<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>In amputations of an upper extremity, an adequate preservation of the amputated part during its transport to a replantation centre is very important: it needs to be maintained at about 4°C. Providing adequate haemostasis of the extremity stump is also important for the patient’s safety, to avoid bleeding on the journey. The article presents the case of a patient who had sustained a hand amputation at the forearm, in which bleeding from the stump was stopped with a cord that has been tightened on the forearm, 10 cm above the amputation site. Transport for the patient took over 6 h and resulted in a critical ischaemia of the forearm stump. Replantation was successfully performed, but an excessive oedema of the ischaemically injured part of the stump developed in the post-operative course, requiring a fasciotomy, resection of the necrotic muscles, following by coverage of the defects with skin grafts. No complications were observed in the replanted part of the forearm, and the prognosis towards recovery of good hand function is moderate, due to the loss of a portion of the forearm muscles.</p>
</abstract>

In amputations of an upper extremity, an adequate preservation of the amputated part during its transport to a replantation centre is very important: it needs to be maintained at about 4°C. Providing adequate haemostasis of the extremity stump is also important for the patient’s safety, to avoid bleeding on the journey. The article presents the case of a patient who had sustained a hand amputation at the forearm, in which bleeding from the stump was stopped with a cord that has been tightened on the forearm, 10 cm above the amputation site. Transport for the patient took over 6 h and resulted in a critical ischaemia of the forearm stump. Replantation was successfully performed, but an excessive oedema of the ischaemically injured part of the stump developed in the post-operative course, requiring a fasciotomy, resection of the necrotic muscles, following by coverage of the defects with skin grafts. No complications were observed in the replanted part of the forearm, and the prognosis towards recovery of good hand function is moderate, due to the loss of a portion of the forearm muscles.

A serious complication after forearm replantation caused by a cord tightened on the stump during transportation – a case report

Pomeranian Medical University in Szczecin

Student Scientific Circle at the Department of General and Hand Surgery

Pomeranian Journal of Life Sciences

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

In amputations of an upper extremity, an adequate preservation of the amputated part during its transport to a replantation centre is very important: it needs...

A serious complication after forearm replantation caused by a cord tightened on the stump during transportation – a case report

Published Online: Jun 17, 2020

Page range: 48 - 50

DOI: https://doi.org/10.21164/pomjlifesci.696

Keywords
hand replantation, postoperative complications, muscle ischaemia, malpractice

© 2020 Dawid Ciechanowicz et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

A serious complication after forearm replantation caused by a cord tightened on the stump during transportation – a case report

Published Online: Jun 17, 2020

Page range: 48 - 50

DOI: https://doi.org/10.21164/pomjlifesci.696

Keywordshand replantation, postoperative complications, muscle ischaemia, malpractice

© 2020 Dawid Ciechanowicz et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
hand replantation, postoperative complications, muscle ischaemia, malpractice