Upper Extremity Replantation

Abstract

This review provides an update on the current concepts of the practice of replantation and the treatment and management of patients with upper extremity amputations.

Use of optical magnification and microsurgical technique in general surgery

“…The use of microsurgery in limb transplants and microvascular free flaps has now been standardized and used for many years. [1][2][3][4] On the other hand, a special emphasis must be put on the advantage that can be achieved by the use of optical magnification during microsurgery operations, in general surgery.…”

Our Strategy for Fingertip Amputation

“…The injury was an avulsion crush injury, and the amputation level was subzone classification (Figure 4), venous anastomosis is not required for the survival of the replant, if the arterial anastomosis is done accurately [4,[8][9][10][11][12][13][14]. However, there is a debate on the necessity of a venous anastomosis in subzones III and IV [4,8].…”

Management of the injured hand - basic principles of care

“…The revascularised hand can be functionally useless, unless all the nerves and tendons are repaired. The surgeon should select the indicated cases as some amputations may not be technically possible as in severe crush injuries, and unstable patients with concomitant severe injuries [4].…”