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Handchirurgie pp 1135-1185 | Cite as

Makroamputationsverletzungen im Bereich der oberen Extremität

  • Milomir Ninkovic
  • Frank Herter
  • Tristan I. Gerstung
  • Robert Hierner
Chapter
  • 6.5k Downloads

Zusammenfassung

Alle Amputationsverletzungen im Bereich der oberen Extremität distal des Radiokarpalgelenks werden als Mikroamputationsverletzungen bezeichnet.

Weiterführende Literatur

  1. Battiston B, Tos P, Clemente A, Pontini, I. (2007) Actualities in big segments replantation surgery. J Plast Reconstr Aesthet Surg 60(7): 849–855PubMedCrossRefGoogle Scholar
  2. Baumgartner R (1981) Management of bilateral upper limb amputees Orthop Clin North Am 12: 971–976Google Scholar
  3. Baumgartner R, Botta P (2008) Amputation und Prothesenversorgung, 3. Aufl. Thieme, StuttgartGoogle Scholar
  4. Beasley RW (1990) Upper limb prostheses. In: McCarthy JG (Hrsg) Plastic surgery, vol. 7: the hand. Saunders, Philadelphia, S 4384–4408Google Scholar
  5. Belsky MB, Ruby LK(1986) Double level amputation: Should it be replanted ? J. Reconstr Microsurg 2: 159–162CrossRefGoogle Scholar
  6. Berger A, Hierner R (Hrsg) (2009) Plastische Chirurgie, Band IV: Extremitäten. Springer, HeidelbergGoogle Scholar
  7. Berger A, Kolacny M, Passl R, Piza H (1980) Die Replantation ganzer Extremitäten – Pro und Contra. Hefte Unfallheilkunde 148: 557–564Google Scholar
  8. Berger A, Meissl G, Walzer R (1981) Bemerkungen und Gedanken zur Bewertung der Ergebnisse in der Replantationschirurgie. Handchir Mikrochir Plast Chir 13: 70–74Google Scholar
  9. Brandacher G, Ninkovic M, Piza-Katzer H, Gabl M, Hussl H (2009) The innsbruck hand transplant program: update at 8 years after the 1st transplant. Transplant Proc,41(2): 491–494PubMedCrossRefGoogle Scholar
  10. Braun C, Ollinger A, Bühren V (1992) »Makroreplantationen« an der oberen Extremität. Hefte Unfallheilkde 218: 10–15Google Scholar
  11. Brenner P, Reichert B, Berger A (1994) Kriterien zur frühen Reamputation von Großreplantaten. (inkl. Eingeladene Kommentare von G. Pirer und M. Frey) Acta Chir Austriaca 26: 99–108CrossRefGoogle Scholar
  12. Brunelli G (1981) Ischemia and Replantation. Liviana, PaduaGoogle Scholar
  13. Brunelli G, Vigasio A, Brunelli F (1985) L`élementarisation musculaire dans les réimplantations et les revascularisations »LIMITE« de l`avant-bras. Ann Chir Main 4:337–339PubMedCrossRefGoogle Scholar
  14. Celoria G, Zarfos K, Berman J (1990) Effects of acute lower limb ischemia on femoral venous ef_ux. Angiology 41(6) : 439–444PubMedCrossRefGoogle Scholar
  15. Chen ZW, Meyer VE, Kleinert HE, Beasley RW (1981) Present indications and contraindications for replantation as reflected by long-term funftional results. Orthop Clin N Amer 12:849–870Google Scholar
  16. Chen ZW, Han YL (1987) Major limb replantation. In: Urbaniak JR (Hrsg) Microsurgery for major limb reconstruction. Mosby, St. Louis, S 22–26Google Scholar
  17. Chernofsky MA, Sauer PF (1990) Temporary extopic implantation. J.Hand Surg 15A: 910–914Google Scholar
  18. Chuang, DC, Lai JB, Cheng SL, Jain V, Lin CH et al. (2001) Traction avulsion amputation of the major upper limb: a proposed new classication, guidelines for acute management, and strategies for secondary reconstruction. Plast Reconstr Surg 108: 1624–1638PubMedCrossRefGoogle Scholar
  19. Colen SR, Romita MC, Godfrey NY, Shaw WW (1983) Salvage replantation. Clin Plst Surg 10: 125Google Scholar
  20. Daigle JP, Kleinert JM (1991) Major limb replantation in children. Microsurgery 12: 221PubMedCrossRefGoogle Scholar
  21. Flurry M, Melissinos EG, Livingston CK (2008) Composite forearm free fillet flaps to preserve stump length following traumatic amputations of the upper extremity. Ann Plast Surg 60: 391–394PubMedCrossRefGoogle Scholar
  22. Gallico GG (1990) Replantation and revascularization of the upper extremity. In: McCarthy JG (Hrsg) Plastic surgery, vol 7: the hand, Saunders, Philadelphia, S 4355–4383Google Scholar
  23. Godina M, Bajec J, Baraga A (1986) Salvage of the mutilated upper extremity with temporary ectopic implantation of the undamaged part. Plast Reconstr Surg 78: 295–299PubMedCrossRefGoogle Scholar
  24. Gold AH, Lee GW (1991) Upper extremity replantation: current concepts and patient selection. J Trauma 21(7): 551–557CrossRefGoogle Scholar
  25. Goldner RD, Fitch RD, Nunley JA, Aitken MS, Urbaniak JR (1987) Demographics and replantation. J Hand Surg Am 12(5): 961–965PubMedGoogle Scholar
  26. Goldner RD, Nunley J A (1992) Replantation proximal to the wrist. HandClin 8(3): 413–425Google Scholar
  27. Graham B, Adkins P, Tsai TM, Firrell J, Breidenbach WC (1998) Major replantation versus revision amputation and prosthetic fitting in the upper extremity: a late functional outcomes study. J Hand Surg Am 23(5): 783–791PubMedCrossRefGoogle Scholar
  28. Grieb NJ, Axmann HD, Bargmann HJG (1993) Primäre Rekonstruktion der linken Hand durch heterotope Replantation der rechten Mittelhand. Handchir Mikrochir Plast Chir 25: 85PubMedGoogle Scholar
  29. Gustilo RB, Mendoza RM, Williams DN (1984) Problems in the Management of Type III (Severe) Open fractures: a new classification of type III open fractures. J. Trauma 24: 742CrossRefGoogle Scholar
  30. Hanel DP, Chin SH (2007). Wrist level and proximal-upper extremity replantation. Hand Clin 23(1) 13–21PubMedCrossRefGoogle Scholar
  31. Haws MJ, Erdmann D, Brown RE (1996) Above-elbow arm replantation during pregnancy. Ann Plast Surg 36(1): 939–936.CrossRefGoogle Scholar
  32. Hidalgo DA, Shaw W W, Colen SR (1987) Upper limb replantation. In: Shaw WW, Hidalgo DA (Hrsg) Microsurgery in trauma. Futura Publishing Company: Mount Kisco, New York, S 71–88Google Scholar
  33. Hierner R, Berger A, Brenner P (1998) Überlegungen zum Management von subtotalen und totalen Makroamputationen an der oberen Extremität – Rechtfertigt das Ergebnis den therapeutischen Aufwand? Unfallchirurg 101: 184–192PubMedCrossRefGoogle Scholar
  34. Hierner R, Berger A (2005) Long-term results after total and subtotal macroamputation at the upper extremity. Eur J Plast Surg 28 119–130CrossRefGoogle Scholar
  35. Hovius S E, Hofman A, van Urk H, Van Der Meulen JC (1991) Acute management of traumatic forequarter amputations: case reports. J Trauma 31(10): 1415–1419PubMedCrossRefGoogle Scholar
  36. Ipsen T, Lundkvist L, Barfred T, Pless J (1990) Principles of evaluation in microsurgical treatment of majot limb amputations – A follow-up study of 26 consecutive cases 1978–1987. Scand J Plast Reconstr Hand Surg 24: 75–80CrossRefGoogle Scholar
  37. Jäger SH, Tsai TM, Kleinert HE (1981) Upper extremity replantation in children. Orthop Clin N Amer 12: 897–907Google Scholar
  38. Jones NF, Schneeberger S (2009) Arm transplantation: prospects and visions. Transplant Proc 41(2): 476–480PubMedCrossRefGoogle Scholar
  39. Khalil AA, Aziz FA, Hall JC (2006). Reperfusion injury. Plast Reconstr Surg 117(3): 1024–1033PubMedCrossRefGoogle Scholar
  40. Kerrigan CL, Stotland MA (1993) Ischemia reperfusion injury: a review. Microsurg 14: 165–175CrossRefGoogle Scholar
  41. Kleinert JM, Graham B (1990) Macroreplantation: an overview. Microsurgery 11(3): 229–233PubMedCrossRefGoogle Scholar
  42. Koul AR, Cyriac A, Khaleel VM, Vinodan K (2004) Bilateral high upper limb replantation in a child. Plast Reconstr Surg 113(6): 1734–1738PubMedCrossRefGoogle Scholar
  43. Kutz JE, Sinclair SW, Rao VK, Calier A (1982) Cross-hand replantation: preliminary case report. J Microsrug 3: 4–6Google Scholar
  44. Kutz JE, Ames EL (1987) Major limb replantation in the upper extremity. In: Urbaniak JR (Hrsg) Microsurgery for major limb reconstruction. Mosby, St. Louis, S 27–29Google Scholar
  45. Littler JW (1976) On making a thumb: one hundred years of surgical effort. J Hand Surg Am 1(1): 35–51PubMedGoogle Scholar
  46. Lanzetta M, Dubernard JM (2007) Hand transplantation. Springer, BerlinCrossRefGoogle Scholar
  47. Malcolm OP (1988) Compartment syndromes and reperfusion injury. Surg Clin N Amer 68: 853–864Google Scholar
  48. Malt RA, McKahnn CF (1964) Replantation of severed arms. JAMA 189: 716PubMedCrossRefGoogle Scholar
  49. Mantkelow RT (1993) Functioning Free Muscle Transfer. In Green DP (Hrsg) Operative hand surgery. Churchill Livingstone, New York, S 1159–1177Google Scholar
  50. Marquardt E (1972) Steigerung der Effektivität von Oberarmprothesen durch Winkelosteotomie. Rehabilitation 11: 244–248PubMedGoogle Scholar
  51. Marzi I, Bühren V (1992) Pathophysiologische Mechanismen des Ischämie-, bzw. Reperfusionssyndroms nach Replantation- lokale und systemische Auswirkungen. Hefte Unfallheilkd 218: 5–10Google Scholar
  52. Matsuda M, Shibara H, Kato N (1978) Long-term results of replantation of 10 upper extremities. World J Surg 2: 603–612PubMedCrossRefGoogle Scholar
  53. Matsuda M, Kato N, Hosoi M (1981) Problems in replantation of limbs amputated through the upper arm region. J Trauma 21: 403PubMedCrossRefGoogle Scholar
  54. Maurer PC, Pflugbeil G, Sommoggy v S, Graf PR (1993) Langzeitergebnisse nach Replantation von Extremitätenteilen. Langenbecks Arch Chir Suppl (Kongreßbericht)Google Scholar
  55. Meyer VE (1985) Upper extremity replantation – Basic principles, surgical technique, and strategy. Churchill Livingstone, New YorkGoogle Scholar
  56. Mitz V, Lemerle JP, Leviet D, Vilain R (1990) Réimplantation et dévascularisation: Urgence V.O.P (vaisseau-os-peau). Chirurgie 116: 639–647PubMedGoogle Scholar
  57. Nast-Kolb D, Jochum M, Waydhas C, Schweiberer L (1991) Die klinische Wertigkeit biochemischer Faktoren beim Polytrauma. Hefte Unfallheilkde 215Google Scholar
  58. Neglén P, Jabs CM, Eklöf B (1989). Plasma metabolic disturbances and reperfusion injury following partial limb ischaemia in man. Eur J Vasc Surg 3(2): 165–172PubMedCrossRefGoogle Scholar
  59. Ninkovic M, Sucur D, Starovic B, Markovic S (1992) Arteriovenous fistulae after free flap in a replanted hand. J Hand Surg [Br] 17(6): 657–659CrossRefGoogle Scholar
  60. Ninkovic M, Deetjen H, Öhler K, Anderl H (1995) Emergency free tissue transfer for severe upper extremity injuries. J Hand Surg [Br] 20(1): 53–58CrossRefGoogle Scholar
  61. Ninkovic M, Hussl H, Hefel L, Anderl H (1995) Zeitpunkt der Versorgung schwerer Verletzungen der oberen Extremität durch freie Lappen. Handchir Mikrochir Plast Chir 27(6): 297–306PubMedGoogle Scholar
  62. Ninkovic M, Schöller T, Wechselberger G, Otto A, Sperner G, Anderl H (1997) Primary flap closure in complex limb injuries. J Reconstr Microsurg 13(8): 575–583PubMedCrossRefGoogle Scholar
  63. Ninkovic M, Mooney EK, Ninkovic M, Klestil T, Anderl A (1999) A new classification for the standardization of nomenclature in free flap wound closure. Plast Reconstr Surg 03(3): 903–914Google Scholar
  64. Oestern HJ, Tscherne H, Sturm J, Nerlich M (1985) Klassifzierung der Verletzungsschwere. Unfallchirurg 88: 465–472PubMedGoogle Scholar
  65. Oliveira IC, Barbosa RF, Ferreira PC, Silva PN, Choupina MP (2009) The use of forearm free _llet _ap in traumatic upper extremity amputations. Microsurgery 29(1): 8–15PubMedCrossRefGoogle Scholar
  66. Pang CY, Forrest CR, Mounsey R (1993) Pharmacology intervention in ischemiainduced perfusion injury in the skeletal muscle. Microsurg. 14 176–182CrossRefGoogle Scholar
  67. Peacock K, Tsai TM (1987) Comparison of functional results of replantation versus prosthesis in a patient with bilateral arm amputation. Clin Orthop Relat Res, S 153–159Google Scholar
  68. Pellegrini VD Jr, McCollister EC (1990) The fat embolism syndrome. In: McCollister EC (Hrsg) Surgery of the Musculoskeletal System, vol I. Churchill Livingstone, New York, 37–54Google Scholar
  69. Pillet J (1987) Digital and hand prosthetic fitting. In: Urbaniak JR (Hrsg) Microsurgery for major limb reconstruction. Mosby, St. Louis, S 46–50Google Scholar
  70. Piza-Katzer H, Partsch H, Urbanek A, Wenzel-Hora BI, Walzer RL (1987) Zur Frage der Lymphgefäßregeneration nach Replantation und freier mikrovaskulärer Lappenplastik. Vasa 16: 60–66PubMedGoogle Scholar
  71. Piza-Katzer H, Ninkovic M, Pechlaner S, Gabl M, Ninkovic M, Hussl H (2002) Double hand transplantation: functional outcome after 18 months. J Hand Surg [Br] 27(4): 385–390CrossRefGoogle Scholar
  72. Piza-Katzer H, Hussl H, Ninkovic M, Pechlaner S, Gabl M, Ninkovic M, Schneeberger S, Margreiter R (2002) Bilateral hand transplantation. Handchir Mikrochir Plast Chir 34(2): 75–83PubMedCrossRefGoogle Scholar
  73. Rohrich RJ, Ehrlichman RJ, May JrJW (1991). Sensate palm of hand free flap for forearm length preservation in nonreplantable forearm amputation: long-term follow-up. Ann Plast Surg 26(5): 469–473PubMedCrossRefGoogle Scholar
  74. Russel RC, O`Brien B, Morrison WA, Pamamull G, McLeod A (1984) The late functional results of upper-limb revascularization and replantation. J Hand 9A 623–633Google Scholar
  75. Santha E, Szarvas J., Varga G, Varga M (1988) Autotransplantation einer oberen Extremität an die Gegenseite. Handchir 20: 259–262Google Scholar
  76. Scharnagel E (1986) Extremitätenreplantation unter besonderer Berücksichtigung flankierender Maßnahmen. Handchir 18: 275–288Google Scholar
  77. Schmit-Neuerburg KP, Towfigh H, Letsch R (Hrsg) (2001) Tscherne Unfallchirurgie, Band VIII/2: Hand. Springer, BerlinGoogle Scholar
  78. Schneeberger S, Ninkovic M, Piza-Katzer H, Gabl M, Hussl H, Rieger M, Loescher W, Zelger B, Brandacher G, Ninkovic M, Bonatti H, Boesmueller C, Mark W, Margreiter R (2006) Status 5 years after bilateral hand transplantation Am J Transplant 6(4): 834–841Google Scholar
  79. Sears HH, Jacobsen SC (1987) Upper extremity prosthetics with emphasize on the utah artificial arm. in: Urbaniak JR (Hrsg) Microsurgery for major limb reconstruction. Mosby, St. Louis, S 51–53Google Scholar
  80. Shenaq SM, Krouskop MT, Stal S, Spira M (1987) Salvage of amputation stumps by secondary reconstruction utilizing microsurgical free-tissue transfer. Plast Reconstr Surg 79: 861–870PubMedCrossRefGoogle Scholar
  81. Smith RJ, Malt RA, Harris WH, Remensnyder JP (1987) Long-term results of upper-limb replantation. In: Urbaniak JR (Hrsg) Microsurgery for major limb reconstruction. Mosby, St. Louis, S 30–37Google Scholar
  82. Steinau HU (1988) Major limb replantation and postischemia syndrome. investigation of acute ischemia-induced myopathy and reperfusion injury. Springer, Berlin, HeidelbergGoogle Scholar
  83. Südkamp N, Haas N, Flory PJ, Tscherne H, Berger A (1989) Kriterien der Amputation, Rekonstruktion und Replantation bei Mehrfachverletzten. Chirurg 60 774–781PubMedGoogle Scholar
  84. Täger G, Nast-Kolb D (2000). Amputationen und Prothesenversorgung der oberen Extremität. Chirurg 71: 727–742PubMedCrossRefGoogle Scholar
  85. Tamai S (1982) Twenty years` experience of limb replantation–review of 293 upper extremity replants. J Hand Surg 7: 549–556Google Scholar
  86. Tubiana R (1981) Krukenberg`s Operation. Orthop Clin N Amer 12: 819–826Google Scholar
  87. Van Der Wilde RS, Wood MB, Zu ZG (1992) Hand replantation after 54 hours of cold ischemia: a case report. J Hand Surg Am, 17(2): 217220Google Scholar
  88. Wachsmuth W, Wilhelm A (Hrsg) (1972) Allgemeine und spezielle chirurgische Operationslehre, 10. Band, Teil 3: Operationen an der Hand. Springer, BerlinGoogle Scholar
  89. Waikakul S, Vanadurongwan V, Unnanuntana A (1998) Prognostic factors for major limb re-implantation at both immediate and long-term follow-up. J Bone Joint Surg Br 80(6): 1024–1030PubMedCrossRefGoogle Scholar
  90. Wang SH, Young KF, Wei JN (1981) Replantation of severed limbs clinical analysis of 91 cases. J Hand Surg Am 6(4): 311–318PubMedGoogle Scholar
  91. Wiberg M, Hazari A, Ljungberg C, Pettersson K, Backman C et al. (2003) Sensory recovery after hand reimplantation: a clinical, morphological, and neurophysiological study in humans. Scand J Plast Reconstr Surg Hand Surg 37(3): 163–173PubMedCrossRefGoogle Scholar
  92. Wijayaratna S BT, Suraweera HJ, Lamawansa MD, Mudalige SP, Esufali ST (2008) Post-operative critical care and outcomes of limb replantation: experience in a developing country. Injury 39(2): 203–208PubMedCrossRefGoogle Scholar
  93. Wood MB, Cooney WP (1986) Above elbow limb replantation: functional results. J Hand Surg 11A: 682–687Google Scholar
  94. Wynn Parry CB (1973) Rehabilitation of the Hand. Butterworths, LondonGoogle Scholar
  95. Yang KF (1984) Autotransplantation of severed Limbs. A case report. J Reconstr Microsurg 1: 21–24PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Milomir Ninkovic
    • 1
  • Frank Herter
    • 1
  • Tristan I. Gerstung
    • 1
  • Robert Hierner
    • 2
  1. 1.Klinik für Plastische, Rekonstruktive, Hand- und VerbrennungschirurgieKlinikum Bogenhausen Städtisches Klinikum MünchenMünchen
  2. 2.Plastische, Rekonstruktive, Ästhetische und Handchirurgie, Zentrum für Interdisziplinäre Rekonstruktive ChirurgieUniversität Duisburg-Essen Universitätsklinikum EssenEssen

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