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Upper extremity replantation: three-year experience.
J L Romero-Zárate1, J M Pastrana-Figueroa, R Granados-Martínez
1Hospital de Traumatología, Victorio de la Fuente Narváez, Instituto Mexicano del Seguro Social., Mexico D.F., Mexico.
Microsurgery
|September 12, 2000
Summary
Microsurgery successfully replanted 82% of upper extremity amputations, including hands and fingers. Functional recovery was satisfactory in 50% of cases, with 75% achieving good sensation.
Area of Science:
- Reconstructive Microsurgery
- Trauma Surgery
Background:
- Microsurgery in Mexico began in 1967.
- A dedicated microsurgery department established in 1995 improved patient management for upper extremity amputations.
Purpose of the Study:
- To present the hospital's experience with upper extremity replantation.
- To analyze outcomes of hand, finger, and limb replantation surgeries.
Main Methods:
- Retrospective analysis of 55 patients (103 amputations) undergoing upper extremity replantation.
- Data collected on patient demographics, amputation levels, surgical procedures, and outcomes.
Main Results:
- Replantation success rate was 82%, with 18% failure.
- Average hospital stay was 10 days with 6-24 months follow-up.
- Satisfactory functional recovery in 50% and sensory recovery in 75% of cases.
Conclusions:
- Despite limited experience, outcomes for upper extremity replantation are comparable to other series.
- Microsurgical replantation offers a viable option for managing upper extremity amputations.