Hand Replantation Case Report using a Single Vein Anastomosis in a Severe Crush Injury

Ahmed Ibrahim1*, Ahmed Aboelnaga1, Ahmed Mehanna1, Ahmed Eltayar2, Abdel Rahman Basha1, Malek Elsayed1 and Amr Moghazy1

1Department of Surgery, Suez Canal University Hospitals, Suez Canal University, Egypt
2Department of Orthopedics, Suez Canal University Hospitals, Suez Canal University, Egypt

^*Correspondance to: Ahmed Ibrahim 

 PDF  Full Text DOI: 10.25107/2474-1647.2727

Abstract

A 15-year-old male who presented to Suez Canal University Hospitals in March 2018 with a severe crush injury to his forearm and amputated hand. Ischemia time was 4 h. On examination, the amputation was at the level of the distal third of the forearm with massive tissue loss. To help primary anastomosis of the vessels, bone shortening was done from the amputated part, followed by temporary fixation of the hand by two K-wires in the radius and ulna. End-to-end anastomoses were done for both Ulnar artery and cephalic vein. The final outcome of the patient, after one year, was regained sensation of the hand and holding objects. In conclusion, cephalic vein reconstruction as a single vein could sustain a whole replanted hand with no congestion. This technique should be encouraged whenever applicable as it might save the hand.

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Cite the article

Aboelnaga A, Mehanna A, Ibrahim A, Eltayar A, Rahman Basha A, Elsayed M, et al. Hand Replantation Case Report using a Single Vein Anastomosis in a Severe Crush Injury. Clin Surg. 2020; 5: 2727..