Replantation of upper extremity, hand and digits
Author(s) -
Marko Bumbaširević,
Cedo Vuckovic,
Čedomir Vučetić,
Radovan Manojlović,
Sladjana Andjelkovic,
Tomislav Palibrk,
Suzana Milutinović,
Emilija Dubljanin-Raspopović
Publication year - 2013
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci1302023b
Subject(s) - replantation , medicine , numerical digit , surgery , upper limb , amputation , rehabilitation , hand surgery , anastomosis , tendon , physical therapy , mathematics , arithmetic
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.
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