Key result
Replantation surgery successfully salvaged the right forearm, wrist, and thumb in an 18-year-old boy following a complex multi-segmental machine amputation.
Case Report (n=1)
Successful replantation is possible even in complex, multi-segmental upper extremity amputations when performed promptly by coordinated surgical teams.
May support considering replantation in select complex cases; leaves open generalizability and long-term functional outcomes.
Multi-segmental amputation caused by machine is rare, multi-amputation injures is complex and difficult in operation and replantation. An 18-year-old boy presented with completely amputation of the right forearm, wrist and thumb. On admission, he had clear consciousness. The operation started 3 h after the accident and was carried out simultaneously by two replantation teams and three procedures under brachial plexus anesthesia (the right forearm team; wrist and hand team). The replanted limb, hand and thumb were survived well. Our case was unusual in replantation of severed limb. Our case stated a replantation of upper extremity with associated a very rarely seen multi-level type amputation.
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Malas et al. (2013) conducted a case report in Multi-segmental amputation of right forearm, wrist, and thumb (n=1). Replantation surgery was evaluated on Survival of replanted limb, hand, and thumb. Replantation surgery successfully salvaged the right forearm, wrist, and thumb in an 18-year-old boy following a complex multi-segmental machine amputation.
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