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Hand replantation: A rare case report.

Magdy M El-Sayed Ahmed1

  • 1Department of Cardiovascular Surgery, Texas Heart Institute, St. Luke's Episcopal Hospital, Houston, TX, USA; Department of Surgery, Zagazig University Faculty of Medicine, Zagazig, Egypt.

SAGE Open Medical Case Reports
|August 5, 2016
PubMed
Summary

This case study details a successful hand replantation in a 43-year-old male. A single-vein repair proved sufficient, leading to progressive motor and sensory function recovery.

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Area of Science:

  • Orthopedics
  • Microsurgery
  • Trauma Surgery

Background:

  • Limb amputation presents significant reconstructive challenges.
  • Hand replantation aims to restore function and improve quality of life.

Purpose of the Study:

  • To report a successful case of hand replantation.
  • To evaluate the efficacy of a single-vein repair technique in hand replantation.

Main Methods:

  • Clinical and radiological assessment of amputated hand and stump.
  • Surgical fixation of forearm bones with K-wires.
  • Microsurgical repair of tendons, vessels (2 arteries, 1 vein), and nerves.

Main Results:

  • The patient tolerated the hand replantation procedure well.
Keywords:
Hand replantationamputated handvein

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  • Two months post-surgery, progressive improvement in motor and sensory functions was observed.

    • Conclusions:

    • Hand replantation can achieve successful functional recovery.
    • A single-vein repair may be adequate for successful hand replantation outcomes.