2006 - UZ Leuven

improve the result. Total duration of therapy took 28 to 48 months.There were no secondary re-amputation.Conclusion: Using the new algorithm, on the one hand there is asignificant decrease in replantation frequency (30% of all tranferredcases in our replantation center), on the other hand those casesreplanted show better functional and aesthetic results and a significantlower replantation risk. Our results show that lower leg replantation isstill worthwhile contrary what is believed by an increasing number oforthopaedic and trauma surgeons.HIERNER R., FLOUR M., NOTEBAERT M., TOMBEUR M., KIEKENS C.,DEGREEF H., VECKMAN L., VANDERMEERSCH E., JOOSTEN E.:Richtlinien für das globale Decubitusmanagement unter besondererBerücksichtigung plastisch-chirurgischer Therapieansätze. Chir.Gastroenterologie, 2006; 22: 155-168.Pressure sores are a serious medical and surgical problem, despitegrowing knowledge on pathophysiology, diagnosis, prevention andtreatment. Pressure ulcer occurs in several groups of patients,including elderly patients, patients with central nervous systemdisease and paralysis, chronically ill, debilitated, patients with longoperation (in hypothermia) and bedridden patients. Efficientmanagement of pressure sores is based on a multidisciplinary teamapproach, a “common language” for diagnosis and documentation andan integrated treatment concept. Prevention remains the cornerstoneof management of pressure sores. Treatment of pressure sore aimson systemic and local factors. The conservative treatment is the basisof local wound care. Operative treatment can be understood asadjunct to a no more efficient conservative treatment. Using plasticsurgical techniques and principles, even large defects can besuccessfully reconstructed. Simple wound closure nowadays is notsufficient, the defect must stay closed after resuming normal lifeactivities. This requirement especially applies for the young patientage group. The postoperative care is as important as the operationitself.HIERNER R., GOFFIN J., VAN LOON J., VAN CALENBERGH F.: Freelatissimus dorsi flap transfer for scalp and cranium reconstruction.Chirurgica, 2006; 101: 16.Introduction: Free tissue transfer for scalp and cranium reconstructionis indicated in large defects with exposed brain tissue, deperiosted80