Replantation of upper extremity, hand and digits.
2013
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-yearold 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.
[Projekat Ministarstva nauke Republike Srbije, br. 175095]
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