title: Crossover replantation as a salvage procedure following bilateral transhumeral upper limb amputation: a case report.
abstract: Cross-over replantation is a salvage option for cases with bilateral extremity amputations where the wound conditions do not enable an orthotopic replantation. Here, we present a 24-year-old patient who applied to our center with bilateral transhumeral amputations. Due to the wound conditions, a cross-over replantation was performed. 24 months after the initial operation, the patient exhibits good protective sensation at the distal levels and function to some degree, whereas the active range of motion is not as promising as previously expected. In this article, we present this case together with its immediate and long-term outcomes and the consequences of the cross-over replantation.
authors.affiliation: IST-EL Hand Surgery, Microsurgery and Rehabilitation Group, Gaziosmanpasa Hospital, Istanbul, Turkey. bulent-ozcelik@hotmail.com
authors.forename: Ismail Bülent
authors.initials: IB
authors.lastname: Ozçelik
authors.forename: Berkan
authors.initials: B
authors.lastname: Mersa
authors.forename: Fatih
authors.initials: F
authors.lastname: Kabakaş
authors.forename: Bülent
authors.initials: B
authors.lastname: Saçak
authors.forename: Samet Vasfi
authors.initials: SV
authors.lastname: Kuvat
mesh_terms: D000672:Amputation Stumps; D000673:Amputation, Traumatic / Q000601:surgery*; D001134:Arm Injuries / Q000601:surgery*; D004551:Elbow Joint / Q000503:physiopathology; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery; D023821:Limb Salvage / Q000379:methods*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D011542:Pseudarthrosis / Q000601:surgery; D016059:Range of Motion, Articular; D012092:Replantation / Q000379:methods*; D012785:Shoulder Joint / Q000503:physiopathology; D016038:Skin Transplantation; D055815:Young Adult