Partial hand replantation using free microsurgical replantation with staged heterotopic banking of amputated parts: towards improving long term outcomes

Arthur R. Celestina Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

Valeria P. Bustosa Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

Amer H. Nassara Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

Kaimana Chowa Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

Alex Neusnerb Department of Orthopaedics – Hand, Upper Extremity, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

Swapnil Kachareb Department of Orthopaedics – Hand, Upper Extremity, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

Joseph Upton IIIb Department of Orthopaedics – Hand, Upper Extremity, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

Arriyan S. Dowlatshahia Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA;b Department of Orthopaedics – Hand, Upper Extremity, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USACorrespondence[email protected]

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Abstract

In hand trauma, the uninjured forearm has been touted as the ideal site for ectopic banking in digit/hand amputations. Here, we describe the temporary ectopic implantation and subsequent replantation of a partially amputated hand and highlight the “Three R’s” – Recovery, Rehabilitation, and Revision over the first year of recovery.

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The author(s) declare(s) that there is no conflict of interest.

Human and animal rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from the patient included in the study.

Informed consent

Informed consent was obtained from the participant included in the study. Additional informed consent was obtained from the participant for whom identifying information is included in this article.

Partial hand replantation using free microsurgical replantation with staged heterotopic banking of amputated parts: towards improving long term outcomes

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Partial hand replantation using free microsurgical replantation with staged heterotopic banking of amputated parts: towards improving long term outcomes

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