Abstract
Objective To explore the difficulties may encounter and the managements adoptable during ectopic implantation & replantation of the complicatedly severed hand.Methods In March,2013,management of a patient with complicatedly severed hand by rotary avulsion injury as well as the relative literature was systematically reviewed.After the Ⅰ-stage ectopic implantation,the Ⅱ-stage replantation,as well as the timely Ⅲ-stage and Ⅳ-stage extensor and flexor tendon transplantation and repair respectively.Results The severed hand survived evenly.A moderate sensation and mild motor function of the affected hand was acquired 7 months post-traumatically.Conclusion Managements including ectopic implantation & replantation provide feasible methods for complicated limb severances,however,considering the operative complexity,the multi-stages required,the heavy economic and mental burden as well as the poor outcome,these operative indications should be strictly assessed. Key words: Hand secerance ; Ectopic implantation ; Replantation
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