Which is a reason that replantation of amputated parts would be contraindicated?
a. The ischemic part has been kept dry at a cooled temperature.
b. Intact subcutaneous venous circulation is present in the skin bridges.
c. The injury involves severe bruising or a crushing injury.
d. The patient has not received a tetanus shot.
ANS: C
Contraindications to replantation include severe bruising or crushing injury, prolonged warm ischemia, multiple fractures or injury at different levels in the same digit, or associated injuries that preclude the effort. Restoration is much more difficult in crush injuries than in sharp, clean amputations. Replantation is more successful in young patients than in older patients. Also, incomplete amputations are more successful because they have intact subcutaneous venous circulation in the skin bridges.
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