Guide-lines for the Primary Treatment of Amputation Injuries
The consideration for replantation is greatly influenced by the first-line treatment. This initial treatment is primarily concerned with maintaining the vital functions of the injured person, according to the rules of general accident surgery, e.g. control of respiration, maintenance of circulation, treatment of shock, etc. Since amputations in the hand area are most commonly isolated injuries, the general condition of the patient is normally good — in contrast to macroreplantation — and the above points seldom enter into consideration.