Salvage of impending replant failure by temporary ectopic replantation: a case report

The Journal of Hand Surgery
Pedro C CavadasSantiago Soler-Nomdedeu

Abstract

Temporary ectopic replantation of amputated parts has been reported previously as an alternative to orthotopic replantation in difficult cases. We report a case in which the left arm initially was replanted orthotopically with subsequent development of extensive infection. The impending vascular failure of the replanted arm was salvaged by reamputation and temporary ectopic transfer of the arm to the groin region. Nine days later the arm was transferred back to the clean humeral stump. The functional result was similar to that of a standard transhumeral replantation, with 30 degrees to 120 degrees of active range of elbow motion, basic grip pattern, and S3 sensibility.

References

Jul 1, 1992·Journal of Reconstructive Microsurgery·G G Hallock
Feb 1, 1994·Plastic and Reconstructive Surgery·H S MatloubJ R Sanger
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Citations

May 7, 2014·The Journal of Hand Surgery·Ian L ValerioJames P Higgins
Nov 1, 2011·The Journal of Hand Surgery·James P Higgins
Jun 4, 2011·The Journal of Hand Surgery·S Raja SabapathyPraveen Bhardwaj
Jul 25, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Pedro C CavadasJavier Ibáñez
May 5, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Pedro C Cavadas
May 11, 2011·Microsurgery·Pedro C CavadasAlessandro Thione
Aug 13, 2008·The Journal of Hand Surgery, European Volume·J BakhachJ C Guimberteau
Jan 26, 2018·The Journal of Trauma and Acute Care Surgery·Yiji TuFeng Zhang
Jun 12, 2009·Techniques in Hand & Upper Extremity Surgery·Shahram Nazerani, Mohammad Hosein Kalantar Motamedi
Mar 23, 2019·Clinical Case Reports·Shuhei YoshidaMitsunobu Harima

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