The literature on major upper limb replantation, especially those proximal to the elbow, is inadequate. An 18-year-old man presented to us with a left forequarter amputation. A replantation was attempted with a view to salvaging function and avoiding prosthesis. The procedure was technically challenging with a number of issues not highlighted in previous reports, particularly bony stabilization...

Replantation of an amputated limb is generally contraindicated in crushing and traction injuries. Injury to muscle tissue and skin also creates difficulties in coverage, and bony fractures may shorten limb length which can impede lower extremity function. Numerous cases have been reported on the successful replantation of the lower limb in children; however, review of previous English literatur...

BACKGROUND In spite of the relatively high success rate of limb replantation, many patients cannot undergo replantation surgery because the preservation time of an amputated limb is only about six hours. In addition, although allotransplantation of composite tissues is being performed more commonly with increasingly greater success rates, the shortage of donors limits the number of patients tha...

The ability to microsurgically re-attach a body part that has been amputated represents one of the pinnacles of reconstructive surgery. Replantation of such parts offers a result that is usually superior to any other type of reconstruction. However, replantation of extremities involves more than microsurgery, as repair of bony and tendon injury must be undertaken as well. This article will focu...

This intervention study evaluated knowledge of first responders regarding the emergency clinical protocol in cases dental avulsions and impact an informative campaign. A questionnaire was applied to evaluate effect provided information on among service professionals management avulsion teeth: before campaign (T0) after (T1). Participants were invited attend trauma awareness that carried out by ...

INTRODUCTION Replantation of a limb to the contralateral stump after bilateral traumatic amputations is rare. To the best of our knowledge, there are only a few reports of crossover lower limb replantation in the literature. CASE PRESENTATION We treated a 37-year-old Chinese woman with bilateral lower limb crush injuries sustained in a traffic accident. Her lower limb injuries were at differe...

In order to provide the best long-term prognosis for a tooth that is to be replanted intentionally, the tooth must be kept out of the socket for the shortest period possible [4], and the extraction of the tooth should be atraumatic to minimise damage to the cementum and the periodontal ligament [5]. The periodontal ligament attached to the root surface should be kept moist in saline, Hank’s Buf...

INTRODUCTION There is much controversy regarding the current indications and contraindications for digital replantation. PRESENTATION OF CASE Three patients with absolute contraindications for digital replantation according to classical criteria are presented (Case 1: multilevel amputation of the hand and fingers; Case 3: avulsion of the thumb; Case 4: index amputation proximal to the inserti...

BACKGROUND Digital replantation has become a well-established technique that has revolutionized hand surgery. One of the most important factors to a successful replantation is less than 12 hours of warm and 24 hours of cold ischemia time. The purpose of this article was to present a concept of door-to-surgery time and test the hypothesis that success in distal digital replantation is associated...