Revascularización y reimplante digital. Revisión de conceptos actuales

Autores/as

  • Jorge I. Quintero Kleinert Kutz Institute. Louisville, Kentucky
  • Tsu-Min Tsai Kleinert Kutz Institute. Louisville, Kentucky

DOI:

https://doi.org/10.1016/j.rccot.2020.09.002

Palabras clave:

reimplante, revascularización, avulsión por anillo, sanguijuelas, tabaquismo, alimentación, rehabilitación, desenlaces, complicaciones

Resumen

El reimplante es la obra maestra del cirujano de mano, donde incluye la técnica microquirúrgica para la anastomosis de arteria, vena y reparación del nervio, la osteosíntesis de los huesos y el manejo de tejidos blandos como los tendones y la piel
Indicaciones absolutas, amputación del pulgar, el pulgar es quizás el elemento más importante de la mano, dado que le da funcionalidad a la extremidad, sin importar la movilidad final ni la sensibilidad debe reimplantarse el pulgar. No se debe intentar el reimplante en lesiones aplastantes de los dedos, amputación en más de un nivel, presencia de lesiones que amenacen la vida del paciente, enfermedades graves del paciente, isquemia prolongada, amputaciones en paciente con alteraciones psiquiátricas.
Clasificación según Tamai es la mas utilizada. Se explica además como se debe transportar la parte amputada. La técnica microquirúrgica es lo mas importante para el desenlace. La rehabilitación física y posibles complicaciones.
Nivel de Evidencia: IV

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Biografía del autor/a

Jorge I. Quintero, Kleinert Kutz Institute. Louisville, Kentucky

Kleinert Kutz Institute, Louisville, Kentucky.

Tsu-Min Tsai, Kleinert Kutz Institute. Louisville, Kentucky

Kleinert Kutz Institute, Louisville, Kentucky.

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Publicado

2020-11-02

Cómo citar

1.
Quintero JI, Tsai T-M. Revascularización y reimplante digital. Revisión de conceptos actuales. Rev. colomb. ortop traumatol. [Internet]. 2 de noviembre de 2020 [citado 27 de mayo de 2024];34(4):312-20. Disponible en: https://revistasccot.org/index.php/rccot/article/view/245

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