Major upper limb replantation: a review of clinical pearls

Abstract

Replantation of major segments of the extremities can be a formidable task. Adequate debridement of crushed tissues is a prerequisite for successful major limb replantation. This article serves to elucidate the important situational and patient factors a surgeon must consider when choosing between replantation or revision amputation for upper limb salvage.

The clinical effectiveness and safety of intravenous unfractionated heparin following digital replantation and revascularization: A narrative systematic review

“…Twenty-six full-text articles were assessed for eligibility. Twenty of these were excluded (Askari et al, 2006;Buntic & Brooks, 2010;Chen et al, 2021;Couteau et al, 2018;Efanov, 2017;Fukui et al, 1989;Herlihy et al, 2020;Li et al, 2012;Lin et al, 2020;Loisel et al, 2010;Luthringer et al, 2020;Maeda et al, 1991;Noguchi et al, 1999;Noh & Hacquebord, 2020;Pickrell et al, 2020;Reissis et al, 2020;Shaterian et al, 2018;Shi et al, 2013).Other than a prospective trial initiated by some members of our research team (NLM, 2021), the search in EBM reviews did not find other ongoing clinical trials, health technology assessment reports or guidelines. The manual search for relevant gray literature did not allow finding relevant studies either.…”