Transplantation of a full-cut upper limb (in wrist): A cases study

Keikhosro Mardanpour; Mahtab Rahbar

Journal of Kermanshah University of Medical Sciences

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Transplantation of a full-cut upper limb (in wrist): A cases study

Author(s):

Keikhosro Mardanpour¹,

Mahtab Rahbar^2,*

1Dept. of Ortopedy, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

2Dept. of Pathology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 16, issue 2; e78833

Published online:Jul 29, 2012

Article type:Case Report

Received:Oct 18, 2011

Accepted:Mar 06, 2012

How to Cite:Keikhosro MardanpourMahtab RahbarTransplantation of a full-cut upper limb (in wrist): A cases study.J Kermanshah Univ Med Sci.16(2):e78833.

Abstract

Background: Complete traumatic amputation of upper limb in wrist area is relatively rare. During the past years thanks to advances in scientific and microscopic methods peripheral nerve surgery has increased the success rate of such surgeries.

Case Presentation: An 18 year old man with his wrist has been cut for about 6 hours in an accident was referred to emergency Ward of Taleqani Hospital of Kermanshah. The patient suffered from complete cut of left wrist in car accident in 2008. The patient was really agitated and restless. His Blood pressure was 50/90 mm Hg and pulse rate was 120 per minute. Cut hand has been pressed and contaminated with soil and was wrapped in cloth and sent to the medical center. At first radius and ulnar bones were fixed by pin and articular capsule was sutured. In the second stage muscles were sutured. Arteries and veins in the third stage were anastomosed. Vessels were anastomosed end-to-end. Median, radial and ulnar nerves were restored by microscopic surgery after blood supply of hand has been flown. Finally, fasciotomy of organ was done to prevent compartment syndrome.

Conclusion: Two years later it was realized that the patients' sense of touch, heat and pressure of hand was remarkably good in transplanted hand and the surgery was really successful.

Keywords

organ transplantation

cut wrist

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