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1. 成人患者の重度下肢外傷severe lower extremity injury in the adult patient [show details]
…good functional outcome that, in some cases, may be superior to that achieved with replantation . Lower limb replantation may be possible if the distal detached extremity is relatively uninjured. Warm ischemia …
2. 重度の下肢外傷への外科治療surgical management of severe lower extremity injury [show details]
…control to allow stabilization of Gustilo IIIc fractures or limb replantation. In this series of patients at high risk for limb loss, the limb salvage rate was 82 percent. Vascular shunts are typically …
3. 上肢切断upper extremity amputation [show details]
… regardless of the decision to replant or amputate the affected limb . In a retrospective review of litigation during 10 years in a major replantation center, the majority of cases were filed over a decision …
4. 慢性重症下肢虚血のマネージメントmanagement of chronic limb threatening ischemia [show details]
…most can be considered candidates for limb salvage . Although decisions regarding revascularization are often complex, a three-step approach that takes into account limb staging, the anatomic pattern of disease …
5. 上肢の関節保護プログラムjoint protection program for the upper limb [show details]
…Joint protection for the upper limb is reviewed here. An overview of joint protection and the application of the principles of joint protection to the neck and lower limb are presented separately. These …

English Journal

Use of Low-profile Palmar Internal Fixation in Digital Replantation.

Ross M1, Bollman C, Couzens GB.
Techniques in hand & upper extremity surgery.Tech Hand Up Extrem Surg.2015 Dec;19(4):147-52. doi: 10.1097/BTH.0000000000000097.
There are multiple surgical techniques to stabilize the bone in digital replantation. Various criteria need to be considered when choosing appropriate bony fixation including operative time, ease of exposure, stability, limitation of the area of dissection, and reproducibility. We describe our techn
PMID 26296213

Above-the-knee replantation in a child: a case report with a 24-year follow-up.

Durban CM1, Lee SY1, Lim HC2.
Strategies in trauma and limb reconstruction (Online).Strategies Trauma Limb Reconstr.2015 Nov 12. [Epub ahead of print]
Replantation of an amputated limb is generally contraindicated in crushing and traction injuries. Injury to muscle tissue and skin also creates difficulties in coverage, and bony fractures may shorten limb length which can impede lower extremity function. Numerous cases have been reported on the suc
PMID 26563900

Lower Limb Replantation after Guillotine Amputation: A 29-Year Follow-Up.

Bosma NH1, Teunis T1, Eberlin KR2, Jupiter JB1.
Journal of reconstructive microsurgery.J Reconstr Microsurg.2015 Nov;31(9):681-3. doi: 10.1055/s-0035-1558429. Epub 2015 Sep 18.
PMID 26382871