title: Replantation proximal to the wrist.
abstract: Technical aspects of importance in replantation proximal to the wrist are somewhat different from those involved with digital replantation. Re-establishing blood flow rapidly by insertion of an arterial shunt, meticulous debridement, stable internal fixation of fractures, fasciotomy, and re-examination of the tissue 48 to 72 hours after replantation are discussed. Indications and contraindications for replantation in addition to maximizing use of "spare parts" are illustrated.
authors.affiliation: Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.
authors.forename: R D
authors.initials: RD
authors.lastname: Goldner
authors.forename: J A
authors.initials: JA
authors.lastname: Nunley
mesh_terms: D000673:Amputation, Traumatic / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical; D000075202:Contraindications; D003646:Debridement; D005542:Forearm / Q000601:surgery*; D006801:Humans; D012092:Replantation / Q000379:methods*; D014953:Wrist