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Principles of Musculoskeletal Repair in Extremity Replantation

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Extremity Replantation

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Abstract

Functional replantation relies on the success in the technical performance and intrinsic healing of all components of the injured extremity. The skeletal system forms the foundation upon which the remaining soft-tissue elements survive and act. Strictly adhering to the basic principles of fracture fixation and healing can optimize the initial outcome and can improve the likelihood of success in any revisional surgery. In most cases of extremity replantation, the musculotendinous units will be injured at the level of the tendon, leaving the motor innervation intact. Understanding tendon biology and careful attention to the resulting principles of repair will facilitate post-replant rehabilitation and increase the chance of functional success.

“Firmitas, utilitas, venustas” (solid, useful, beautiful)

Marcus Vitruvius Pollio, De Architectura

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Authors and Affiliations

  1. Division of Plastic Surgery, University of Wisconsin Hospital and Clinics, Madison, WI, USA

    Steve J. Kempton MD & A. Neil Salyapongse MD

  2. Department of Orthopedics and Rehabilitation, University of Wisconsin Hospitals and Clinics, Madison, WI, USA

    Samuel R. H. Steiner MD

Authors
  1. Steve J. Kempton MD
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  2. Samuel R. H. Steiner MD
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  3. A. Neil Salyapongse MD
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Correspondence to A. Neil Salyapongse MD .

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Editors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    A. Neil Salyapongse

  2. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Samuel O. Poore

  3. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Ahmed M. Afifi

  4. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Michael L. Bentz

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Kempton, S.J., Steiner, S.R.H., Salyapongse, A.N. (2015). Principles of Musculoskeletal Repair in Extremity Replantation. In: Salyapongse, A., Poore, S., Afifi, A., Bentz, M. (eds) Extremity Replantation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7516-4_2

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  • DOI: https://doi.org/10.1007/978-1-4899-7516-4_2

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