Toka machine injury: Replantation left arm in a 5 year old

Replantation is defined as reattachment of a part that has been completely amputated-no connection exists between the severed part and the patient. First Replantation was reported in Boston in 1962 by Malt & McKhann in a 12 year old boy. Replantation of nearly all amputated parts, should be attempted in healthy children. A 5 year old boy presented to the emergency with history of complete amputation by avulsion of left arm by a fodder-cutting machine which was successfully replanted within 6 h of injury in spite of the avulsive nature of the injury. The superior regenerative capacity of children's nerves & soft tissues, along with the potentially favourable psychological ramifications of improved cosmesis, make this technically demanding operation most gratifying.