Replantation of an avulsive amputation of a foot after recovering the foot from the sea

A foot avulsion case, with the dismembered body part submerged in sea water for 1 hour, is presented. This report is unique in that it is the first to document the reattachment of a body part that had been submerged in sea water. It was not known how salt-water exposure would affect wound management...

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Bibliographic Details
Published in:	Plastic and reconstructive surgery (1963) Vol. 105; no. 4; pp. 1435 - 1437
Main Authors:	YÜKSEL, F, KARACAOLU, E, ÜLKÜR, E, GÜLER, M. M
Format:	Journal Article
Language:	English
Published:	Hagerstown, MD Lippincott Williams & Wilkins 01-04-2000
Subjects:	Adult Amputation, Traumatic - surgery Biological and medical sciences Foot - blood supply Foot Injuries - surgery Humans Immersion Foot - physiopathology Injuries of the limb. Injuries of the spine Male Medical sciences Microsurgery Military Personnel Oceans and Seas Orthopedic surgery Regional Blood Flow - physiology Replantation - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Traumas. Diseases due to physical agents Human Diseases of the osteoarticular system Conservation Lower limb Male Trauma Foot Result Case study Treatment Surgery Disease of the foot Young adult Amputation Biological effect Technique Replantation Seawater
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Summary:	A foot avulsion case, with the dismembered body part submerged in sea water for 1 hour, is presented. This report is unique in that it is the first to document the reattachment of a body part that had been submerged in sea water. It was not known how salt-water exposure would affect wound management. Differences in osmolarity and bacterial flora between the sea water and foot tissues have not caused any problems, and the patient has not suffered any vascular or infectious complications after replantation. Neurotization of the plantar surface by the tibial nerve, which was stripped off during amputation and replaced in its original traces, was the most critical part of convalescence. After management of such an interesting case, we conclude that exposure to sea water of the dismembered part should not be a contraindication for replantation surgery.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0032-1052 1529-4242
DOI:	10.1097/00006534-200004000-00024