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Above elbow limb replantation: functional results
The Journal of Hand Surgery
|September 1, 1986
Summary
Transhumeral limb replantation offers valuable elbow function recovery for amputees. Some patients regain useful wrist and hand function, potentially converting above-elbow to below-elbow amputations.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Trauma Surgery
Background:
- Limb replantation is a complex procedure with variable outcomes.
- Transhumeral amputations present unique challenges due to the extent of injury and potential for prolonged ischemia.
Purpose of the Study:
- To evaluate the functional outcomes of limb replantation in patients with complete transhumeral amputations.
- To assess the potential for recovery of elbow and distal limb function following replantation.
Main Methods:
- Retrospective analysis of seven patients undergoing transhumeral limb replantation.
- Inclusion criteria: complete transhumeral amputation with avulsion injury.
- Data collection focused on ischemic time, functional recovery, and complications.
Main Results:
- Five of seven replanted limbs survived.
- Patients with surviving limbs achieved useful elbow control.
- Two patients regained useful wrist and hand function; one converted to a below-elbow amputation.
Conclusions:
- Transhumeral limb replantation can be a viable option for restoring elbow function.
- Functional gains, including potential conversion to a below-elbow level, are achievable.
- While complications are common, life-threatening issues were not encountered.