, 125.
7. Salvana, J., Rodner, C., Browner, B. D., Livingston, K., Schreiber, J., Pesanti, E. Chronic osteomyelitis: results obtained by an integrated team approach to management. Conn. Med., 2005, 69, 195–202.
8. Tvrdek, M., Nejedlý, A., Kletenský, J., Kufa, R. Treatment of chronic osteomyelitis of the lower extremity using free flap transfer. Acta. Chir. Plast., 1999, 41, 46–49.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2008 Číslo 6
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