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Re: Огнестрельный перелом луча
Krunoslav Margić 18 Март 2004, 08:01
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seems that the long flexor of thumb is involved too. Is there any function of extensor tendons? There is very usable proximal end of radial artery. In your case I would plan to reconstruct all possible tissues in one session: serratus anterior free graft with segment of scapular margin and accompanying nerve for vascularized nerve graft (augmented with superficial radial nerve and suralis grafts). If there is a great defect on dorsal side a segment of latissimus dorsi can be added on same pedicle. Tendons can be grafted in the same procedure or silicon зrostheses inserted for later grafting.
Sincerely,
Prim. dr. Krunoslav Margić, dr.med.
Department of plastic and reconstructive surgery
General hospital
SI-5290 Sempeter pri Gorici
Slovenija
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