The technique of osteosynthesis in replantations of the upper limb

The authors present their experience in osteosynthesis in replantations in the area of the wrist in 19 patients. For osteosynthesis they use external fixation device, type Poldi 7, which guarantees the stability not only during the microsurgical procedure but also over the whole period of healing. They point out the importance of the resection of both bones ends, i.e. the resection of the comminuted zone, as well as the importance of an extensive fasciotomy. In all patients but one healing was achieved without infection. The authors consider external fixation for the method of choice in the replantation in the wrist area.