Replantation at the level of the wrist joint: A case report

Satria, Oryza; Abubakar, Irsan; Karda, I Wayan Arya Mahendra

doi:10.1016/j.jcot.2019.08.006

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Such rare reported cases showed successful HR without microscopes techniques, one for a man with left-handed amputation, the level was below the wrist, and the other for a male with traumatic amputation at the level of the wrist joint [ 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Successful management of an amputated hand at the distal row level of carpal bones in low-resources country: A case report

Brimo Alsaman,

Sawas,

Al Mohamad

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Successful management of an amputated hand at the distal row level of carpal bones in low-resources country: A case report

Brimo Alsaman,

Sawas,

Al Mohamad

et al. 2023

International Journal of Surgery Case Reports

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“…Bone shortening and stable fixation are critical steps to achieve the final functional recovery, but there is no clear consensus over the best method for bony fixation when performing a replant at the level of the wrist joint. Motion-preserving procedures versus wrist arthrodesis after replantation have all been described; however, others have advocated attempts at joint-preserving procedures to achieve active wrist motion after replantation [ 3 , 4 ]. Typically, expedient bony fixation is done using Kirschner wires or Steinman pins after bone shortening with proximal row carpectomy to protect any neurovascular or tendinous repair.…”

Section: Introductionmentioning

confidence: 99%

Hand Replantation With Dorsal Spanning Plate Following a Self-Inflicted Radiocarpal Amputation

Lai¹,

Pham²,

Chan³

et al. 2023

Cureus

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Upper extremity amputations represent a prime opportunity to restore function through replantation. There are a variety of options that treating surgeons use to protect neurovascular repairs and restore function including Kirschner wire fixation, external fixation, wrist arthrodesis, and proximal row carpectomy. Additionally, the dorsal spanning plate may be a valuable tool for protecting neurovascular repairs. Compared to temporary immobilization with Kirschner wire fixation, which has previously been described in conjunction with upper extremity replantation, dorsal spanning plates can be left in place for longer durations with a lower risk of loosening and loss of fixation and for preventing postoperative sabotage or repeat amputation of the replant by the patient.In this article, we describe a unique case of a patient with acute psychiatric illness that presented with a self-inflicted amputation through the radiocarpal joint and was initially treated with emergent replantation and application of a dorsal spanning plate to protect the neurovascular repair from patient sabotage and allow for early rehabilitation. We found the dorsal spanning plate to be an effective option in this complex clinical scenario. This case illustrates the utility of the dorsal spanning plate in protecting complex neurovascular repairs in the setting of severe skeletal and psychiatric instability.

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Replantation at the level of the wrist joint: A case report

Cited by 2 publications

References 24 publications

Successful management of an amputated hand at the distal row level of carpal bones in low-resources country: A case report

Successful management of an amputated hand at the distal row level of carpal bones in low-resources country: A case report

Hand Replantation With Dorsal Spanning Plate Following a Self-Inflicted Radiocarpal Amputation

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