1. Replantation of upper extremity, hand and digits.
- Author
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Bumbasirević MZ, Vucković CD, Vucetić C, Manojlović R, Andjelkovic SZ, Palibrk TD, Milutinović SM, and Raspopović ED
- Subjects
- Humans, Microsurgery, Microvessels surgery, Patient Selection, Upper Extremity injuries, Amputation, Traumatic surgery, Finger Injuries surgery, Hand Injuries surgery, Replantation adverse effects, Replantation methods, Upper Extremity surgery
- 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.
- Published
- 2013
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