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:
Case Report
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
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author Jakubietz, Rafael G.
Jakubietz, Michael G.
Meffert, Rainer H.
Schmidt, Karsten
author_facet Jakubietz, Rafael G.
Jakubietz, Michael G.
Meffert, Rainer H.
Schmidt, Karsten
author_sort Jakubietz, Rafael G.
collection PubMed
description 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.
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spelling pubmed-54268912017-05-15 Multiple-level Replantation in Elderly Patients: Risk Versus Benefit Jakubietz, Rafael G. Jakubietz, Michael G. Meffert, Rainer H. Schmidt, Karsten Plast Reconstr Surg Glob Open Case Report 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. Wolters Kluwer Health 2017-04-27 /pmc/articles/PMC5426891/ /pubmed/28507872 http://dx.doi.org/10.1097/GOX.0000000000001313 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Jakubietz, Rafael G.
Jakubietz, Michael G.
Meffert, Rainer H.
Schmidt, Karsten
Multiple-level Replantation in Elderly Patients: Risk Versus Benefit
title Multiple-level Replantation in Elderly Patients: Risk Versus Benefit
title_full Multiple-level Replantation in Elderly Patients: Risk Versus Benefit
title_fullStr Multiple-level Replantation in Elderly Patients: Risk Versus Benefit
title_full_unstemmed Multiple-level Replantation in Elderly Patients: Risk Versus Benefit
title_short Multiple-level Replantation in Elderly Patients: Risk Versus Benefit
title_sort multiple-level replantation in elderly patients: risk versus benefit
topic Case Report
url 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
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