Secondary Surgery Following Replantation and Revascularization

Brent B Pickrell; Kyle R Eberlin

doi:10.1016/j.hcl.2019.01.004

Secondary Surgery Following Replantation and Revascularization

Hand Clin. 2019 May;35(2):231-240. doi: 10.1016/j.hcl.2019.01.004. Epub 2019 Feb 25.

Authors

Brent B Pickrell¹, Kyle R Eberlin²

Affiliations

¹ Division of Plastic and Reconstructive Surgery, Harvard Medical School, Massachusetts General Hospital, Wang Building, 55 Fruit Street, Boston, MA 02114, USA.
² Division of Plastic and Reconstructive Surgery, Harvard Medical School, Massachusetts General Hospital, Wang Building, 55 Fruit Street, Boston, MA 02114, USA. Electronic address: keberlin@mgh.harvard.edu.

PMID: 30928054
DOI: 10.1016/j.hcl.2019.01.004

Abstract

Secondary surgery following digital replantation and revascularization is common and is often performed to improve range of motion, tendon gliding, sensibility, and/or contour. In this article, the authors present the most common secondary procedures performed after digital replantation or revascularization and discuss current techniques. The importance of patient selection and postoperative compliance with ongoing hand therapy is paramount to achieving good outcomes.

Keywords: Digital replantation; Digital revascularization; Hand reconstruction; Revision surgery; Secondary surgery.

Publication types

Review

MeSH terms

Amputation, Traumatic / surgery*
Cicatrix / surgery
Contracture / surgery
Fracture Fixation
Fractures, Malunited / surgery
Hand Injuries / surgery*
Humans
Joint Deformities, Acquired / surgery
Osteomyelitis / surgery
Peripheral Nerves / transplantation
Postoperative Complications / surgery*
Reoperation*
Replantation
Surgical Flaps
Tendons / surgery
Tissue Adhesions / surgery