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Forequarter Replantation and the Lessons Learnt.

Aniketh Venkataram¹, Naren Shetty¹, Narendra S Mashalkar¹

¹Department of Plastic Surgery, St. Johns Medical College, Bangalore, Karnataka, India.

Plastic and Reconstructive Surgery. Global Open

|October 24, 2015

Summary

Replantation of a shoulder-level amputation was technically challenging and initially successful but ultimately failed due to sepsis. This case highlights difficulties in major upper limb salvage surgery.

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Area of Science:

Orthopedic Surgery
Trauma Surgery
Microsurgery

Background:

Major upper limb replantation, particularly proximal to the elbow, has limited literature.
Forequarter amputation presents unique challenges for limb salvage and functional restoration.

Observation:

An 18-year-old male underwent attempted replantation for a left forequarter amputation.
The procedure involved complex bony stabilization and microsurgical techniques.

Findings:

Initial surgical success with good limb perfusion was achieved.
Postoperative sepsis led to the failure of the replantation and necessitated its abandonment.

Implications:

This case underscores the significant technical challenges and risks associated with shoulder-level limb replantation.
Further research and case reports are needed to improve outcomes for high-level upper limb salvage procedures.