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Description
  • Autoři popisují modifikovaný operační postup replantace palce. Tímto postupem je možné se vyhnout velké mobilizaci digitálních arterií i nářezům obvzláště na distálním článku palce a redukovat tím další poškození tkání amputované části. Před provedením osteosyntézy je odebrán žilní štěp z distálního předloktí nebo thenaru. Je provedena anastomóza mezi žilním štěpem a radiální digitální arterií na amputované části palce. Následuje osteosyntéza skeletu Kirchnerovým drátem. Žilní štěp je dále anastomozován na dorzální žilní systém amputačního pahýlu. Arteriální řečiště je rekonstruováno anastomózou ulnární digitální arterie s povrchně uloženou volární žilou amputátu (cs)
  • The authors describe modified thumb replantation technique. With this technique it is possible to avoid extensive mobilization of the digital arteries as well as incisions, particularly at the distal thumb phalanx, and therefore reduce further damage of the amputated part. Prior to the osteosynthesis a venous graft is harvested from the distal forearm or from the thenar area. Anastomosis between the venous graft and radial digital artery on the amputated part of the thumb is completed. Osteosynthesis of the bones with Kirchner wires follows. The venous graft is further anastomosed to the dorsal venous system of the stump. The arterial system is reconstructed with an anastomosis of the ulnar digital artery with a superficially positioned volar vein of the amputated part. The replantation technique described has proved effective in all cases when it was used.
  • The authors describe modified thumb replantation technique. With this technique it is possible to avoid extensive mobilization of the digital arteries as well as incisions, particularly at the distal thumb phalanx, and therefore reduce further damage of the amputated part. Prior to the osteosynthesis a venous graft is harvested from the distal forearm or from the thenar area. Anastomosis between the venous graft and radial digital artery on the amputated part of the thumb is completed. Osteosynthesis of the bones with Kirchner wires follows. The venous graft is further anastomosed to the dorsal venous system of the stump. The arterial system is reconstructed with an anastomosis of the ulnar digital artery with a superficially positioned volar vein of the amputated part. The replantation technique described has proved effective in all cases when it was used. (en)
Title
  • The primary use of venous grafts in thumb replantation
  • The primary use of venous grafts in thumb replantation (en)
  • Primární použití žilních štěpů u replantace palce (cs)
skos:prefLabel
  • The primary use of venous grafts in thumb replantation
  • The primary use of venous grafts in thumb replantation (en)
  • Primární použití žilních štěpů u replantace palce (cs)
skos:notation
  • RIV/00216208:11120/05:00001110!RIV09-MSM-11120___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • S
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 538422
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11120/05:00001110
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • microsurgery; replantation; arteriovenous shunt; hand surgery; thumb; venous graft (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [DF06445E8952]
http://linked.open...i/riv/nazevZdroje
  • Acta Chirurgiae Plasticae
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 47
http://linked.open...iv/tvurceVysledku
  • Tvrdek, Miroslav
  • Sukop, Andrej
  • Kufa, Roman
issn
  • 0001-5423
number of pages
http://localhost/t...ganizacniJednotka
  • 11120
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