{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T20:13:48Z","timestamp":1767212028175,"version":"3.44.0"},"reference-count":24,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"accepted":{"date-parts":[[2017,8,22]]},"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p>The following case report and literature review will detail the management of a traumatic amputation of the arm in a 12-year-old boy. Compared with lower limbs, upper limb prosthesis usually results in significant suboptimal function by any measure. While the literature lacks high-quality evidence with regard to functional outcomes following proximal amputations of the upper limb, especially in children, it is known that children generally have superior functional outcomes compared with their adult counterparts. The mechanism of injury, transportation of the amputated part, type of ischemia, timing of surgery, surgical techniques\/factors and postoperative rehabilitation will be discussed as factors affecting outcome of reimplantation.<\/jats:p>\n               <jats:p>Level of evidence: V<\/jats:p>","DOI":"10.1136\/tsaco-2017-000124","type":"journal-article","created":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T20:21:38Z","timestamp":1505161298000},"page":"e000124","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Case report and literature review of the outcome following reimplantation of the arm"],"prefix":"10.1136","volume":"2","author":[{"given":"Cary","family":"Fletcher","sequence":"first","affiliation":[{"name":"Department of Ortthopeadics, St Ann's Bay Regional Hospital, St Ann's Bay, St Ann, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,11]]},"reference":[{"key":"2025081711040858000_2.1.e000124.1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1007\/s00068-007-7022-8","article-title":"Microvascular Reconstruction of the Upper Extremity","volume":"33","author":"Whitaker","year":"2007","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2025081711040858000_2.1.e000124.2","doi-asserted-by":"publisher","DOI":"10.1191\/1460408605ta325oa"},{"key":"2025081711040858000_2.1.e000124.3","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920150708"},{"key":"2025081711040858000_2.1.e000124.4","doi-asserted-by":"publisher","DOI":"10.1097\/bth.0b013e318070c716"},{"key":"2025081711040858000_2.1.e000124.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2006.11.003"},{"key":"2025081711040858000_2.1.e000124.6","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/S0749-0712(21)00519-9","article-title":"Major upper limb replantation","volume":"17","author":"Chew","year":"2001","journal-title":"Hand Clin"},{"key":"2025081711040858000_2.1.e000124.7","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920110309"},{"key":"2025081711040858000_2.1.e000124.8","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22007"},{"key":"2025081711040858000_2.1.e000124.9","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1002\/micr.1920120312","article-title":"Major limb replantation in children","volume":"12","author":"Daigle","year":"1991","journal-title":"Microsurgery"},{"key":"2025081711040858000_2.1.e000124.10","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B6.8761"},{"key":"2025081711040858000_2.1.e000124.11","doi-asserted-by":"crossref","first-page":"1766","DOI":"10.2106\/00004623-199412000-00003","article-title":"Results after replantation and revascularization in the upper extremity in children","volume":"76","author":"Saies","year":"1994","journal-title":"J Bone Joint Surg Am"},{"key":"2025081711040858000_2.1.e000124.12","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1002\/micr.20380","article-title":"treatment, and long-term results","volume":"27","author":"Hierner","year":"2007","journal-title":"Microsurgery"},{"key":"2025081711040858000_2.1.e000124.13","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1002\/micr.20464","article-title":"Severe upper limb injuries with or without neurovascular compromise in children and adolescents \u2013 analysis of 32 cases","volume":"28","author":"Ignatiadis","year":"2008","journal-title":"Microsurgery"},{"key":"2025081711040858000_2.1.e000124.14","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3109\/17453679509157155","article-title":"Major amputation of the upper extremity. 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