Thermoregulatory control after upper extremity replantation.

Journal Article (Journal Article)

Four patients with complete forearm amputations between the wrist and elbow were analyzed prospectively to determine the interrelationships of thermoregulation to pain, cold intolerance, arterial integrity, venous competence, motor nerve recovery, sensory nerve recovery, and time. Patients were examined at 6 weeks, 3 months, 6 months, 1 year, and 2 years after replantation. Vasomotor regulatory capacity was assessed by isolated cold-stress testing. Pain had diminished in all patients by 6 months to 1 year, regardless of other factors. Cold tolerance and normal thermoregulatory response, as indicated by cold-stress test performances, were temporally related to attainment of two-point sensory discrimination (p less than 0.05), or to motor nerve recovery (p less than 0.05), or to both.

Full Text

Duke Authors

Cited Authors

  • Koman, LA; Nunley, JA

Published Date

  • July 1986

Published In

Volume / Issue

  • 11 / 4

Start / End Page

  • 548 - 552

PubMed ID

  • 3722769

International Standard Serial Number (ISSN)

  • 0363-5023

Digital Object Identifier (DOI)

  • 10.1016/s0363-5023(86)80196-4


  • eng

Conference Location

  • United States