[Progresses in the orthopedic-reconstructive surgery by microsurgery (author's transl)].

G Friedebold; H Zilch; B Gaudin

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PubMed · 463213

[Progresses in the orthopedic-reconstructive surgery by microsurgery (author's transl)].

G Friedebold·H Zilch·B Gaudin

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Abstract

After a short description of the microsurgical technique for operations of periphere nerves and small vessels, the possibilities for reconstructive operations in orthopedic surgery are demonstrated. The actual experiences allow a critical but also cautious prospective statement.

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Amputation, Traumatic Hand Heel Humans Microsurgery Orthopedics Peripheral Nerves Ulcer Vascular Surgical Procedures English Abstract Journal Article

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G Friedebold, H Zilch, B Gaudin. 1979. [Progresses in the orthopedic-reconstructive surgery by microsurgery (author's transl)].. https://pubmed.ncbi.nlm.nih.gov/463213/

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BACKGROUND: Traumatic auricular amputation due to human bite is not a common event. Nonetheless, it constitutes a difficult challenge for the reconstructive surgeon. Microsurgery can be performed in some cases, but most microsurgical techniques are complex and their use can only be advocated in specialized centers. Replantation of a severed ear without microsurgery can be a safe alternative as long as a proper technique is selected. METHODS: We present two cases, one of a partial and one of a total traumatic auricular amputation, both caused by human bites, that were successfully managed in our Department. The technique of ear reattachment as a composite graft, with partial burial of the amputated part in the retroauricular region, as first described by Baudet, was followed in both cases. RESULTS AND DISCUSSION: The prementioned technique is described in detail, along with the postoperative management and outcome of the patients. In addition, a brief review of the international literature regarding ear replantation is performed. CONCLUSION: The Baudet technique has been used successfully in two cases of traumatic ear amputation due to human bites. It is a simple technique, without the need for microsurgery, and produces excellent aesthetic results, while preserving all neighboring tissues in case of failure with subsequent need for another operation.

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