Replantation of upper extremity, hand and digits

Abstract

Replantation is defined as reattachment of the part that has been completely amputated and there is no connection between the severed part and the patient. In Boston in 1962 Malt successfully replanted a completely amputated arm of a 12-year-old boy. Komatsu and Tamai reported the first successful replantation of an amputated digit by microvascular technique. There are no strict indications and contraindications for replantation. It's on surgeon to explain to the patient the chances of success of viability, expected function, length of operation, hospitalization and long rehabilitation protocol. Survival and useful function in replantation of upper extremity amputations is questionable. Success depends on microvascular anastomoses, but the final function is related with tendon, nerve, bone and joint repair.

The Protective Effects of Fasciotomy on Reperfusion Injury of Skeletal Muscle of Rabbits

“…The severed upper extremity is a dangerous trauma for orthopedics because the severed limb has much muscle tissue and limited time to tolerate ischemia. The replantation of severed upper extremity has great risk, and the functional recovery is not satisfactory [ 1 , 2 ]. With prolonging the time of limb ischemia, the released oxygen free radicals increased after reperfusion [ 3 ].…”