[Subtotal and total traumatic extremity amputation--when replantation, when amputation?].
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).
Dörrler
J
J
Abteilung für Gefässchirurgie, Technische Universität München.
Maurer
P C
PC
von Sommoggy
S
S
Ingianni
J
J
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
Subtotale und totale traumatische Gliessmassenabtrennung--wann Replantation, wann Amputation?