Major replantation versus revision amputation and prosthetic fitting in the upper extremity: A late functional outcomes study*
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2019, InjuryCitation Excerpt :In major proximal crush avulsion amputations of the upper limb, it is the policy of the unit to go in for replantation, if the hand is structurally intact or can be made functional. This is made on the premise that a well reconstructed hand is functionally more useful than the best available prosthesis [6]. Unacceptable long ischemia time, technical impossibility and associated co morbid conditions which would put the patient's general condition to undue risk are the contraindications [4].
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No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subjects of this article.
- 1
From the Divisions of Orthopaedic and Plastic Surgery, University of Toronto, Toronto, Ontario; the Kleinert, Kutz and Associates Hand Care Center, Louisville, KY; the Department of Surgery, University of Louisville, Louisville, KY; the Christine M. Kleinert Institute for Hand and Microsurgery, and the Departments of Physiology and Biophysics and Surgery, University of Louisville, Louisville, KY.