Document Detail


Successful revascularisation of near total amputation of the upper limb after ten hours of warm ischaemia.
MedLine Citation:
PMID:  16114164     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Near total amputation of the upper limb if unsalvageable would cause severe disability. However, delayed revascularisation can be life threatening. We report two cases of revascularisation of the upper limb following near total amputation that was successful and functional after a warm ischaemic time of ten hours. The first was a traction avulsion injury of the arm leaving major nerves contused but in continuity. The second was a sharp injury through the mid-forearm attached by only a bridge of skin. Attempting revascularisation of a proximal injury beyond 6 hours, in selected cases is worthwhile.
Authors:
A M Merican; M K Kwan; C Y Cheok; E L W Wong; T A Sara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  60     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-08-23     Completed Date:  2005-09-22     Revised Date:  2005-10-14    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  218-21     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University Malaya Medical Center, 50603 Kuala Lumpur.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amputation, Traumatic / surgery*
Arm / blood supply*
Arm Injuries / surgery*
Humans
Ischemia / surgery*
Limb Salvage*
Male
Reoperation
Replantation / methods*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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