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Hand replantation using loupe magnification in a resource constrained environment: Case report
F W Nangole1, S O Khainga1, W A Okello1
1Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya.
JPRAS Open
|December 10, 2020
Summary
Hand replantation using loupe magnification is a viable alternative to surgical microscopes, especially in resource-limited settings. This approach offers satisfactory functional recovery for patients needing extremity reattachment.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Trauma Surgery
Background:
- Hand replantation is a critical surgical procedure globally.
- Limited access to surgical microscopes hinders replantation in resource-constrained regions.
Observation:
- A 17-year-old patient with a right hand amputation due to a chaff cutter injury was treated.
- The surgical procedure involved reattaching the hand using loupe magnification.
Findings:
- Successful hand replantation was achieved using loupe magnification.
- The patient demonstrated satisfactory functional recovery after a two-year follow-up period.
Implications:
- Loupe magnification presents a cost-effective alternative to operating microscopes for extremity replantation.
- This technique can expand access to essential reconstructive surgery in underserved areas.
