Major Limb Replantation and Postischemia Syndrome

1. Front Matter

   Pages I-XVI

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2. Introduction

   • Hans-Ulrich Steinau

   Pages 1-8

3. Pathophysiological Analysis of Ischemia-Induced Injury in Major Limb Replantation

   • Hans-Ulrich Steinau

   Pages 9-40

4. Materials and Methods

   • Hans-Ulrich Steinau

   Pages 41-50

5. Results

   • Hans-Ulrich Steinau

   Pages 51-73

6. Discussion

   • Hans-Ulrich Steinau

   Pages 74-90

7. Summary

   • Hans-Ulrich Steinau

   Pages 91-93

8. References

   • Hans-Ulrich Steinau

   Pages 94-122

9. Back Matter

   Pages 123-126

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Posttraumatic stump formation and replantation of the severed limb are both reconstructive plastic operations which may lead to the improvement or destruction of a patient's lifestyle. For the primary attending surgeon, the decision whether to undertake such an operation depends on the patient's clinical condition, the operational circumstances, the psychological and social aspects and, last but not least, on the surgeon's own abilities. This monograph is designed as a synopsis of the great number of patho-physiological parameters and surgical and rehabilitational aspects which must be considered in the analysis of complications in major limb replantation. In addition, basic information about the key role of ischemic myopathy and microangiopathy is supplied to encourage further experimental investigations.

• complication
• rehabilitation
• trauma
• Trauma Surgery

• Abteilung für Plastische und Wiederherstellungschirurgie, Klinikum rechts der Isar, München, Germany

  Hans-Ulrich Steinau

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