Fig. 4
From: How can we reduce the ischemic time for forearm replantation? Tips to simplify the bone fixation
A Photographic showing a 24-year-old male amputated forearm after a car accident. B We used a 5-hole recon-plate and external fixator for bone fixation during replantation surgery.It took 120 min from the start of the operation to artery anastomosis, and the total ischemia time was 7 h. The time required for bone shortening and plate fixation was 30 min. C The external fixator was removed 6 weeks after surgery and a skin graft was done. D For hand function, a free functional muscle graft using the gracilis muscle was performed 15 months after surgery. E Bone union was achieved without secondary bone fixation. A free functional muscle graft using the gracilis muscle was performed 15 months after surgery. F At the last follow-up at 19 months, Chen's grade II excellence (total range of motion ≥ 60%, muscle str ≥ M4, sensibility ≥ 2, back to work) was found.ength