Replantation at the level of the wrist joint: A case report

Abstract

Upper extremities amputations are devastating injuries that have a major impact on patients' quality of life. Replantation after traumatic amputation is often performed to obtain limb recovery. Following the high survival rate of replantation of post-traumatic hand amputation, recent emphasis has now shifted to functional recovery rather than survival only. Wrist replantation remains a challenging procedure for orthopaedic and hand surgeon. We reported a case of a 25-year-old male with traumatic amputation of the right hand.

Keywords: Hand amputation; Motor function; Rehabilitation; Sensory function; Wrist amputation.

Fig. 1

Clinical presentation of forearm stump. The amputated right hand was resulted from sharp laceration.

Fig. 2

Amputated hand.

Fig. 3

Debridement and identification of vessels and nerves on the A. Amputated hand, B. forearm stump.

Fig. 4

A. Replanted hand volar, B. Replanted hand dorsum.

Fig. 5

Clinical presentation of 7 days post-operative follow-up.

Fig. 6

Clinical presentation of 6 months post-operative follow-up.

Fig. 7

Radiology Examination Post K-wire removal and arthrodesis using plate and screw.

Fig. 8

Clinical Presentation of last follow-up.