Above-knee amputation followed by femoral replantation: 21-year follow-up results after lower limb replantation

Antal Renner; Annamária Szentirmai; Andrea Sántha; Tamás Viola; Ferenc Gyárfás; András Melly; Péter Varga; Tibor Retteghy

doi:10.5606/ehc.2016.25

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.

Abstract

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.