Replantation and reconstruction of fingers:
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| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Beijing
People's Medical Publ. House
2008
|
| Edition: | 1. publ., [engl. version] |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Aus dem Chines. übers. |
| Physical Description: | 10, 821 S. zahlr. Ill. |
| ISBN: | 9787117092524 |
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MARC
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| 100 | 1 | |a Cheng, Guo-Liang |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Replantation and reconstruction of fingers |c chief author: Guoliang Cheng |
| 250 | |a 1. publ., [engl. version] | ||
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| _version_ | 1804143761205231616 |
|---|---|
| adam_text | Titel: Replantation and reconstruction of fingers
Autor: Cheng, Guo-Liang
Jahr: 2008
CONTENTS
CHAPTER 1 OVERVIEW AND ADVANCEMENT IN REPLANTATION OF AMPUTATED
FINGER AND RECONSTRUCTION OF THUMB OR FINGER 1
Section 1 Overview and Advancement in Replantation of Amputated Finger 1
Section 2 Overview and Advancement in Reconstruction of Thumb or Finger 10
CHAPTER 2 APPLIED ANATOMY OF HAND 19
Section 1 The Skin and Affiliated Tissue of the Hand 20
Section 2 Subcutaneous Tissue and Fascia of Hand 23
Superficial fascia 23
Deep fascia 24
Section 3 The Blood Vessels of the Hand 25
I. Arteries of the hand 25
Carpal palmar anastomoses 25
Carpal dorsal anastomoses 26
Superficial palmar arch 26
Deep palmar arch 27
II. The veins of the hand 27
Deep veins 27
Superficial veins 27
Section 4 The Nerves of the Hand 30
I. Median nerve 30
II. Ulnar nerve 31
III. Radial nerve 32
IV. Musculocutaneous nerve 33
Section 5 The Muscle and Its Affiliated Tissues of the Hand 33
I. Exteral muscles 34
II. Intrinsic muscles of the hand 39
Section 6 Bones and Joints of the Hand 41
I. Carpal bones 42
II. Metacarpal bones 43
III. Phalanges 43
Section 7 Regional Anatomy of Fingers 44
I. Dorsal structures of fingers 44
II. Palmar structures of fingers 46
CHAPTER 3 SMALL VESSEL SUTURE TECHNIQUE 51
Section 1 Training for Small Vascular Sutures 51
I. Silica tube suture training 51
II. Inosculation training of femoral arteries and veins in rabbits 52
III. Inosculation training of the middle artery in a rat tail 54
IV. Replantation training of the rabbit ear 54
Section 2 Inosculation Techniques of Small Vessels 56
I. Exposing and preparing the vessel 56
II. The principles of vascular suturing 58
Section 3 The Key Points in Vascular Suturing 63
I. The edge distance and the distance between stitches should be symmetrical 64
II. Vertical needle entry and exit 64
III. Maintain the tension when drawing the knot tight 66
IV. Moderate tension 68
V. Flat vessel bed and healthy skin covering 69
VI. Supplementary stitches and vascular rinsing 69
Section 4 Method of Small Vascular Suture 70
I. End-to-end inosculation 70
II. The end-to-side suture method 7 A
III. The telescoping inosculation method 76
IV. The fish-mouth inosculation method 77
V. The healing process of vessel suturing 78
Section 5 Repair of Vascular Defects 79
I. Vessel transfer inosculation 80
II. Vascular cross inosculation 81
III. Vascular transplantation inosculation 82
IV. The diversion of artery-vein flow inosculation method 83
Section 6 Nerve Suture 84
I. Nerve exposure 84
II. The principles of repairing the digital nerve 85
III. The demands and methods of nerve suturing 87
IV. The repair method for nerve defects 88
V. The mechanism of nerve regeneration 91
Section 7 Tendon Repair 93
I. The nutrition and healing of tendons 93
II. The principles of tendon repairing 95
III. Tendon suture methods 97
CHAPTER 4 ANESTHESIA OF FINGER REPLANTATION AND RECONSTRUCTION 107
Section 1 Requirements of Anesthesia 108
I. Satisfactory muscle relaxation 108
II. Maitaining good circulation of blood supply 108
III. Prevention of vasospasm 108
IV. Postoperative analgesia 109
REPLflnTflTIOn nnD
RECOnSTRUCTIOIloFFinGERS
Section 2 Methods of Anesthesia 110
I. Brachial plexus block anesthesia 110
II. Intravertebral anesthesia 116
III. General anesthesia 121
Section 3 Selections of Anesthesia 122
I. Anesthesia for replantation of the amputated finger 122
II. Anesthesia for reconstruction of fingers 124
III. Anesthesia for finger replantation and reconstruction of children 126
CHAPTER 5 REPLANTATION OF AMPUTATED FINGER 135
Section 1 Indications for Replantation of the Amputated Finger 135
I. Conditions of amputated fingers and mechanisms of injury 136
II. Classifications of amputated fingers 146
III. Finger types ] 47
IV. Ages 150
V. Level of amputation 1 51
VI. Time limit for replantation 1 54
VII. Preservation of amputated finger 1 55
VIII. Contradictions for replantation 1 56
Section 2 Procedures and Methods of Amputated Finger Replantation 157
I. Debridement 1 57
II. Internal fixation of the bone and joint 165
III. Repair of tendon 170
IV. Repair of dorsal digital vein 172
V. Suture of dorsal skin 174
VI. Repair of digital nerve 175
VII. Repair of digital artery 176
VIII. Suture of the skin on the palmar side 180
IX. Treatment for the vascular crisis during operation 180
X. Bandaging 183
XI. Retrograde reimplant 184
Section 3 Treatment and Management after Digital Replantation 185
I. Requirements for ward ] 85
II. Postoperative treatment ] 87
III. Postoperative observational index and clinical significance 190
IV. Vessel crisis and its management 1 95
V. Postoperative complications and treatment 200
VI. Function exercise 203
CHAPTER 6 ATYPICAL REPLANTATION OF AMPUTATED FINGER 205
Section 1 Replantation of the Rotationally Avulsed Thumb 205
I. Characteristics of disjunction 205
II. Traumatic mechanism 205
III. Discussion on the indications 208
IV. Methods of transplantation 212
V. Prognosis and training 221
VI. Typical cases 223
Section 2 Replantation of Avulsed Amputated Finger 231
I. Replantation of avulsed amputated finger 231
II. Replantation of ring avulsion injury 235
Section 3 Finger Distal Segment Replantation 237
I. Reorganization of indication 237
II. Reasons for replantation 239
III. Anatomy feature 240
IV. Some matters that should be paid attention to during amputated distal
finger replantation 243
V. Replantation of finger tip 248
VI. Typical cases 250
Section 4 Digital Replantation of Children 258
I. Current situation and significance of children digital replantation 258
II. Features of children amputation and indications of digital replantation 259
III. Treatment for bone and joint 261
IV. Matters that should be paid attention to during replantation 262
V. Management after operation 265
VI. Research report of follow up in 9-15 years about 45 children digital replantations
of 26 cases 266
VII. Typical cases 272
Section 5 Replantation of Bilateral Hyperdactylia Amputation Injuries 285
I. Overview 285
II. Causes of the injury and their indications 288
III. Anesthesia 288
IV. The arrangements of the surgical staff 289
V. Cold Storage 289
VI. Replantation procedure 290
VII. A method to accelerate the replantation surgery 290
VIII. Using vascular anastomosis as much as possible 290
IX. Management of vascular articulo 291
X. Maintain the momentum of circulation 291
XL Conclusion 291
XII. Typical cases 292
Section 6 Replantation of Multi-level Hand Severances 296
I. Characteristics and indications 296
II. Replantation procedure and method 296
III. The characteristics and matters needing attention 298
REPinmrnTion md
REConsTRUcnon offiiigers
IV. Typical cases 299
Section 7 Replantation of Severed Tissue, Skin and Segmental Defects 301
I. Replantation of amputated finger tissue mass 301
II. Replantation of finger skin defect 305
III. Replantation of segmental defects of severed fingers 309
IV. Typical cases 311
Section 8 Repair Finger Defects Using Composite Tissue Transplantation of Abandoned Digital
Tissue 320
I. Indications 320
II. The principle of transplantation and cautions of operation 320
III. Typical case 321
Section 9 The Thumb and Finger Repair and Reconstruction Using Toe Tissue Transplantation
while Digital Replantation 323
I. Indications 324
II. Surgical principles and cautions 324
III. Typical cases 324
CHAPTER 7 ANALYSIS OF THE REASONS FOR DIGITAL REPLANTATION FAILURE 333
I. Poor choice of indications 333
II. Technical reasons for replantation 335
III. Vascular articulo is not handled in time 338
IV. Physical and mental states of the operator 338
V. The damage of smoking 339
CHAPTER 8 SURVIVAL ACHIEVEMENT RATIO OF AMPUTATED FINGER
REPLANTATION AND FUNCTIONAL EVALUATION 341
Section 1 How to Improve the Survival Rate of Replantation of Amputated Finger? 342
I. Selecting indications correctly 342
II. Carefully debriding under the microscope 342
III. Anastomosing precisely small blood vessel 343
IV. Treating vascular articulo in time 343
Section 2 Relevant Problems about Improving Replantation of Amputed Finger Achievement
Ratio 344
I. Selecting the correct method 344
II. Improving internal fixation methods 345
III. Repairing tendon correctly 345
IV. Repairing digital nerve carefully 346
V. Anastomosing blood vessel as much as possible 346
VI. Emphasizing functional exercise after operation 346
Section 3 Functional Evaluation after Replantation of Amputated Finger 347
CHAPTER 9 TRADITIONAL THUMB RECONSTRUCTION 355
Section 1 Thumb Stump Lengthening 356
- M
Section 2 Thumb Reconstruction Using Index Finger Transposition 358
Section 3 Thumb Reconstruction Using Remnant Ring Finger Transposition 365
Section 4 Thumb Reconstruction Using Tubal Flap of Bone-Transplantation 367
Section 5 Thumb Lengthening Using First Web Deepening 370
Section 6 Thumb Lengthening Slowly Using the First Metacarpal Bone Distraction 371
Section 7 Thumb Reconstruction Using Metacarpal Bone 373
Section 8 Bone Lengthening Using Bone Graft and Flap of Chiasm Forearm 375
Section 9 Thumb Reconstruction Using Flap with Neurovascular Pedicle 377
I. Thumb reconstruction using dorsal island flap of index finger 377
II. Thumb reconstruction using dorsal index finger flap combined with flap of the first
web 380
III. Thumb reconstruction using dorsal flap of the first metatarsal bone combined with
dorsal flap of the proximal index finger phalanx 381
IV. Thumb reconstruction using local skin flap 383
CHAPTER 10 THUMB AND FINGER RECONSTRUCTION WITH FREE TOE
TRANSPOSITION 385
Section 1 Applied Anatomy of Foot 387
I. Metatarsal bones and phalanges of foot 387
II. The muscles of foot 387
III. Blood vessels of the foot 391
Section 2 Graduations and Reconstruction of Thumb and Fingers Defect 397
I. The graduation and operation plan of thumb defect (Fig. 10-14) 398
II. The finger defect graduation and operation plans (Fig. 10-15) 400
Section 3 Indications and Contraindications 402
Section 4 Design Principles of Operation 404
Section 5 Examination and Clinical Significance of Ultrasonic Doppler Diagnostic Apparatus 407
Section 6 Incision Design of the Donor and Recipient Site 409
I. For patients with I°~II° thumb defect, we can reconstruct thumb with hallux tip
transplantation 409
II. For patients with III0 thumb defect, contralateral second toe was used for
reconstruction and replantation 411
III. Reconstruction thumb with IV° thumb defect with second toe with
metatarsophalangeal joint 412
IV. Reconstruction thumb with V°-VP defect with contralateral second toe
transplantation with metatarsophalangeal joint and rhomboid dorsal pedis flap 414
V. If the first metacarpal bone was closely attached to the second metacarpal bone,
reconstruction with compound tissue transplantation can be chosen 415
VI. Incision design of reconstruction of thumb with hallucis nail skin
flap transplantation 416
VII. Incision design of reconstruction with replantation of second and third toes
REPUMTflTIOIl riid
RECOnSTRUCTIOn ofFinGERS
for fingers defect with finger web 417
VIII. Incision design of reconstruction of index middle ring fingers for patients
with second to fifth fingers V° defect and without finger web 418
IX. Incision design of reconstruction of fingers with defect of the palm and dorsum
ofhand 419
Section 7 Resection of the Second Toe 420
I. Dissection of Vein 420
II. Dissection of artery 421
III. Dissecting digital nerves of plantar 423
IV. Dissection of flexor and extensor tendons and joint 424
Section 8 Dissection of Toes with Vascular Variation 426
I. How to harvest toes with dorsalis pedis artery variation 426
II. How to dissect toes with first dorsal metatarsal artery which belongs to
Gilbert type III 427
III. Dissecting of unclassifiable toes with vascular variation 430
IV. Dissecting of dorsalis pedis artery —second toe of second dorsal metatarsal artery 430
Section 9 Methods and Procedures of Reconstruction of Thumb and Fingers with Second Toe
Transplantation 431
I. Preparation of the recipient site 431
II. The fixation of bone and joint 433
III. Repairment of extensor and flexor digitorum tendons 436
IV. Repair of nerve 438
V. Remodeling the appearance of a reconstructed finger 439
VI. Reconstruction of blood circulation 440
Section 10 Treatment After Operation And Management Of Blood Vessel Articulo 448
I. Treatment after operation 448
II. Management of blood vessel articulo 449
III. Rehabilitative treatment after operation 454
CHAPTER 11 ADOPT DIFFERENT PATTERN DIGITI PEDIS TISSUE TRANSPIANT
TO THUMB, FINGERS FOR RECONSTRUCTION AND REPARATION
ACCORDING TO DIFFERENT DEGREE OF THUMB, FINGERS DEFECT 459
Section 1 Thumb Reconstruction about Different Degree of Defect 459
I. Thumb reconstruction about I°-II° defect 459
II. Reconstruction of thumb III defect 469
III. Reconstruction of IV0 defect of thumb 476
IV. Reconstruction of V defect of thumb 483
V. Reconstruction for the VI° defect of thumb 496
Section 2 The Reconstruction of Fingers with Different Extent Defect 501
I. The indication and treatment plan for the reconstruction of the finger s defect 502
II. The reconstruction of the finger with I°-III° defect 504
III. The reconstruction for IV defect of finger 519
IV. The reconstruction of the finger with V° defect 521
V. Reconstruction for the VT-VII0 defect of fingers 542
Section 3 Thumb and Finger Reconstruction Using Transplantation of the Big Toe Skin-Nail Flap
Combined with the Second Toe 546
I. Thumb reconstruction-using transplantation of the big toe skin-nail flap 546
II. Finger reconstruction with the nail flap graft of the second toe 561
Section 4 Toe Transplantation to Reconstruct Thumb 569
I. Applied anatomy 569
II. Indications 569
III. Reconstructing methods 569
IV. Surgical operation cautions 577
Section 5 The Defect of the Main Part of the Thumb, Fingers and Reconstructing the Thumb,
Fingers for the Defect of all the Fingers 577
I. Surgical indications and operative programs 577
II. Surgical ways 578
III. Surgical attentions 581
IV. The typical cases 582
Section 6 Reconstructing the Bilateral Thumbs and Fingers 589
I. How to choose the indications and make the programs of the reconstruction 589
II. The composition of surgical group 598
III. Surgical methods 599
Section 7 Transplantation of the Second Toe with Dorsalis Pedis Flap for the Reconstruction of
the Thumb and Fingers 604
I. Indications 604
II. The design forms of transplantation of toes with dorsalis pedis flaps 604
III. Main points and methods of operation 606
IV. Reconstruction and repair 607
V. Treatment to the wound surface of recipient district 608
VI. Typical cases 608
Section 8 Complex Tissue Transplantation for Reconstruction and Reparation of the Thumb
and Fingers 621
I. Selection of toe amputation 622
II. Designing free skin flap 622
III. Operation procedures 622
IV. Cautions of the operation 625
V. Typical cases 625
Section 9 Emergencies or Delayed Reconstruction of Thumbs and Fingers 636
I. Discussions about the indications 636
II. Operation plan 638
III. Strict Debridement 639
IV. Emergency thumb and finger reconstruction with waste toe 650
Section 10 Decorative Repair and Reconstruction of Partial Defects of Thumb and Finger 655
REPLfHlTflTIOn nno
RECOnSTRUCTIOn ofFIIIGERS
I. Conception and indications 655
II. Defect types and repairing scheme 655
Section 11 Technical Experiences on Thumb and Finger Reconstruction Operation 692
I. Incision design 692
II. Prevention of hyperextension deformity of articulations metatarsophalangeae 694
III. Overcome the camel s neck deformity 695
IV. Prevention the reconstructed thumb too bulky after hallux or flap of thumbnail
graft 698
V. Prevent the angulated or die rotational deformity of reconstructed digit 699
VI. Prevent the overlenth of the reconstructed digit and the forward shift of
the interphalangeal joint 700
VII. Attention on the function reconstruction and the contour amendment 701
CHAPTER 12 RECONSTRUCTION OF THUMB AND FINGER IN CHILDREN 703
Section 1 Indications and Operation Opportunity 704
Section 2 Operation Scheme and Designing Principles in Children s Thumb and Finger
Reconstruction 705
Section 3 Cautions during and after Operation 706
I. Cautions during operation 707
II. Cautions in postoperative management 708
III. Typical cases 709
Section 4 Long-Term Follow up Research of 44 Cases of Children Thumb Reconstruction 724
I. Materials and methods 724
II. Results 725
III. Discussion 728
CHAPTER 13 REASONS AND PREVENTION OF VASCULAR ARTICULO DURING
THE REPLANTATION AND RECONSTRUCTION 731
I. Types of vascular articulo 731
II. Reasons analysis of the vascular articulo 732
III. Treatment of vascular articulo 736
IV. Treatment after exploration 737
V. Precaution for vascular articulo 738
CHAPTER 14 FUNCTIONAL EVALUATION OF THUMB AND FINGER
RECONSTRUCTION 739
I. Bone tuboplasty 740
II. Maniphalanx pollicization 740
III. Forearm skeletal flap (Biemer) 740
IV. Ilio-groin flap 740
V. Ring finger aversion of blood vessels loop blood-supply (Loda) 741
VI. The second toe transplant 741
VII. Two new thumb toes transplant 741
Vm. Wrist mutilation 741
IX. Toe mother nail flap circumvolution 741
X. Two foot toes roll spelling (Foucher) 741
CHAPTER 15 EMERGENCY CASES OF THE HAND RECONSTRUCTION-
RECONSTRUCTION OF PARTIAL HAND FUNCTION BY ECTOPIC
REPLANTATION OF FOREARM STUMP FINGER 753
Section 1 The Origin of Envisaged Operation 753
Section 2 Selection of Indications 756
Section 3 Principles of Operation Design 758
I. One finger is transplanted in radius but another one or two fingers are transplanted
in ulna 758
II. Transplanted two or three fingers are in good finger-finger position, making relative
interphalangeal maintain 20°-30° separation angle (Fig. 15-16) 763
HI. To preserve the web space or to remove fingers is to suture the root finger skin to
form new web space 765
IV. Each finger should retain the two joints activities 766
Section 4 Reconstruction Methods 766
I. Anesthesia 767
II. Debridement 767
III. Bone framework 770
IV. Repairmen! of tendons 775
V. Neural repair 777
VI. Rebuilding of the blood cycle 778
VII. Wound surface renovation 779
VIII. Post-operation management 780
Section 5 Some Influence Factors on Function 781
Section 6 Typical Cases 783
Section 7 Evaluation 803
REFERENCE 805
INDEX 815
REPlfinTflTIOn hiid
RECOnSTRUCTIOIl OFFinGERS
|
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| id | DE-604.BV037180268 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T22:52:48Z |
| institution | BVB |
| isbn | 9787117092524 |
| language | English |
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| publisher | People's Medical Publ. House |
| record_format | marc |
| spelling | Cheng, Guo-Liang Verfasser aut Replantation and reconstruction of fingers chief author: Guoliang Cheng 1. publ., [engl. version] Beijing People's Medical Publ. House 2008 10, 821 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Aus dem Chines. übers. Wiederherstellungschirurgie (DE-588)4065971-9 gnd rswk-swf Transplantation (DE-588)4060675-2 gnd rswk-swf Finger (DE-588)4154429-8 gnd rswk-swf Finger (DE-588)4154429-8 s Transplantation (DE-588)4060675-2 s DE-604 Wiederherstellungschirurgie (DE-588)4065971-9 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=021094893&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Cheng, Guo-Liang Replantation and reconstruction of fingers Wiederherstellungschirurgie (DE-588)4065971-9 gnd Transplantation (DE-588)4060675-2 gnd Finger (DE-588)4154429-8 gnd |
| subject_GND | (DE-588)4065971-9 (DE-588)4060675-2 (DE-588)4154429-8 |
| title | Replantation and reconstruction of fingers |
| title_auth | Replantation and reconstruction of fingers |
| title_exact_search | Replantation and reconstruction of fingers |
| title_full | Replantation and reconstruction of fingers chief author: Guoliang Cheng |
| title_fullStr | Replantation and reconstruction of fingers chief author: Guoliang Cheng |
| title_full_unstemmed | Replantation and reconstruction of fingers chief author: Guoliang Cheng |
| title_short | Replantation and reconstruction of fingers |
| title_sort | replantation and reconstruction of fingers |
| topic | Wiederherstellungschirurgie (DE-588)4065971-9 gnd Transplantation (DE-588)4060675-2 gnd Finger (DE-588)4154429-8 gnd |
| topic_facet | Wiederherstellungschirurgie Transplantation Finger |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=021094893&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT chengguoliang replantationandreconstructionoffingers |