Hoh Marcel, Geis Sebastian, Klein Silvan, Prantl Lukas, Burchak Vadym, Dolderer Juergen H
Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Medical Center, 95445 Bayreuth, Germany.
Department of Plastic and Reconstructive Surgery, University Regensburg, 93053 Regensburg, Germany.
Life (Basel). 2024 Oct 14;14(10):1303. doi: 10.3390/life14101303.
Secondary complex microsurgical reconstructions after amputation and severe trauma injuries are often necessary to optimize functional outcomes.
We reviewed eight patients who underwent extensive reconstruction after severe trauma. The details of secondary procedures are further described in the article. A literature search was performed using the National Center for Biotechnology Information (NCBI) database for studies evaluating secondary procedures after complex reconstructions.
To date, the order and the need for performing secondary procedures have yet to be fully defined. The tissues encountered include skin, soft tissue, bone, nerve, joint, and tendon.
We described the use of a decision-theoretic approach to the secondary reconstruction. Treatment of a complex trauma should be measured by functional outcome.
截肢和严重创伤损伤后的二期复杂显微外科重建对于优化功能结局往往是必要的。
我们回顾了8例严重创伤后接受广泛重建的患者。文章中进一步描述了二期手术的细节。使用美国国立生物技术信息中心（NCBI）数据库进行文献检索，以查找评估复杂重建后二期手术的研究。
迄今为止，二期手术的顺序和必要性尚未完全明确。涉及的组织包括皮肤、软组织、骨骼、神经、关节和肌腱。
我们描述了在二期重建中使用决策理论方法。复杂创伤的治疗应以功能结局来衡量。
