Major Limb Replantations

Abstract

Introduction: Major limb replantations are less common than minor limbs replantations. In both replantations, similar principles are fundamental with minor modifications in the treatment protocol. The main difference between major and minor replantation is related to the increased amount of muscle tissue involved in the extremity. Because more muscle mass is present in a major limb amputation, the duration of ischemia of the detached part is more critical.
Patients and methods: This prospective study was performed between 1994-1998 with a minimum follow up of 1 year. 6 patients were men and one was woman and their mean age was 32.6 years (7-50). All of them had an isolated injury with complete amputation. Amputations had diagnosed in the wrist in 3 patients, 1/2 distal forearm in 2 patients, 1/2 distal arm in one patient and 1/2 distal cruris in one patient. Chen criterias were used to assess the functional result of the replanted part.
Results: 56% excellent and good results were obtained.
Conclusion: Our results are similar the previous studies in the literature.