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Multiple-level Replantation in Elderly Patients: Risk Versus Benefit

Multiple-level amputations of the upper extremity represent a surgical challenge generally only attempted in young patients. This case demonstrates a successful replantation in an elderly woman. The postoperative course was complicated by disseminated intravascular coagulopathy most likely due to in...

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Detalles Bibliográficos
Autores principales: Jakubietz, Rafael G., Jakubietz, Michael G., Meffert, Rainer H., Schmidt, Karsten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426891/
https://www.ncbi.nlm.nih.gov/pubmed/28507872
http://dx.doi.org/10.1097/GOX.0000000000001313
Descripción
Sumario:Multiple-level amputations of the upper extremity represent a surgical challenge generally only attempted in young patients. This case demonstrates a successful replantation in an elderly woman. The postoperative course was complicated by disseminated intravascular coagulopathy most likely due to inadequate resuscitation. Hand trauma is often underestimated in its general severity. Upper extremity amputations need to be handled similar to polytraumatized patients.