{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:48:13Z","timestamp":1761806893745},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2002,10,9]],"date-time":"2002-10-09T00:00:00Z","timestamp":1034121600000},"content-version":"vor","delay-in-days":281,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2002,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We present the case of a 9\u2010year\u2010old male patient who suffered a gunshot injury to the right arm. The patient arrived in shock, his right arm severely traumatized, with soft\u2010tissue loss involving the anterior surface and both sides of the right arm. The humerus was exposed. There was brachial artery defect and damage to the lateral fibers of the median nerve. The mangled extremity severity score (MESS) was 8 points. The patient was treated with general resuscitation, blood transfusion, and debridement. A venous graft, 12 cm in length, to bridge the brachial artery defect, and tendon transfer, triceps to the biceps, was performed in one step. Postoperatively, there was a normal radial pulse, normal skin color, normal temperature, and normal movement of the fingers without pain. Unfortunately, the patient then sustained a second trauma to the right arm 3 weeks later, rupturing the graft. This time he lost 1,500 cc of blood. After another blood transfusion, we performed a second reverse saphenous vein graft. The patient stayed at the hospital for 3 weeks. At follow\u2010up 12 months later, the limb has good function and, except for the presence of a scar and skin graft, is equal in appearance to the left side. \u00a9 2002 Wiley\u2010Liss, Inc. MICROSURGERY 22:249\u2013253 2002<\/jats:p>","DOI":"10.1002\/micr.10045","type":"journal-article","created":{"date-parts":[[2002,10,10]],"date-time":"2002-10-10T13:30:45Z","timestamp":1034256645000},"page":"249-253","source":"Crossref","is-referenced-by-count":3,"title":["Repeated upper limb salvage in a case of severe traumatic soft\u2010tissue and brachial artery defect"],"prefix":"10.1002","volume":"22","author":[{"given":"Hassan Hamdy","family":"Noaman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anis Elsayed","family":"Shiha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2002,10,9]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-200005000-00004"},{"key":"e_1_2_1_3_2","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/S0749-0712(21)00931-8","article-title":"Management of acute and chronic vascular injuries to the arm and forearm. 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