Jakubietz Rafael G, Jakubietz Michael G, Meffert Rainer H, Schmidt Karsten
Department of Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Wuerzburg, Wuerzburg, Germany.
Plast Reconstr Surg Glob Open. 2017 Apr 27;5(4):e1313. doi: 10.1097/GOX.0000000000001313. eCollection 2017 Apr.
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.
