Limb surgery
The re-implantation of the limb became possible in connection with the development of microsurgery. There are macro-implantation (limb replantation after amputation proximal to the wrist or ankle joint) and micro-implantation (after amputation distal to these joints, as well as scalp, ears and penis). The technique of macroamping is well developed, but short-term muscle tolerance to ischemia leads to severe post-ischemic limb disorders, as well as to general complications (toxic damage to the liver and kidneys). In this case, the more proximal the amputation occurred, the more problematic the restoration of the function.
Indications for re-implantation - amputation without pronounced crushing of tissues. Urgent indications occur when the thumb, forearm, or the entire arm is amputated. In children, even with a partial amputation of the finger, one should try to perform a re-implantation.
The amputated segment should be immediately cooled to 4 ° C, for this, it is placed in a plastic bag, which is immersed in a second bag of ice water, outside - ice. The amputated part should not touch the ice! Thanks to this, it is possible to increase the time of ischemia from 10-15 to 20 hours and increase the chance of successful re-implantation.
Complications of surgical intervention: arterial and venous thrombosis, requiring a second operation. After operations, cautious active and passive movements begin from the 6th to 8th day.
- Diseases of the musculoskeletal system
- Generic injuries
- Kefalhematoma
- Fracture of clavicle
- Fracture of hip
- Shoulder fracture
- Congenital hip dislocation
- Congenital clubfoot
- Congenital muscular torticum
- Injuries and orthopedic diseases
- Ankylosis
- Bursitis
- Dislocations
- Traumatic dislocation
- Habitual dislocation
- Pathological dislocation
- Curvature of 1st toe
- Dupuytren's Contraction
- Contracture of joints
- Clubfoot
- Torticollis
- False joint (pseudoarthrosis)
- Traumatic osteomyelitis
- Flat-footedness
- Injuries of the thoracic cavity organs
- Injuries to the organs of the abdomen
- Rupture of the Meniscus
- Stretching
- The syndrome of compression
- Synovitis
- Scoliosis
- Traumatic amputation
- Traumatic shock
- Injury
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