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  • Title: Traumatic amputation of the upper limb: replantation of the arm.
    Author: D'Addato M, Pedrini L, Bertoni M, Stella A, Vitacchiano G, Sardella L, Ciuccarelli C, Maggi G, Poppi M.
    Journal: J Trauma; 1989 Jun; 29(6):876-9. PubMed ID: 2738984.
    Abstract:
    From 1970 to 1985, 13 patients were treated as a result of an upper limb traumatic sub-amputation. Three of them were younger than 15 years and another one was only 3 years old at the time of the trauma. All the elements involved in the treatment of the lesions are described. When it was possible, an end-to-end anastomosis was used for the repair of arteries and veins. Otherwise, when the loss of tissue was marked, a saphenous vein graft was used. The fracture was treated, when possible, with an intramedullary fixation, surely less traumatizing for soft tissues than a plate. The repair of the nerve was at times simultaneous at other times delayed. The followup has shown a good functional restoration of the limb and of the joints affected by the trauma and a normal development of the patients in terms of age.
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