Replantation of Multilevel Amputation of the Hand of an Elderly Patient: A Case Report

Author:

Kwak Sang Ho1,Lee Sang Hyun2,Jang Hyo Seok3,Kim Dong Hee4,An Sung Jin5,Kim Yong Jin6

Affiliation:

1. Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, Yangsan

2. Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Busan

3. Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, Busan

4. Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon

5. Department of Orthopedic Surgery, Armed Forces Capital Hospital, Seongnam

6. Centum Institute for Hand and Microsurgery, West Busan Centum Hospital, Busan, Korea

Abstract

Replantation of multilevel amputation of the hand requires considerable hospital resources, and the surgical outcomes in older adults have not been described in detail. Thus, replantation for this injury was mostly confined to young patients. Here, we describe the case of a 63-year-old patient with multilevel amputation of the hand in whom replantation surgery was successful with grasp and pinch functions by the last follow-up. We report the clinical, functional, and patient-reported outcomes and discuss the indications. As the patient transfer system and communication technology develops, more patients will arrive at hospitals in a critical time for replantation. Accordingly, hand surgeons should consider offering replantation option for multilevel amputation after evaluating the indications.

Publisher

World Scientific Pub Co Pte Ltd

Subject

General Medicine

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