[Subtotal avulsion of the lower limb after traumatic section in a 2 and a half-year-old child]

Ann Chir. 1989;43(1):21-7.
[Article in French]

Abstract

Reimplantation after subtotal section of the right lower limb under the Scarpa triangle was been attempted and was successful. Section and contusion of the femoral artery and vein required 2 end-to-end saphenous bypass grafts. The use of the lower limb is correct, after to a follow up of 4 years. The risks, inherent to all proximal section, with important muscular masses, in a small child, are described. Functional prognosis depends on three aspects: bone, vessels, and nerves. A tibial pseudarthrosis had to be operated secondarily with significant lengthening. A partial stenosis of the graft was demonstrated arteriographically. Pes equinus, a result of paralysis, has been fitted with an orthesis. This observation is almost an experimental one: what can be the future of a reimplanted lower limb in the child.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Amputation, Traumatic*
  • Child, Preschool
  • Femoral Artery / injuries
  • Femoral Artery / surgery
  • Femoral Fractures / surgery
  • Femoral Vein / injuries
  • Femoral Vein / surgery
  • Follow-Up Studies
  • Humans
  • Leg Injuries / surgery*
  • Male
  • Postoperative Complications
  • Prognosis
  • Pseudarthrosis / surgery
  • Replantation*
  • Tibial Fractures / surgery