Fourteen-year outcome of unilateral leg replantation after bilateral lower leg and unilateral upper extremity amputation following traumatic injury

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dc.contributor.authorOzdes, Huseyin Utku
dc.contributor.authorErgen, Emre
dc.contributor.authorCoban, Idris
dc.contributor.authorKoroglu, Muhammed
dc.contributor.authorKarakaplan, Mustafa
dc.contributor.authorErtem, Kadir
dc.date.accessioned2026-04-04T13:33:00Z
dc.date.available2026-04-04T13:33:00Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractIn cases of traumatic major extremity amputations, particularly ofthe lower extremity, every stage-from decision-making to implementation and outcomes-remains a matterof debate. Managing such cases, which carry high mortality rates, is extremely challenging both at the time of injury and throughout treatment. We present a rare and severe case of a 30-year-old patient who sustained injuries from a concrete machine, resulting in bilateral lower extremity amputations and a unilateral proximal arm amputation. A replantation was successfully performed at the proximal ankle level on one side. Our patient has been followed for 14 years, during which we achieved a satisfactory outcome through meticulous surgical intervention, evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) and Maryland foot scores. We attained a limb with intact plantar sensation and near-complete range of motion in the ankle and toe joints. Although the clinical application of the Mangled Extremity Severity Score (MESS) score has established criteria for replantation in traumatic amputation cases, we believe there maybe relative indications for limb salvage, particularly in cases of multiple traumatic amputations, especially bilateral lower extremity amputations. In such injuries, the patient's life should be prioritized. Subsequently, at least one amputated extremity and its stump should be thoroughly evaluated. Rather than opting for stump closure, we advocate attempting replantation.
dc.identifier.doi10.14744/tjtes.2025.40593
dc.identifier.endpage1142
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue11
dc.identifier.pmid41392839
dc.identifier.scopus2-s2.0-105022744898
dc.identifier.scopusqualityQ2
dc.identifier.startpage1137
dc.identifier.urihttps://doi.org/10.14744/tjtes.2025.40593
dc.identifier.urihttps://hdl.handle.net/11616/108866
dc.identifier.volume31
dc.identifier.wosWOS:001653317200010
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectMultiple traumatic amputation
dc.subjectlower extremity
dc.subjectreplantation
dc.titleFourteen-year outcome of unilateral leg replantation after bilateral lower leg and unilateral upper extremity amputation following traumatic injury
dc.typeArticle

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