Successful revascularisation of near total amputation of the upper limb after ten hours of warm ischaemia.
Near total amputation of the upper limb if unsalvageable would cause severe disability. However, delayed revascularisation can be life threatening. We report two cases of revascularisation of the upper limb following near total amputation that was successful and functional after a warm ischaemic time of ten hours. The first was a traction avulsion injury of the arm leaving major nerves contused but in continuity. The second was a sharp injury through the mid-forearm attached by only a bridge of skin. Attempting revascularisation of a proximal injury beyond 6 hours, in selected cases is worthwhile.
Merican
A M
AM
Department of Orthopaedic Surgery, University Malaya Medical Center, 50603 Kuala Lumpur.
Kwan
M K
MK
Cheok
C Y
CY
Wong
E L W
EL
Sara
T A
TA
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D001132:Arm / Q000098:blood supply*; D001134:Arm Injuries / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D023821:Limb Salvage; D008297:Male; D012086:Reoperation; D012092:Replantation / Q000379:methods*; D013997:Time Factors