Over the recent past few years, there is a huge
innovation in plastic surgery and orthopedic surgery through implantation of
new techniques, which enabled a great level of success in handsalvage.
Conditions such as trauma, tumor, sepsis, or vascular disease, may necessitate
handsalvage. The most frequent argument among surgeon from different
subspecialties (orthopedics, plastics, trauma, and vascular surgery) are
characterized by in what way each one can do his own part of the salvage
operation, be it bony fixation, revascularization, or soft-tissue coverage, but
none of them is sure whether it should be endeavored. What is necessary in such
clinical situations is an interdisciplinary team attitude led by individual or
groups of clinicians who are conversant not only with their identifiable
subspecialized skills but also with those of their coworkers and the
consequences accompanying the joined efforts at hand salvage. The perception of
orthoplastic surgery is based on such an indication, where the integrated
skills and techniques of the orthopedic surgeon and reconstructive microsurgeon
are performed in recital to direct efforts concerning hand salvage or choose
against it when it is not designated. The current article reviews the roles of
orthopedic and plastic surgery and how this team can deal with the existing
techniques to improve outcomes in hand salvage surgery.
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