Prevalence of Stump Overgrowth in Pediatric Burn Patient Amputations

Klimisch, Justin; Carmichael, Kelly D.; Muradov, Pavel; Evans, E. Burke

doi:10.1097/bpo.0b013e3182074769

Cited by 7 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In children stump revisions, angular deformities and frequent change of prosthesis during growth spurts present another challenge with added cost [ 10 – 12 ]. The psychological impact of this disability to the children and their parents is also immense [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child

Zubairi

Hashmi

2015

Case Reports in Orthopedics

View full text Add to dashboard Cite

Replantation of the lower extremity has controversial indications but nevertheless it may be considered in carefully selected patients who present early and are expected to show good functional recoveries. Here we present a successful replantation in a 3-year-old boy who has made excellent recovery with no functional deficit evident at 12 years of follow-up. He sustained a traumatic amputation at the level of distal tibia when he fell of a “Qing Qi” (motorcycle rickshaw). Replantation was attempted at 8 hours cold ischemia time with the tibia shortened 4 cm and all tendons, vessels, and nerves repaired. Patient required a second procedure during the same hospital stay for skin coverage. Patient made good recovery with ambulation without support at 6 months, less than 3 cm limb length discrepancy, plantar and dorsiflexion power 4/5, and recovery of sensation over the foot. Now at 12 years of follow-up patient has a normal gait and has integrated into society with no functional deficit. Considering the functional outcome of our case, replantation should be attempted whenever possible and feasible especially in children.

show abstract

Section: Discussionmentioning

confidence: 99%

Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child

Zubairi

Hashmi

2015

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

“…Finally, disarticulation eliminates the risk of stump overgrowth that frequently occurs in transdiaphyseal amputations in children. 20 Phantom limb pain is more common in amputations following electrical burn injury. 21 Targeted muscle reinnervation (TMR) is a promising new technique to prevent and manage residual limb and phantom limb pain.…”

Section: Acute Issuesmentioning

confidence: 99%