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Related Concept Videos

Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...

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Related Experiment Video

Updated: May 17, 2026

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
08:11

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation

Published on: June 13, 2025

Major upper extremity replantations.

B Yaffe1, D Hutt, Y Yaniv

  • 1Department of Hand Surgery and Microsurgery Unit, Sheba Medical Center, Tel Aviv University Sackler School of Medicine, Tel Hashomer, Ramat Gan, 52621 Israel.

Journal of Hand and Microsurgery
|November 7, 2012
PubMed
Summary
This summary is machine-generated.

Major upper extremity replantation offers a chance for limb salvage, but functional outcomes depend significantly on the amputation type. Careful patient selection and surgical technique are crucial for successful replantation.

Keywords:
Replantationamputationmangled upper extremity

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Last Updated: May 17, 2026

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Published on: September 28, 2019

Area of Science:

  • Orthopedic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Major amputations often result in functional deficits despite high survival rates.
  • Replantation aims to restore function after traumatic limb loss.

Purpose of the Study:

  • To review the outcomes of major upper extremity replantations.
  • To evaluate the influence of amputation type on functional results.

Main Methods:

  • Retrospective review of 23 upper extremity replantations (1987-2007).
  • Classification of amputations based on Chuang et al. criteria.
  • Assessment of functional outcomes after extensive rehabilitation and surgical procedures.

Main Results:

  • High survival rate (22/23 replanted parts survived).
  • Arm replantation: 4/6 useful extremities; Forearm replantation: 11/16 useful extremities.
  • Amputation type was the primary determinant of functional outcome.

Conclusions:

  • Major upper extremity replantation can achieve useful functional results.
  • The type of amputation is a critical factor in predicting successful replantation outcomes.
  • Further research into optimizing replantation strategies based on amputation classification is warranted.