Study of Replantation and Revascularization of Limb and Its Parts

Abstract

Background: Traumatic amputations may be devastating and can result in irreversible functional and
psychological problems in individuals who sustain them. With developmental advances in microvascular
surgery, amputated body parts are now routinely attached in many centres across the world. Successful
replantation of amputated digits may allow better appearance, better functional outcome and minimal pain
to the patient.
Materials and Methods: This is Prospective observational descriptive study comprising of 20 cases with
traumatic amputation of extremities and its parts treated with replantation and revascularization of part from
October 2014 to February 2017. Nature of injury was classified by Yamano classification of amputation
based on mechanism and severity of injury. Patients were evaluated by Chen & Quick DASH score.
Results: The viability of replanted part is guranted by a successful vessel anastomosis, while the quality
of bone, tendon, nerve and skin repair will determine the overall functional success of replanted parts.
Revascularisation procedures had overall better survival than replantation due to less complexity of
procedure.