Major Limb Replantation of Lower Leg Amputation with Ipsilateral Distal Femoral Comminuted Fracture in Old Age: A Case Report
10.12671/jkfs.2019.32.4.227
- Author:
Tae Young AHN
1
;
Seung Joon RHEE
;
Sang Ho KWAK
;
Hyo Seok JANG
;
Sang Hyun LEE
Author Information
1. Department of Orthopaedic Surgery, Pusan National University Hospital, Busan, Korea. handsurgeon@naver.com
- Publication Type:Case Report
- Keywords:
Old age amputation;
Ipsilateral fracture;
Lower limb replantation
- MeSH:
Accidents, Traffic;
Aged;
Amputation;
Canes;
Caregivers;
Esthetics;
Extremities;
Female;
Fractures, Comminuted;
Humans;
Leg;
Lower Extremity;
Rehabilitation;
Replantation;
Tibia;
Walking;
Wounds and Injuries
- From:Journal of the Korean Fracture Society
2019;32(4):227-231
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The development of microsurgical techniques has also increased the success rate of replantation surgery. This paper reports the results of limb replantation performed on a lower extremity amputation that was associated with crush amputation and an ipsilateral comminuted fracture in and elderly patient. A 68-year-old female presented with a right distal tibia amputation due to a traffic accident. At that time, with a comminuted fracture in the distal femoral condyle, simple wound repair was recommended, but the caregivers strongly wanted replantation. Three years after surgery, normal walking was possible without a cane and the patient was satisfied with the function and aesthetics. What used to be contraindicated in limb replantation in the past are now indications due to the development of microsurgical techniques, surgical experience, and postoperative rehabilitation treatment. If the patient is willing to be treated, good results in contraindications can be obtained.
