[Replantation of the extremities with special reference to flanking measures]

Replantation of extremities is presented and defined. A historical survey is offered. In addition to first aid, transport, preliminary procedures, and surgical treatment, special attention is given to conservation measures with consideration of experimental and pathophysiological principles. Experimental work performed by the author on rabbits is presented. The controversial value of perfusion is viewed in the light of clinical and experimental information; it is seen as the only conceivable means of long-term conservation. The risk of postischemic syndrome is discussed in relation to conservation. Hyperbaric oxygenation, which has as yet only been applied by a few authors in replantation of extremities, is also discussed. Results obtained are documented with the author's own clinical material.