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Cross-arm replantation for traumatic bilateral upper extremity amputations: a case report
Authors:Kailu Liang  Gang Zhong  Jiahui Yin  Zhou Xiang  Shiqiang Cen  Fuguo Huang
Affiliation:(1) Orthopaedic Department, West China Hospital, Sichuan University, Chengdu, 610041, People’s Republic of China;(2) Orthopaedic Department, the Second Affiliated Hospital, Chongqing Medical University, Chongqing, 400010, People’s Republic of China;(3) Orthopaedic Department, Yuxi Municipal Hospital of Traditional Chinese Medicine, Yuxi, People’s Republic of China
Abstract:A 40-year-old woman had her right extremity avulsed at the proximal upper arm level and the wrist and hand of her left extremity irretrievably injured in a traffic accident. The right distal forearm was surgically amputated and replanted onto the stump of the left distal forearm. New strategy for nerve repair was applied and the function recovery of the cross-replanted hand was favorable. We thought that cross-extremity replantation was indicated when the patient suffered from bilateral total or subtotal amputation at different levels and orthotopic replantation was impossible.
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