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  • Title: Role of temporary arterial shunt in the reimplantation of a traumatic above-elbow amputation.
    Author: Davins M, Llagostera S, Lamas C, López S.
    Journal: Vascular; 2007; 15(3):176-8. PubMed ID: 17573026.
    Abstract:
    Although the feasibility of reimplantation has increased greatly with the development of new surgical techniques, long-term functional prognosis is unpredictable. Injury to a major nerve is an important factor in long-term outcome, and prolonged ischemia time also has a negative effect. We present a 26-year-old woman whose right arm was sectioned above the elbow in an accident. The limb presented a complete section, with soft tissue loss of the humeral artery and vein, basilic vein, and cephalic vein. Median and radial nerve tissue was missing, and a supracondylar fracture with substantial loss of the humerus was also observed. During reimplantation surgery, a temporary arterial shunt reduced ischemia time. A venous and arterial bypass was performed, and the 12-month results were good.
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