Distal Forearm Replantation Rehabilitation – Case Review

Authors

  • Filipa Pisa Interno de Medicina Física e de Reabilitação do Centro Hospitalar Lisboa Central - Hospital São José, Portugal
  • Pedro Dias Interno de Medicina Física e de Reabilitação do Centro Hospitalar Lisboa Central - Hospital São José, Portugal
  • Mário B. Moura Assistente Hospitalar Graduado de Medicina Física e de Reabilitação - Responsável do Pólo (Hospital São José), Portugal
  • Diogo Braz Interno de Medicina Física e de Reabilitação do Centro Hospitalar Lisboa Central - Hospital São José, Portugal
  • Fernando Fonseca Interno de Medicina Física e de Reabilitação do Centro Hospitalar Lisboa Central – Hospital Santa Marta, Portugal
  • David Rasteiro Interno de Cirurgia Plástica Reconstrutiva do Centro Hospitalar Lisboa Central - Hospital São José, Portugal

DOI:

https://doi.org/10.25759/spmfr.112

Abstract

Currently, the challenge of upper limb replantation after amputation became an achievable reality, thoroughly improved in last decades and in constant evolution.

The surgical option for replantation should take into account not only the exclusive analysis of the feasibility of replantation, but specially the potential of long term hand's functional recovery.

We report a case of an 18-year-old man, smoker, transferred from Barreiro's Hospital, victim of occupational accident with right distal forearm cut. This resulted in amputation.

The warm ischemia time was 4 hours and he underwent Orthopaedics and Plastic and Reconstructive Surgery (PRC) combined surgery for replantation.

Subsequently, he was referenced earlier to Physical Medicine and Rehabilitation (PRM), to perform a sequential program of rehabilitation.

The aim of this work is to emphasize the importance of an early, thorough and extensive rehabilitation program as a key of functional recovery and long-term prognosis in these lesions and its role in preventing complications.

Keywords: Amputation, Traumatic; Forearm Injuries; Replantation; Rehabilitation.

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How to Cite

1.
Pisa F, Dias P, Moura MB, Braz D, Fonseca F, Rasteiro D. Distal Forearm Replantation Rehabilitation – Case Review. SPMFR [Internet]. 2014 Jan. 27 [cited 2024 Oct. 30];24(2):52-7. Available from: https://spmfrjournal.org/index.php/spmfr/article/view/112

Issue

Vol. 24 No. 2 (2013): Ano 21

Section

Case Report

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