Long-term functional results of primary reconstruction of severe forearm injuries

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Severe forearm injuries caused by machinery such as a power saw represented about 0.2% of all upper limb injuries operated on in the plastic surgery section of our institute between 1993 and 1997. These are complex and contaminated injuries with severe damage to skin, muscles, tendons, nerves, vessels and bones. Primary repair or reconstruction of all the divided vital structures was carried out in our series of four patients, including one 4-cm cable nerve graft for a median nerve defect. After an average 22-month follow up, the functional results showed grade M4 motor recovery and better than grade S3+ sensory recovery of the hand in all four patients. We suggest that a definitive primary procedure is best when possible. This will achieve a better functional outcome from early neural regeneration, and will reduce the frequency of secondary procedures, cause less scarring, and shorten the duration of hospital stays and rehabilitation periods.

Original languageEnglish
Pages (from-to)339-348
Number of pages10
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume60
Issue number4
DOIs
Publication statusPublished - 2007 Apr 1

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Forearm Injuries
Median Nerve
Wounds and Injuries
Plastic Surgery
Upper Extremity
Tendons
Cicatrix
Regeneration
Length of Stay
Rehabilitation
Hand
Transplants
Bone and Bones
Muscles
Skin

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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abstract = "Severe forearm injuries caused by machinery such as a power saw represented about 0.2{\%} of all upper limb injuries operated on in the plastic surgery section of our institute between 1993 and 1997. These are complex and contaminated injuries with severe damage to skin, muscles, tendons, nerves, vessels and bones. Primary repair or reconstruction of all the divided vital structures was carried out in our series of four patients, including one 4-cm cable nerve graft for a median nerve defect. After an average 22-month follow up, the functional results showed grade M4 motor recovery and better than grade S3+ sensory recovery of the hand in all four patients. We suggest that a definitive primary procedure is best when possible. This will achieve a better functional outcome from early neural regeneration, and will reduce the frequency of secondary procedures, cause less scarring, and shorten the duration of hospital stays and rehabilitation periods.",
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Long-term functional results of primary reconstruction of severe forearm injuries. / Shieh, Shyh-Jou; Lee, Jing-Wei; Chiu, Haw Yen.

In: Journal of Plastic, Reconstructive and Aesthetic Surgery, Vol. 60, No. 4, 01.04.2007, p. 339-348.

Research output: Contribution to journalArticle

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