This case describes the attempted replantation of an arm following its traumatic amputation. After a five-and-a-half hour ischaemic time, perfusion of the arm was re-established. However, over the ensuing hours, the patient developed hyperkalaemia, acidaemia and severe hypotension requiring high dose inotropic support. Ultimately re-amputation was necessary to treat the systemic effects of the ischaemia reperfusion syndrome.
KourA.K., PhoneM.H., PhoR.W.A preliminary report of tissue preservation with University of Wisconsin Cold Storage Solution in major limb replantation.Ann Acad Med Singapore1995; 24: 37–41.
7.
WaikakulS., VanadurongwanV., UnnanuntanaA.Prognostic factors for major limb re-implantation at both immediate and long term follow up.J Bone Joint Surg Br1998; 80: 1024–1030.
