Above-knee amputation followed by femoral replantation: 21-year follow-up results after lower limb replantation
Antal Renner1, Annamária Szentirmai1, Andrea Sántha1, Tamás Viola1, Ferenc Gyárfás2, András Melly2, Péter Varga3, Tibor Retteghy3
1Department of Hand and Microsurgery, Péterfy Hospital, Trauma Centre (former National Institute of Traumatology), Budapest, Hungary
2Department of Musculoskeletal Surgery, Péterfy Hospital, Trauma Centre (former National Institute of Traumatology), Budapest, Hungary
3Intensive Care Unit, Péterfy Hospital, Trauma Centre (former National Institute of Traumatology), Budapest, Hungary
Keywords: Amputation; complications; lower extremity; replantation; traumatic.
In this article, we report successful treatment of serious complications of replantation after traumatic mid-third femoral amputation. To the best of our knowledge, no similar case has been reported in the literature. A 38-year-old healthy male sustained a mid-third right traumatic femoral amputation. We performed replantation. Oliguria and anuria occurred and were treated successfully with hemofiltration and hemodialysis. Six years later, patient walked wearing orthopedic shoes and also protective sensibility recovered on the limb. Serious complications of proximal lower limb replantation can be treated successfully and the limb is saveable.