Major hand replantation after an extended search for the missing part (original) (raw)

Current Orthopaedic Practice, 2014

Abstract

S ince the first reported hand replantation in 1964, the success of distal extremity replantation has improved secondary to refined surgical techniques and dedicated replantation centers. Hand amputation results in severe functional loss and psychological distress. Every effort should be made to replant the upper extremity because outcomes from replantation exceed outcomes from prostheses. We present a patient in whom extreme measures were taken to locate the dominant, amputated hand, resulting in a successful distal-forearm replantation with a functional thumb. Ischemic time of the hand was 2 hr at the bottom of the river and seven hours hypothermic ischemic time packed in ice. This patient was informed about the collection of data and consented to having his case submitted for publication.

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