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Forequarter Replantation.

S Raja Sabapathy1, Hari Venkatramani1, J Dheenadhayalan2

  • 1Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.

The Journal of Hand Surgery
|September 25, 2021
PubMed
Summary
This summary is machine-generated.

Successful replantation of traumatic forequarter amputation, a rare and severe injury, has been achieved. This case demonstrates the potential for limb salvage and functional recovery in such complex cases.

Keywords:
Amputationforequartermajor limbreplantationrevascularization

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Area of Science:

  • Trauma surgery
  • Microsurgery
  • Orthopedic surgery

Background:

  • Traumatic forequarter amputation involves the avulsion of the arm, clavicle, scapula, and shoulder muscles.
  • Traditional management focuses on hemorrhage control, debridement, and soft tissue coverage.

Observation:

  • A rare case of traumatic forequarter amputation is presented.
  • The patient underwent successful replantation of the forequarter.

Findings:

  • At 4.5-year follow-up, the patient exhibited antigravity elbow flexion and modest shoulder elevation.
  • Functional recovery included modest extrinsic finger function and crude sensation.

Implications:

  • This case suggests forequarter replantation is a viable, albeit challenging, treatment option.
  • Successful replantation offers potential for limb salvage and improved functional outcomes in severe traumatic injuries.