CLINICAL CASE: Traumatic amputation LEFT HAND

Pathology: Traumatic amputation LEFT HAND

INTERVENTION: REPLANTING ANATOMO / UPPER LIMB FUNCTIONAL IN GENERAL ANESTHESIA.

HISTORY: Male , 15 years , worker , presents 30 minutes after a shearing had produced a total detroncazione the radius and ulna , complete section of the radial artery , ulnar and interosseous , complete failure of the structures neuro tendon.

TREATMENT: Anesthesia in generale , we proceed to identify the leaders of the distal radial and ulnar arteries. After Bone fixation with intramedullary you infibulo packaging terminology terminal anastomosis of the radial and ulnar arteries , prior recentazione adventitia for about 2 mm. Identification of the distal stumps of the cephalic veins , accessory cephalic and basilica which are anastomosed. Neuro tendon reconstructions.

SHORT-TERM: After 5 gg. Radial and ulnar pulse doppler overlapping contralateral limb. After 30 gg. Functional recovery of the hand.

Medium-term results: After 6 It keeps months completes the functionality of the hand.

LONG-TERM RESULTS: After three years It keeps you full functionality of the hand.

Photographic Images.