title: [Subtotal and total traumatic extremity amputation--when replantation, when amputation?].
abstract: The major problems besetting replantation of a limb are the very limited tolerance of muscle tissue to ischemia (in our experiences 5 h) and the possibility of severe postischemic complications either in the limb itself (capillary thrombosis, muscle necrosis) or systemically (kidney failure, speticemia). Between 1975 and 1988, 66 limb replantations (57 arms, 9 legs) were carried out. All nine legs had to be reamputated. Forty-five of the 57 reattached upper extremities (80%) healed without any major complications, 60% exhibited good or very good results (Grade II or I, Classification by Chen).
authors.affiliation: Abteilung für Gefässchirurgie, Technische Universität München.
authors.forename: J
authors.initials: J
authors.lastname: Dörrler
authors.forename: P C
authors.initials: PC
authors.lastname: Maurer
authors.forename: S
authors.initials: S
authors.lastname: von Sommoggy
authors.forename: J
authors.initials: J
authors.lastname: Ingianni
mesh_terms: D000671:Amputation, Surgical / Q000379:methods*; D000673:Amputation, Traumatic / Q000601:surgery*; D005121:Extremities / Q000293:injuries*; D006801:Humans; D012092:Replantation / Q000379:methods*; D014945:Wound Healing / Q000502:physiology
vernacular_title: Subtotale und totale traumatische Gliessmassenabtrennung--wann Replantation, wann Amputation?