Tropet Y, Brientini J M, Najean D
Service de Chirurgie Orthopédique Traumatologique Plastique du CHU de Besançon, Besançon.
Chirurgie. 1992;118(9):495-501; discussion 501-2.
When we evoked the indications of microsurgery in Traumatology, at first, we think reimplantations performed in emergency and also secondary management of soft tissues or complex defects. In fact, we resort to microsurgery in many other circumstances. Early microsurgical reconstruction of complex trauma of the extremities yield better results than delayed free flaps. In 7 cases, free flaps were performed on the lower extremities, in 2 cases on the upper extremities. Many advantages are credited with this offensive attitude which requires an appropriate organisation of the Departments of Traumatology, the intimate collaboration of surgeons called orthopedic or plastic surgeons, improperly divided by too administrative compartmentalization of the surgical specialties.
当我们提及创伤学中显微外科手术的适应证时，首先想到的是急诊进行的再植手术以及软组织或复杂缺损的二期处理。事实上，我们在许多其他情况下也会采用显微外科手术。四肢复杂创伤的早期显微外科重建比延迟游离皮瓣手术效果更好。下肢进行了7例游离皮瓣手术，上肢进行了2例。这种积极的态度有许多优点，这需要创伤科进行适当的组织安排，需要骨科或整形外科医生等外科医生密切协作，而外科专科过度行政划分导致他们分工不当。
