Microsurgical Reconstruction of the Lower Extremity in the Elderly.

Clinics in plastic surgery 2021 Vol.48(2) p. 331-340

Gohritz A, Osinga R, Haumer A, Schaefer DJ

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Abstract

Demand has increased for complex lower-extremity reconstruction in the steadily growing elderly patient group in many highly developed countries. Microsurgery is indispensable for soft tissue reconstruction and osseous consolidation salvaging leg function and preventing amputation, with its devastating consequences. Microvascular reconstruction can be performed successfully in specialized centers with low donor-site morbidity, minimal operative time, and comparably low complication rates. However, this requires thorough multidisciplinary planning, preoperative optimization of risk factors, such as diabetes and malnutrition, and individually adapted intraoperative management. Implementing these principles can reliably restore ambulation and mobility, maintaining autonomy in this population.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 microsurgical reconstruction 미세수술 dict 1
시술 microsurgery 미세수술 dict 1
시술 microvascular 미세수술 dict 1
해부 tissue scispacy 1
해부 leg scispacy 1
질환 diabetes C0011847
Diabetes
scispacy 1
질환 malnutrition C0162429
Malnutrition
scispacy 1
질환 osseous scispacy 1
기타 patient scispacy 1

MeSH Terms

Aged; Aged, 80 and over; Female; Humans; Lower Extremity; Male; Microsurgery; Postoperative Care; Plastic Surgery Procedures; Soft Tissue Injuries

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