ABSTRACT
Multiple level amputation has been described as a contraindication to replantation.
This is a case report of a patient with a double level amputation through the palm
and forearm that was successfully replanted. Because of the need for multiple stages
of reconstructive surgery, it was not clear until the end result that the replantation
was worthwhile. The patient developed an acute respiratory distress syndrome that
was probably caused by the reperfusion phenomenon. The stages of reconstruction are
described in detail, as are the problems encountered. The final result included a
reasonably functional hand that was far superior to the prosthesic alternative.
