Replantation in scapulothoracic avulsion amputation of the right upper limb in a 3-year-old child- A preliminary report

Abstract

Replantations for major amputations of upper extremity have been widely performed. We report a unique case of successful replantation of scapulothoracic avulsion amputation in a child. In this manuscript, we discuss the various challenges faced during the procedure and chances of neural recovery.

Replantation of forequarter amputation: Report of two cases with successful structural, motor and sensorial results

“…However, a forequarter amputation which might be described as scapulothoracic amputation may also occur above this level. To date there has been only one recent report of a higher level of replantation at the proximal humerus through the shoulder joint (Mahendru et al, 2016). This was described by Mahendru et al, who performed a replantation to scapulothoracic avulsion amputation in a three‐year‐old patient.…”

“…As highlighted in the limited number of previous reports, one of the major challenges in forequarter amputation (scapulothoracic disarticulation) is stabilization of the limb to its original location on the chest wall. In previous reports, authors have used plates to stabilize the acromioclavicular joint or else multiple K‐wires to fix the limb to the chest (Mahendru et al, 2016; Venkataram et al, 2015; Witz et al, 2000; Zelle et al, 2004). However, it should be remembered that traction will lead to avulsion, and thus to amputation from the weakest part.…”