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J Hand Microsurg 2021; 13(03): 169-172
DOI: 10.1055/s-0040-1703096
Case Report

Pediatric Replantation after Traumatic Amputation at the Distal Forearm: Rehabilitation Protocol and Outcomes

Nicholas C. Oleck
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, New Jersey, United States
,
Radhika Malhotra
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, New Jersey, United States
,
Haripriya S. Ayyala
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, New Jersey, United States
,
Ramazi O. Datiashvili
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, New Jersey, United States
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Abstract

Major limb replantation is a formidable task, especially in the pediatric setting. While meticulous microsurgical technique is required in the operating room, the authors aim to highlight the importance of postoperative rehabilitation therapy for optimal function. We highlight the case of a 12-year-old boy who suffered complete traumatic amputation through the distal left forearm. The limb was successfully replanted with successful restoration of sensation and function with the aid of intensive postoperative occupational therapy. A multidisciplinary team is of paramount importance to maximize function of a replanted upper extremity.

Keywords

hand - microsurgery - occupational therapy - pediatrics - rehabilitation - replantation


Publication History

Article published online:
13 April 2020

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