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Preoperative management of the amputated limb
  1. M S Lloyd,
  2. T C Teo,
  3. M A Pickford,
  4. P M Arnstein
  1. Department of Plastic Surgery, Queen Victoria Hospital, Holtye Road, West Sussex, England
  1. Correspondence to:
 MrM S Lloyd
 The Hospital Royal Free, 3rd Floor, Dawson Ward, Pond Street, London NW3 2QG;


Little literature exists on storage and preparation of an amputated limb prior to transfer to a reconstructive plastic surgical unit for possible macroreplantation. This paper describes practical measures used to prolong ischaemia time allowing macroreplantation, tissue harvesting, or fashioning of a useful stump. A simple protocol is used to summarise these points.

  • macroreplantation
  • tissue preservation fluid
  • hypothermia

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  • Competing interests: none declared