CC BY-NC 4.0 · Arch Plast Surg 2020; 47(02): 182-186
DOI: 10.5999/aps.2018.00514
Case Report

Successful ankle replantation in two cases with different presentations

Hospital Universiti Sains Malaysia, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
Reconstructive Sciences Unit, School of Medical Sciences, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
Plastic Surgery Unit, Department of Surgery, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
,
Hospital Universiti Sains Malaysia, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
Department of Orthopedic, School of Medical Sciences, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
,
Hospital Universiti Sains Malaysia, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
Reconstructive Sciences Unit, School of Medical Sciences, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
,
Hospital Universiti Sains Malaysia, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
Reconstructive Sciences Unit, School of Medical Sciences, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
,
Hospital Universiti Sains Malaysia, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
Department of Orthopedic, School of Medical Sciences, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
,
Hospital Universiti Sains Malaysia, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
Reconstructive Sciences Unit, School of Medical Sciences, Health Campus Universiti Sains Malaysia, Kota Bharu, Malaysia
› Author Affiliations

We report our experience of treating two patients with ankle amputation with different presentations. The first case was a clean-cut sharp amputation. The second case was an avulsion injury following a motor vehicle accident in a patient who arrived 8 hours after the injury. Replantation was successful in both cases. In avulsion injuries, a secondary operation for wound coverage is required at a later stage. With good strategy and a support team, encouraging limb survival outcomes are possible post-replantation.

This article was presented at the PRS Korea 2017 on November 10–12 2017, in Seoul, Korea.




Publication History

Received: 15 March 2018

Accepted: 30 May 2019

Article published online:
22 May 2022

© 2020. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • REFERENCES

  • 1 Cavadas PC, Landin L, Ibanez J. et al. Infrapopliteal lower extremity replantation. Plast Reconstr Surg 2009; 124: 532-9
  • 2 Cavadas PC, Thione A. Lower limb replantation. In: Salyapongse AN, Poore S, Afifi A. et al. Extremity replantation: a comprehensive clinical guide. New York: Springer; 2015: 145-59
  • 3 Bosse MJ, McCarthy ML, Jones AL. et al. The insensate foot following severe lower extremity trauma: an indication for amputation?. J Bone Joint Surg Am 2005; 87: 2601-8
  • 4 Kutz JE, Jupiter JB, Tsai TM. Lower limb replantation: a report of nine cases. Foot Ankle 1983; 3: 197-202
  • 5 Battiston B, Tos P, Pontini I. et al. Lower limb replantations: indications and a new scoring system. Microsurgery 2002; 22: 187-92
  • 6 Hierner R, Betz A, Pohlemann T. et al. Long-term results after lower-leg replantation. Eur J Trauma 2005; 31: 389-97