Above-knee amputation followed by femoral replantation: 21-year follow-up results after lower limb replantation

被引:1
作者
Renner, Antal [1 ]
Szentirmai, Annamaria [1 ]
Santha, Andrea [1 ]
Viola, Tamas [1 ]
Gyarfas, Ferenc [2 ]
Melly, Andras [2 ]
Varga, Peter [3 ]
Retteghy, Tibor [3 ]
机构
[1] Natl Inst Traumatol, Peterfy Hosp, Ctr Trauma, Dept Hand & Microsurg, Budapest, Hungary
[2] Natl Inst Traumatol, Peterfy Hosp, Ctr Trauma, Dept Musculoskeletal Surg, Budapest, Hungary
[3] Natl Inst Traumatol, Peterfy Hosp, Ctr Trauma, Intens Care Unit, Budapest, Hungary
来源
EKLEM HASTALIKLARI VE CERRAHISI-JOINT DISEASES AND RELATED SURGERY | 2016年 / 27卷 / 02期
关键词
Amputation; complications; lower extremity; replantation; traumatic; LOWER-EXTREMITY REPLANTATION; DECISION-MAKING; REVASCULARIZATION; SALVAGE; LEG;
D O I
10.5606/ehc.2016.25
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In this article, we report successful treatment of serious complications of replantation after traumatic mid-third femoral amputation. To the best of our knowledge, no similar case has been reported in the literature. A 38-year-old healthy male sustained a mid-third right traumatic femoral amputation. We performed replantation. Oliguria and anuria occurred and were treated successfully with hemofiltration and hemodialysis. Six years later, patient walked wearing orthopedic shoes and also protective sensibility recovered on the limb. Serious complications of proximal lower limb replantation can be treated successfully and the limb can be saved.
引用
收藏
页码:117 / 121
页数:5
相关论文
共 13 条
[1]   Can indications for lower limb replantation and revascularization be expanded with simultaneous free-flap transfer for limb salvage? [J].
Akoz, T ;
Yildrim, S ;
Akan, M ;
Gideroglu, K ;
Avci, G ;
Cakir, B .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2004, 20 (08) :621-629
[2]   Lower limb replantations: Indications and a new scoring system [J].
Battiston, B ;
Tos, P ;
Pontini, I ;
Ferrero, S .
MICROSURGERY, 2002, 22 (05) :187-192
[3]   Successful Replantation of Amputated Bilateral Lower Limbs [J].
Fang, Chien-Liang ;
Yang, Cheng-San ;
Tang, Huei-Chun ;
Changchien, Chih-Hsuan ;
Lai, Ya-Yan .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2012, 129 (01) :215E-217E
[4]   Crossover replantation after bilateral traumatic lower limb amputations: A case report [J].
Fang J. ;
Li H. ;
Dou H. ;
Chen J. ;
Xu A. ;
Liu W. ;
Ding G. .
Journal of Medical Case Reports, 6 (1)
[5]   Survival and Secondary Surgery Following Lower Extremity Replantation [J].
Fufa, Duretti Teferi ;
Lin, Cheng Hung ;
Lin, Yu Te ;
Hsu, Chung Chen ;
Lin, Chih Hung .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2014, 30 (06) :419-425
[6]   Replantation of Above-Knee Amputation: A Surviving but Dysfunctional Case Needing Secondary Amputation [J].
Gao, You-Shui ;
Ai, Zi-Sheng ;
Zhang, Chang-Qing ;
Jin, Dong-Xu ;
Chen, Sheng-Bao ;
Zhu, Yi ;
Zeng, Bing-Fang .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2010, 26 (09) :631-635
[7]   Lower leg replantation-decision-making, treatment, and long-term results [J].
Hierner, Robert ;
Berger, Alfred Karl ;
Frederix, Peter Reynders .
MICROSURGERY, 2007, 27 (05) :398-410
[8]  
Märdian S, 2014, ACTA CHIR ORTHOP TR, V81, P9
[9]   LOWER-EXTREMITY REPLANTATION - 2 1/2-YEAR FOLLOW-UP [J].
MAMAKOS, MS .
ANNALS OF PLASTIC SURGERY, 1982, 8 (04) :305-309
[10]   A 17-YEAR FOLLOW-UP OF REPLANTATION OF A COMPLETELY AMPUTATED LEG IN A CHILD - CASE-REPORT [J].
MASUDA, K ;
USUI, M ;
ISHII, S .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 1995, 11 (02) :89-92