Reimplantation of the upper limb after tear lesion: long-term results.

Reimplantation revascularization of the upper limb proximal to the elbow represents an absolute indication in specific conditions. In the young subject, in good general conditions with a clean amputation (guillotine-like caused by a circular saw), the limb preserved in ideal conditions, indications for reimplantation are supported by the expectations of good functional recovery. When amputation is due to avulsion tear the possibility of anatomical and functional success is influenced by the complexity of vascular and nervous lesions. Thus, indications for reimplantation must be made by carefully evaluating each individual case.