[Crossover extremity transfers. Limb salvage in amputations with segmental defects].
Clinical conditions in which crossover extremity transfer should be considered are rare. In the case of bilateral amputation associated with extensive proximal segmental injury, ectopic implantation could be an additional concept for two-stage limb salvage. If replantation is impossible due to segmental damage of the amputated part, at least uninvolved tissue should be harvested for stump lengthening or improving soft-tissue at the ends. The case of a 34-year-old man with segmental amputation of the left forearm and left lower leg and mutilated amputation of the right hand caused by a train accident is presented. Limb salvage was performed by cross-hand replantation and modified rotationplasty of the left foot as a stump lengthening procedure.
Druecke
D
D
Universitätsklinik für Plastische Chirurgie und Schwerbrandverletzte,Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmassentumoren, BG-Kliniken "Bergmannsheil", Ruhr-Universität, Bochum, Deutschland. D.Druecke@lubinus-clinicum.de
Homann
H H
HH
Kutscha-Lissberg
F
F
Schinkel
C
C
Steinau
H-U
HU
D000328:Adult; D000672:Amputation Stumps / Q000601:surgery; D000673:Amputation, Traumatic / Q000601:surgery*; D005500:Follow-Up Studies; D005543:Forearm Injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D023821:Limb Salvage / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000379:methods; D009104:Multiple Trauma / Q000601:surgery*; D010348:Patient Care Team; D020127:Recovery of Function / Q000502:physiology; D012092:Replantation / Q000379:methods*; D020858:Tissue and Organ Harvesting / Q000379:methods; D016042:Transplantation, Heterotopic / Q000379:methods*; D014945:Wound Healing / Q000502:physiology