Microsurgery in pediatric upper limb reconstructions: An overview

Other authors

Institut Català de la Salut

[Catena N] Reconstructive Surgery and Hand Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy. [Baldrighi C, Jester A] Children’s Hand and Upper Limb Service, Department of Plastic Surgery, Birmingham Children’s Hospital NHS Foundation Trust, Birmingham, UK. [Soldado F] Pediatric Hand, Nerve and Microsurgery Institute, Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain. [Farr S] Pediatric Orthopedics and Foot and Ankle Surgery, Orthopedic Hospital Speising, Vienna, Austria

Vall d'Hebron Barcelona Hospital Campus

Publication date

2022-10-28T12:37:06Z

2022-10-28T12:37:06Z

2022-08



Abstract

Pediatric microsurgery; Brachial plexus palsy; Upper limb


Microcirugía pediátrica; Parálisis del plexo braquial; Extremidad superior


Microcirurgia pediàtrica; Paràlisi del plexe braquial; Extremitat superior


The use of microsurgery has spread during the last decades, making resolvable many complex defects considered hitherto inapproachable. Although the small vessel diameter in children was initially considered a technical limitation, the increase in microsurgical expertise over the past three decades allowed us to manage many pediatric conditions by means of free tissue transfers. Pediatric microsurgery has been shown to be feasible, gaining a prominent place in the treatment of children affected by limb malformations, tumors, nerve injuries, and post-traumatic defects. The aim of this current concepts review is to describe the more frequent pediatric upper limb conditions in which the use of microsurgical reconstructions should be considered in the range of treatment options.

Document Type

Article


Published version

Language

English

Publisher

SAGE Publications

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Rights

Attribution-NonCommercial 4.0 International

http://creativecommons.org/licenses/by-nc/4.0/

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