Successful Replantation after Amputation around Both Knee

Abstract

Reducing ischemic time is the most important factor associated with good results in major limb replantation. This case describes the surgery and outcome of replantation of both major limbs in a patient with amputation of both lower extremities due to rope entanglement on a ship. Emergency surgery restored circulation in 3 hours and 40 minutes after amputation on the left side, and 4 hours and 50 minutes after amputation on the right side. The left knee of the patient had undergone joint fusion and the right knee could move from 0 degree to 100 degrees. At present, the patient is able to walk using crutches. These results demonstrate that good results can be obtained if bilateral anastomosis is possible in both knees.