LOWER LIMB VS UPPER LIMB REPLANTATIONS

摘要

TODAY, UPPER LIMB REPLANTATION IS ACOMMON PROCEDURE IN MOST PLASTIC SURGERY UNITS. THE NEED FORRECONSTRUCTION OF LOWER LIMB AMPUTATIONS IS I CAROL DAVILA MEDICALUNIVERSITY, CLINIC OF PLASTIC SURGERY AND RECONSTRUCTIVEMICROSURGERY, BUCHAREST EMERGENCY HOSPITAL, BUCHAREST, ROMANIANCREASING, DUE TO HIGH-ENERGY TRAUMA IN ROAD ACCIDENTS AND WORKRELATED INJURIES. THE INDICATION FOR LOWER LIMB REPLANTATION IS STILLCONTROVERSIAL. COMPARED WITH UPPER LIMB REPLANTATIONS, INDICATIONSARE MORE SELECT DUE TO THE FREQUENT COMPLICATIONS IN LOWER LIMBSALVAGE PROCEDURES, SUCH AS SEVERE GENERAL COMPLICATIONS OR LOCALCOMPLICATIONS SUCH AS NECROSIS, INFECTIONS, NONUNIONS, THE NEED FORSECONDARY LENGTHENING, OR OTHER RECONSTRUCTIVE PROCEDURES. THESATISFACTORY RESULTS GIVEN BY ARTIFICIAL PROSTHESIS, SUCH AS QUICKERRECOVERY TIME AND FEWER SECONDARY PROCEDURES, ALSO CONTRIBUTE TOTHE HIGHER DEGREE OF SELECTION FOR LOWER LIMB REPLANTATIONCANDIDATES.PATIENTS AND METHODS WE PRESENT OUR EXPERIENCE WITH UPPER ANDLOWER LIMB REPLANTATIONS, COMPARE THOSE PROCEDURES AND THEIR FINALOUTCOMES, TRYING TO EVALUATE THE CORRECT INDICATIONS AND ESTABLISH ATHERAPEUTIC PROTOCOL.RESULTS AND DISCUSSION WE HAD A LARGE NUMBER OF UPPER LIMBREPLANTATIONS, SO WE GAIN A LOT OF EXPERIENCE IN THIS FIELD. INCOMPARISON WITH THE UPPER LIMB, WE HAD A SMALLER NUMBER OF LOWERLIMBS REPLANTED, BUT WE OBSERVED, IN SOME OF THOSE CASES GOOD.