PMID: 3760495Sep 1, 1986Paper

Above elbow limb replantation: functional results

The Journal of Hand Surgery
M B Wood, W P Cooney

Abstract

Seven patients with a complete transhumeral limb amputation had their limb replanted. In all seven limbs the mechanism of injury was avulsion, and the ischemic time was relatively prolonged, with a range of 10 to 14 hours. The five patients with surviving limbs achieved useful elbow control. Of these patients, two achieved useful distal function to the wrist and hand and one had a below elbow amputation. All but one patient required multiple secondary operative procedures, with an average of 2.8 procedures for those patients with surviving limbs. We did not encounter any significant life-threatening problems. Less serious complications were encountered in all but three patients during the postoperative period. We suggest that limb replantation at transhumeral levels may be of value for recovery of elbow function in most of these patients. In some instances, this may permit the conversion of an above elbow level amputation to a functional below elbow level. In a few patients, recovery of useful hand function may be achieved.

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Citations

Jan 1, 1990·Microsurgery·J M Kleinert, B Graham
Dec 1, 2009·Journal of Hand and Microsurgery·B YaffeJ Engel
Oct 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P VanstraelenM A Milling
Dec 20, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·N T Hoang
Dec 20, 2007·Techniques in Hand & Upper Extremity Surgery·Alexander B DagumVirginia Tottenham
Sep 1, 1987·The Journal of Hand Surgery·R D GoldnerJ R Urbaniak
May 25, 2010·Hand Clinics·Jaimie T Shores, W P Andrew Lee
Mar 31, 2009·Transplantation Proceedings·N F Jones, S Schneeberger
Mar 1, 1992·The Journal of Hand Surgery·R S VanderWildeZ G Zu
Apr 27, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Thomas SchoellerGeorg M Huemer
Apr 10, 2007·Clinics in Plastic Surgery·Bradley D MedlingMichael W Neumeister
Jun 1, 1995·Acta Orthopaedica Scandinavica. Supplementum·N K DaoutisS Anagnostou
Jul 27, 2000·The Journal of Hand Surgery·K IharaK Sakai
Jan 1, 1990·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·T IpsenJ Pless
Nov 3, 2011·The Journal of Hand Surgery, European Volume·A Gulgonen, K Ozer
Mar 26, 2008·Annals of Plastic Surgery·Mitchell FlurryChristopher K Livingston
Nov 2, 2005·The Journal of Bone and Joint Surgery. British Volume·S TogawaS Ozeki
Feb 7, 2020·Annals of Plastic Surgery·Chunyang WangWilliam C Lineaweaver
Sep 21, 2012·The Journal of Bone and Joint Surgery. American Volume·Scott M TintleBenjamin K Potter
Dec 17, 2010·The Journal of Bone and Joint Surgery. American Volume·Scott M TintleBenjamin K Potter
Nov 30, 2012·Plastic and Reconstructive Surgery·Michel Saint-CyrWilliam C Pederson
Feb 12, 2017·BMC Musculoskeletal Disorders·G MattiassichL Larcher
Apr 17, 2001·Plastic and Reconstructive Surgery·W C Pederson
Nov 19, 2002·The Journal of Trauma·Francisco del PiñalFrancisco Garcia-Bernal
May 9, 2001·Annales de chirurgie plastique et esthétique·M SchoofsG Auvray
Jul 25, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Pedro C CavadasJavier Ibáñez

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