Crossover replantation as a salvage procedure following bilateral transhumeral upper limb amputation: a case report

Cross-over replantation is a salvage option for cases with bilateral extremity amputations where the wound conditions do not enable an orthotopic replantation. Here, we present a 24-year-old patient who applied to our center with bilateral transhumeral amputations. Due to the wound conditions, a cro...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 2011-04, Vol.131 (4), p.567-572
Main Authors: Özçelik, İsmail Bülent, Mersa, Berkan, Kabakaş, Fatih, Saçak, Bülent, Kuvat, Samet Vasfi
Format: Article
Language:English
Subjects:
Amputation Stumps
Amputation, Traumatic - surgery
Arm Injuries - surgery
Case reports
Elbow Joint - physiopathology
Handsurgery
Humans
Humeral Fractures - surgery
Limb Salvage - methods
Male
Medicine
Medicine & Public Health
Orthopedic Procedures - methods
Orthopedics
Pseudarthrosis - surgery
Range of Motion, Articular
Replantation - methods
Shoulder Joint - physiopathology
Skin Transplantation
Young Adult
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Summary:Cross-over replantation is a salvage option for cases with bilateral extremity amputations where the wound conditions do not enable an orthotopic replantation. Here, we present a 24-year-old patient who applied to our center with bilateral transhumeral amputations. Due to the wound conditions, a cross-over replantation was performed. 24 months after the initial operation, the patient exhibits good protective sensation at the distal levels and function to some degree, whereas the active range of motion is not as promising as previously expected. In this article, we present this case together with its immediate and long-term outcomes and the consequences of the cross-over replantation.
ISSN:0936-8051
1434-3916
DOI:10.1007/s00402-010-1217-x