Pioneering the future of Microsurgery:四肢再建マイクロサージャリーのパフォーマンスとサイエンス

抄録

　Reconstructive microsurgery has revolutionized the field of hand surgery by incorporating innovative procedures, such as replantation, free composite tissue transfer and peripheral nerve surgery, in the last few decades, known as the performance decades. The last few years have been a period of maturation.
　To proceed forward, strict analysis based on EBM is imperative to improve the technical and functional outcomes of reconstructive microsurgery, referred to as the science decades. Performance still surpasses science in the field of reconstructive microsurgery.
　The indications of finger-tip replantation, evaluation of motor function by MRC, substitution action following nerve transfer, and reliability of DASH questionnaire were examined, and the significance of quantitative assessment of strength and accurate statistical analysis following microsurgical procedure was emphasized.
　There are many tricks used to obtain good functional outcomes in reconstructive microsurgery, which are based on meticulous microsurgical techniques and in-depth analysis of each case. The limitations of current microsurgical techniques, such as in the double free muscle procedure, are discussed, and I recommend that young microsurgeons integrate microsurgery with technological innovations like stem cells and the bionic hand.